ArticleJournal of clinical orthopaedics and trauma2021
Pooling of neglected and delayed trauma patients - Consequences of 'lockdown' and 'Unlock' phases of COVID-19 pandemic- A retrospective cohort analysis from a tertiary centre.
Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 8 citations in OpenAlex.
- Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness.Healthcare (Basel, Switzerland) · 2023Article
- [Impact of the COVID-19 pandemic context on the microbiological epidemiology and management of flexor sheath phlegmons].Revue de chirurgie orthopedique et traumatologique · 2023Article
- Changes in trends of orthopedic services due to the COVID-19 pandemic: A review.World journal of orthopedics · 2022Review
- Lockdown imposition due to COVID-19 and its effect on orthopedic emergency department in level 1 trauma center in South Asia.Journal of clinical orthopaedics and trauma · 2022Article
- Epidemiologic characteristics and pre-hospital care of traumatic injuries during the COVID-19 pandemic in an emerging and developing country: A single tertiary centre experience.Journal of clinical orthopaedics and trauma · 2021Article
- Has the time to reinstate elective orthopedic procedures come?Journal of clinical orthopaedics and trauma · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic resulted in nationwide lockdown and quarantine strategies to break the chain of transmission of the SARS-CoV-2 virus in India. Management of patients with trauma has been particularly challenging across the country.
aimsTo evaluate the effect of delay in surgery in patients with traumatic injuries along with the peri-operative outcomes during the 'Lockdown' and 'Unlock' phases of the COVID-19 pandemic at a Level I Trauma centre in the National Capital Region (NCR) of India.
methodsThis retrospective, observational cohort study included 488 patients. Comparative analysis to assess patient characteristics, mechanism of trauma, clinical outcomes in patients managed operatively during 'Lockdown period' (24 March 2020 to 31 May 2020) Group A with Group B, who presented during 'Unlock phases' (01 June 2020 to 31 December 2020).
resultsThe average delay in surgery, surgical time and hospital stay was significantly increased in group B patients (
conclusion'Neglect' and delay in receiving operative management of orthopaedic trauma has led to unprecedented rise in number of complications of fractures, such as mal-union, delayed union or non-union during COVID-19 Pandemic. Patients have had to undergo longer surgical procedures with increased risk of intra-operative blood loss, need of peri-operative blood transfusion and bone grafting supplementation to facilitate union. Diligent attention to achieve the most optimal configuration of fractures should be planned in conservatively managed injuries during the pandemic to minimize future intra-operative difficulties.
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