Evidence map›Paper›PMID 34208115›Full record

ArticleJournal of clinical medicine2021

How SARS-CoV-2 Pandemic Changed Traumatology and Hospital Setting: An Analysis of 498 Fractured Patients.

Marco Brayda-Bruno, Riccardo Giorgino, Enrico Gallazzi, Ilaria Morelli, Francesca Manfroni, Matteo Briguglio, Riccardo Accetta, Laura Mangiavini, Giuseppe Maria Peretti

Open access · goldAbstract read
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Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 8 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

9 authors at 4 institutions in 1 country.

Marco Brayda-BrunoIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.
Riccardo GiorginoResidency Program in Orthopedics and Traumatology, University of Milan, 20122 Milan, Italy.ORCID 0000-0002-1067-7424
Enrico GallazziOrtopedia e Traumatologia 3, ASST Centro Specialistico Ortopedico Traumatologico G. Pini-CTO, 20122 Milan, Italy.
Ilaria MorelliU.O.C. Ortopedia e Traumatologia Nuovo Ospedale di Legnano ASST Ovest Milanese, 20025 Legnano, Italy.ORCID 0000-0001-5719-0739
Francesca ManfroniIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.ORCID 0000-0003-3617-7484
Matteo BriguglioIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.ORCID 0000-0003-0801-2359
Riccardo AccettaIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.
Laura MangiaviniIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.ORCID 0000-0003-1892-1249
Giuseppe Maria PerettiIRCCS Orthopedic Institute Galeazzi, 20144 Milan, Italy.
Istituto Ortopedico Galeazzi · ITUniversity of Milan · ITAzienda Ospedaliera Ospedale Civile di Legnano · ITIstituto Ortopedico Gaetano Pini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-CoV-2 pandemic is one of the biggest challenges for many health systems in the world, making lots of them overwhelmed by the enormous pressure to manage patients. We reported our Institutional Experience, with specific aims to describe the distribution and type of treated injuries, and the organizational setup of our hospital.

methodsData of fractured patients admitted for surgical treatment in the time frames 9 March 2020-4 May 2020 and 1 March 2019-31 May 2019 were collected and compared. Furthermore, surgery duration and some parameters of effectiveness in health management were compared.

resultsA total of 498 patients were included. Mean age significantly lower age in 2019 and femoral fractures were significantly more frequent 2020. Mean surgery time was significantly longer in 2020. Mortality rate difference between the two years was found to be statistically significant. Time interval between diagnosis and surgery and between diagnosis and discharge/decease was significantly lower in 2020. In 2020, no patient admitted with a negative swab turned positive in any of the following tests for SARS-CoV-2.

conclusionsThe COVID-19 pandemic has modified the epidemiology of hospitalized patients for traumatic reasons, leading to an increased admission of older patients with femoral fractures. Nevertheless, our institutional experience showed that an efficient change in the hospital organization, with an improvement of several parameters of effectiveness in health management, led to a null infection rate between patients.

Indexed as

fractureshealth care managementhospital settingSARS-CoV-2traumatology

Identifiers

PMID34208115
PMCPMC8230877
OpenAlexW3168196285

What OpenQuestion holds

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LicenceCC BY
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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.