Evidence map›Paper›PMID 33622592›Full record

ArticleInjury2021

Epidemiology of hand traumas during the COVID-19 confinement period.

Thibaut Fortané, Michael Bouyer, Malo Le Hanneur, Baptiste Belvisi, Guillaume Courtiol, Kevin Chevalier, Caroline Dainotto, Marie Loret, Agathe Kling, Antonin Bentejac and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Injury, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Thibaut FortanéHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France. Electronic address: tfortane@gmail.com.
Michael BouyerHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Malo Le HanneurDepartment of Orthopedics and Traumatology - Service of Hand, Upper Limb and Peripheral Nerve Surgery, Georges Pompidou European Hospital (HEGP), Assistance Publique Hôpitaux de Paris - Paris Descartes University, 20 rue Leblanc, 75015 Paris, France.
Baptiste BelvisiOrthopedic Surgery Department, Centre Hospitalier Annecy Gennevois (CHANGE), Metz-Tessy, France.
Guillaume CourtiolEmergency department, Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Kevin ChevalierEmergency department, Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Caroline DainottoEmergency department, Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Marie LoretHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Agathe KlingHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Antonin BentejacHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Thibault LafosseHand, Upper Limb, Brachial Plexus, and Microsurgery Unit (PBMA), Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
Laboratoire d'Annecy-le-Vieux de Physique Théorique · FRCentre Hospitalier Annecy Genevois · FRHôpital Européen Georges-Pompidou · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionhand injuries are a common emergency mainly caused by domestic accidents or sport injuries. During the COVID-19 pandemic confinement period, with a cut off in transportation as well as in occupational and physical activities, we observed a decrease in medical and elective surgical activities but emergency cases of upper limb and hand surgery increased. MATERIALS AND

methodswe conducted a retrospective epidemiological study to analyze two periods between the same dates in 2019 and 2020, for all the duration of the confinement period. We compared the numbers of consultations in the emergency department, elective surgeries, hand and upper limb emergency cases in our center and urgent limb surgeries in the nearby hospital. Then we compared the mechanisms and severity of injuries and the type of surgery.

resultsbetween 2019 and 2020 there was a decrease of consultations in the emergency department in our institution of 52%, a decrease of total elective surgeries of 75%, a decrease in surgeries for urgent peripheral limb injuries of 50%, whereas the hand and upper limb emergency remained stable or even increased by 4% regard to occupational and domestic accidents. There was a significant difference in the mechanism of injury with an increase of domestic accident and a decrease of occupational, road traffic and sport accidents. Severity of the injuries increased, with augmentation of the number of tissues involved and longer expected time of recovery.

conclusionduring the confinement period of the COVID-19 pandemic, despite an important reduction of medical activities, the amount and severity of hand emergency cases increased. A specific plan regarding duty shift organization for hand trauma should be maintained regardless of the sanitary situation.

Indexed as

COVID-19Hand InjuriesHumansPandemicsRetrospective StudiesConfinementCOVID-19EmergencyEpidemiologyHand injuryHand surgery

Identifiers

PMID33622592
PMCPMC9749794
OpenAlexW3131211048

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.