Evidence map›Paper›PMID 33682805›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Proximal humerus fractures in COVID-19 lockdown: the experience of three orthopedics and traumatology departments in the first ten weeks of the Italian epidemic.

Pietro Maniscalco, Corrado Ciatti, Serena Gattoni, Fabrizio Quattrini, Calogero Puma Pagliarello, Angela Caterina Patane', Patrizio Capelli, Filippo Banchini, Fabrizio Rivera, Francesco Sanna and 3 more

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 9 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

13 authors at 3 institutions in 2 countries.

Pietro ManiscalcoOrthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Corrado Ciattiausl piacenza. dadociatti@icloud.com.
Serena Gattoniausl piacenza. serenagattoni@gmail.com.
Fabrizio Quattriniausl piacenza. f.quattirini@ausl.pc.it.
Calogero Puma Pagliarelloausl piacenza. c.pumapagliarello@ausl.pc.it.
Angela Caterina Patane'ausl piacenza. dadociatti@fastwebnet.it.
Patrizio Capelliausl piacenza. p.capelli@ausl.pc.it.
Filippo Banchiniausl piacenza. f.banchini@ausl.pc.it.
Fabrizio Riverass annunziata hospital. rivgio@libero.it.
Francesco Sannass annunziata hospital. c.ciatti@ausl.pc.it.
Daniela Nonness annunziata hospital. dadociatti@gmail.com.
Bruno Di MaggioASL Caserta. bdimaggio@inwind.it.
Gabriele ScaravilliASL Caserta. gabriele.scaravilli@gmail.com.
Azienda Unità Sanitaria Locale Piacenza · ITAssociation for Symbolic Logic · USGuglielmo da Saliceto Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoronavirus disease (CoVID-19) is causing millions of deaths worldwide and the crisis of the global healthcare system.  Aim Of The Study: evaluate the preliminary impact of CoVID-19 in three Italian Orthopedics and Traumatology Departments in the first 10 weeks of the national lockdown. We focused on proximal humerus fractures, analyzing data and results in comparison with the same period of 2019. MATERIALS AND

methodsFrom February 22nd to May 3rd 2020, 55 patients were admitted to our departments for promixal humerus fractures. Our cohort of patients is composed by 13 males (23.6%) and 42 females (76.4%), with an average age of 73.8 ± 11.7 years (range 44 - 94). Trauma occurred at home in 43 cases (78.2%), by the roadside in 10 cases (18.2%), in a retirement home in 1 case (1.8%), and at work in 1 case (1.8%). We proposed surgical treatment in 15/55 cases, but 4 patients refused hospitalization, mainly because of the risk of contracting n-CoV19 infection.

resultsWe noticed a decrease in proximal humerus fractures compared to 2019 (-37.5%). Particularly, we observed a significant drop in traumas occurred on the road and at work respectively 23.9% and 3.4%% in 2019, and 18.2% and 1.8% in 2020, probably due to the consequences of the national lockdown. Sports traumas had a reset during the pandemic (6 cases in 2019, 0 in 2020). As consequence, surgical treatment had a decrease due to the reduction in number of fractures, indications and patient's consent.

conclusionThe incidence of proximal humerus fractures had a significant reduction during CoVID-19 spread. We assume that the reasons of this reduction are to be found in the national lockdown (since March 10th, 2020) and Ministerial Decrees that limited the access to the E.R. only in case of severe traumas in order to avoid CoVID-19 spread.

Indexed as

SARS-CoV-2AdultAgedAged, 80 and overCOVID-19FemaleHumansHumeral FracturesItalyMaleMiddle AgedOrthopedicsTraumatology

Identifiers

PMID33682805
PMCPMC7975920
OpenAlexW3134644906

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.