ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
The effect of COVID-19 on adult traumatic orthopedic injuries: a database study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Impact of COVID-19 on orthopedic trauma patients from 2021 to 2022 when restrictions were lifted, compared with the pre-pandemic period.Journal of orthopaedic surgery and research · 2025Article
- The Effects of the COVID-19 Pandemic on the Pattern of Fractures in Taif City, Saudi Arabia.Cureus · 2024Article
- Evaluating the impact of work from home policies on Google search Trends related to ankle surgery during the COVID-19 pandemic.Work (Reading, Mass.) · 2024Article
- Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases.Frontiers in medicine · 2024Article
- Evaluating Changes in Trauma Epidemiology during the COVID-19 Lockdown: Insights and Implications for Public Health and Disaster Preparedness.Healthcare (Basel, Switzerland) · 2023Article
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3 authors.
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Abstract
purposeThis study compares orthopedic injuries, procedures, and hospital outcomes of patients presenting to trauma centers in Pennsylvania before and during the COVID-19 pandemic.
methodsA retrospective review of adult patients presenting to hospitals with Pennsylvania Trauma Systems Foundation (PTSF) designations was performed. All patients 18 years of age and older who presented with orthopedic injuries were included. Demographic information, injury and hospital stay details, and mortality were reviewed. Data were compared between the cohorts of patients presenting during April 2020 (COVID cohort) and April 2017, April 2018, and April 2019 (pre-COVID cohort).
resultsOverall, 14,858 patients were reviewed, and 9427 patients were included in this study. There were fewer orthopedic injuries (4868 vs. 6603 yearly mean) in the COVID cohort which led to fewer procedures (1763 vs. 2329 yearly mean). The COVID cohort had a significantly shorter mean hospital length of stay compared to the pre-COVID cohort (4.7 days versus 5.2 days, p = 0.01). A higher mortality rate was seen in the COVID cohort (n = 115, 6.1%) compared to the pre-COVID cohort (n = 305, 4.0%; p < 0.01).
conclusionThe characteristics of orthopedic injuries sustained by patients presenting to trauma centers during the COVID pandemic were not different from prior to the pandemic. However, there were decreases in the number of orthopedic injuries and procedures accompanied by a 50% increase in mortality seen in these patients during the pandemic. Resources should be appropriately marshalled to prevent rises in-hospital mortality for patients with orthopedic trauma treated during a pandemic. LEVEL OF EVIDENCE: Level III.
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