Evidence map›Paper›PMID 37341804›Full record

ArticleArchives of orthopaedic and trauma surgery2023

The impact of the SARS-CoV-2 pandemic-related lockdowns on orthopedic trauma emergencies at a level-one trauma center.

Valentin Messler, Tim Leschinger, Nadine Ott, Valentin Rausch, Volker Burst, Peer Eysel, Lars Peter Müller, Michael Hackl

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

Valentin MesslerFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Tim LeschingerFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Nadine OttFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Valentin RauschFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Volker BurstEmergency Department, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Peer EyselFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Lars Peter MüllerFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany.
Michael HacklFaculty of Medicine, University Hospital Cologne, Center of Orthopedic and Trauma Surgery, and University of Cologne, Cologne, Germany. michael.hackl@uk-koeln.de.ORCID http://orcid.org/0000-0002-6183-5621

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe SARS-CoV-2 pandemic and its associated lockdowns had a profound effect on orthopedic trauma emergencies. This study aimed to investigate the patient volume and injury patterns at a level-one trauma center during the SARS-CoV-2 pandemic and compare them to the pre-pandemic conditions. MATERIALS AND

methodsA retrospective chart review of all patients who presented to the orthopedic trauma emergency department of a level-one trauma center in Cologne, Germany within a 2 year period from March 16th, 2019 to March 15th, 2020 (pre-pandemic control) and from March 16th, 2020 and March 15th, 2021 (pandemic) was performed. The pandemic year was separated into three periods: (1) first lockdown, (2) between lockdowns and (3) second lockdown. The absolute numbers of patient presentations, the Manchester triage score (MTS) and the relative proportion of patients with structural organ injuries, fractures and dislocations, of polytraumatized patients, of hospital admissions, of subsequent emergency or semi-elective surgeries and of work-related accidents were evaluated in comparison to the pre-pandemic control.

resultsA total of 21,642 patient presentations were included in this study. Significantly less weekly orthopedic trauma emergency patient presentations were recorded during the pandemic (p < 0.01). The MTS was significantly lower during the first lockdown and between lockdowns (p < 0.01). The proportional incidence of overall structural organ injuries, fractures and dislocations, of upper limb fractures/dislocations, of hospital admissions and of patients requiring surgery was significantly increased during the pandemic (p ≤ 0.03). The proportional incidence of work-related injuries was significantly decreased during the pandemic (p < 0.01).

conclusionsOrthopedic trauma emergency presentations were reduced during the SARS-CoV-2 pandemic. Due to the reluctancy of patients to visit the emergency department during the pandemic, the proportions of relevant injuries in general and of upper limb injuries in particular as well as of patients requiring hospital admission and trauma-related surgery were significantly increased.

Indexed as

COVID-19Fractures, BoneJoint DislocationsCommunicable Disease ControlEmergenciesEmergency Service, HospitalHumansPandemicsRetrospective StudiesSARS-CoV-2Trauma CentersCOVID-19EmergencyLockdownOrthopedicsSARS-CoV-2Trauma

Identifiers

PMID37341804
PMCPMC10491551

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.