Evidence map›Paper›PMID 35257188›Full record

ArticleActa orthopaedica2022

The effect of COVID-19 lockdown on the incidence of emergency department visits due to injuries and the most typical fractures in 4 Finnish hospitals.

Henri Nygren, Juho Kopra, Heikki Kröger, Ilari Kuitunen, Ville M Mattila, Ville Ponkilainen, Toni Rikkonen, Reijo Sund, Joonas Sirola

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Acta orthopaedica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 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 3 institutions in 1 country.

Henri NygrenUniversity of Eastern Finland, School of Medicine, Kuopio. henri.nygren@fimnet.fi.
Juho KopraUniversity of Eastern Finland, School of Medicine, Kuopio. juho.kopra@uef.fi.
Heikki KrögerUniversity of Eastern Finland, School of Medicine, Kuopio; Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland, Kuopio; Kuopio University Hospital, Kuopio. Heikki.Kroger@kuh.fi.
Ilari KuitunenUniversity of Eastern Finland, School of Medicine, Kuopio; Kuopio University Hospital, Kuopio. ilari.kuitunen@uef.fi.
Ville M MattilaDepartment of Orthopaedics, Tampere University, Faculty of Medicine and Health Technology and Tampere University Hospital, Tampere. ville.mattila@tuni.fi.
Ville PonkilainenDepartment of Surgery, Central Finland Hospital, Jyväskylä, Finland. ville.ponkilainen@tuni.fi.
Toni RikkonenKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland, Kuopio. toni.rikkonen@uef.fi.
Reijo SundKuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland, Kuopio. reijo.sund@uef.fi.
Joonas SirolaUniversity of Eastern Finland, School of Medicine, Kuopio; Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland, Kuopio; Kuopio University Hospital, Kuopio. joonas.sirola@kuh.fi.
University of Eastern Finland · FICentral Finland Health Care District · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCOVID-19 lockdowns have affected personal mobility and behavior worldwide. This study compared the number of emergency department (ED) visits due to injuries and typical low-energy fractures in Finland during the COVID-19 lockdown period in spring 2020 to the reference period in 2019. PATIENTS AND

methodsThe data was collected retrospectively from the electronic patient records of 4 hospitals covering 1/5 of the Finnish population. We included the patients who were admitted to a hospital ED due to any injury during the lockdown period (March 18-May 31, 2020) and the reference period (March 18-May 31, 2019). We compared the differences between the average daily ED admissions in the 2 years using the zero-inflated Poisson regression model.

resultsThe overall number of ED visits due to injuries decreased by 16% (mean 134/day vs. 113/day, 95% CI -18 to -13). The number of ED visits due to wrist fractures decreased among women aged over 50 years by 40% (CI -59 to -9). Among women, the number of ED visits due to ankle fractures decreased by 32% (CI -52 to -5). The number of ED visits due to fractures of the upper end of the humerus decreased by 52% (CI -71 to -22) among women. The number of ED visits due to hip fractures increased by 2% (CI -16 to 24).

interpretationRestrictions in personal mobility decreased the number of ED visits due to injuries during the pandemic. The effect can mainly be seen as a decreased number of the most typical low-energy fractures among women. In contrast, lockdown restrictions had no effect on the number of hip fractures.

Indexed as

QuarantineSARS-CoV-2AdolescentAdultCommunicable Disease ControlComorbidityCOVID-19Emergency Service, HospitalFemaleFinlandFollow-Up StudiesHip FracturesHospitalizationHumansIncidenceMale

Identifiers

PMID35257188
PMCPMC8902588
OpenAlexW4220946831

What OpenQuestion holds

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LicenceCC BY-NC
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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.