ArticleANZ journal of surgery2022
Reduced presentations with fractures or orthopaedic infections to a major children's hospital during a national COVID-19 elimination strategy.
Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Epidemiology of childhood bone and joint disease during the COVID-19 pandemic in New Zealand.Infection · 2025Article
- Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- The Advantages of the Zero-COVID-19 Strategy.International journal of environmental research and public health · 2022Review
- Global Impact of the COVID-19 Pandemic on Orthopedics and the Implications of Telemedicine: A Systematic Review of the Literature.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrom 26 March 2020, New Zealand implemented a COVID-19 elimination strategy which initially involved substantive limitations on public movement and assembly, and closure of non-essential businesses. We asked what effect this had on acute paediatric orthopaedic presentations to a tertiary children's hospital.
methodThe numbers, age and gender of patients with orthopaedic presentations, seen by either the Children's Emergency Department (CED) or the orthopaedic service during the study period, were compared with the equivalent 2019 period.
resultsDuring the first 64 days of lockdown, 708 patients were seen in CED with orthopaedic presentations compared with 1124 patients in the same period in 2019 (37% reduction). We found a 55% reduction in musculoskeletal infections (from 135 to 61), a 40% reduction in total fractures (from 446 to 268) and a 27% reduction in soft tissue injuries (from 520 to 380). In 2020, similar proportions of patients were admitted for operating room procedures (15%) or had fractures reduced under sedation in CED (17%), however, increased numbers of soft tissue injuries were managed through CED under procedural sedation.
conclusionA national COVID-19 elimination strategy, closing all but essential businesses, limiting public movement, physical distancing and focusing on hand hygiene, led to reduced presentations not only with fractures and soft tissue injuries but also musculoskeletal infections. Increased numbers of patients had procedural sedation for soft tissue injuries, but there was no significant change in the proportion of patients admitted for surgery.
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