Research Article
Year 2021,
Volume: 43 Issue: 1, 79 - 84, 31.03.2021
Abstract
Objective: Distal radius fractures are one of the fracture types seen most often in the Emergency Department. Therefore, the incidence of distal radius fractures could be of guidance in determining how fracture incidence is affected by a reduction in a normal community activity. The aim of this study was to compare the epidemiology of distal radius fractures in a 6-month period of the COVID-19 pandemic with an equivalent time period in the year before the pandemic and to reveal changes associated with the pandemic.
Method: A comparison was made of patients who presented at our hospital with a distal radius fracture between 1 April 2020 and 30 September 2020 during the COVID-19 pandemic and those who presented in the equivalent period in 2019, in respect of epidemiology and treatments applied. The demographic data were examined and patients were evaluated with respect to the presence or not of COVID-19.
Results: The number of distal radius fractures was determined to have statistically significantly decreased from 108 patients in 2019 to 71 in 2020 (p<0.001). The ratio of patients treated conservatively was found to have statistically significantly increased in 2020 (p<0.05). No statistically significant difference was determined between 2019 and 2020 in respect of age groups and ASA scores (p>0.05).
Conclusions: The most important finding of this study was that the number of patients with a distal radius fracture decreased significantly in the pandemic period in 2020 compared to the equivalent 6-month period in 2019. Although the efficacy of conservative treatment remains controversial, the increase in the rate of conservative treatment applied during the pandemic provided the advantage of patients avoiding potentially fatal complications of novel coronavirus infection.
Keywords
References
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- Egol KA, Konda SR, Bird ML, Dedhia N, Landes EK, Ranson RA, et al. NYU COVID Hip Fracture Research Group. Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective. J Orthop Trauma. 2020 Aug;34(8):395-402.
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Year 2021,
Volume: 43 Issue: 1, 79 - 84, 31.03.2021
Abstract
References
- Turgut A, Arlı H, Altundağ Ü, Hancıoğlu S, Egeli E, Kalenderer Ö. Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey. Acta Orthop Traumatol Turc. 2020 Jul;54(4):355-363.
- Dılek H , Tonyalı M , Çolapkulu N , Ali̇moğlu O . (2020). The impact of Covid-19 on ethnicity, minorities and immigrants: Are we all in the same ship? . Cumhuriyet Medical Journal , 42 (3) , 236-238
- Gallè F, Sabella EA, Ferracuti S, De Giglio O, Caggiano G, Protano C, et al. Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of CoViD-19 Pandemic. Int J Environ Res Public Health. 2020 Aug 25;17(17):6171.
- Lv H, Zhang Q, Yin Y, Zhu Y, Wang J, Hou Z, et al. Epidemiologic characteristics of traumatic fractures during the outbreak of coronavirus disease 2019 (COVID-19) in China: A retrospective & comparative multi-center study. Injury. 2020 Aug;51(8):1698-1704.
- Nuñez JH, Sallent A, Lakhani K, Guerra-Farfan E, Vidal N, Ekhtiari S, et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury. 2020 Jul;51(7):1414-1418.
- Thompson PW, Taylor J, Dawson A. The annual incidence and seasonal variation of fractures of the distal radius in men and women over 25 years in Dorset, UK. Injury. 2004 May;35(5):462-6.
- Moro T, Paoli A. When COVID-19 affects muscle: effects of quarantine in older adults. Eur J Transl Myol. 2020 Jun 17;30(2):9069.
- Kortebein P, Ferrando A, Lombeida J, Wolfe R, Evans WJ. Effect of 10 days of bed rest on skeletal muscle in healthy older adults. JAMA. 2007 Apr 25;297(16):1772-4.
- Johnell O. Advances in osteoporosis: better identification of risk factors can reduce morbidity and mortality. J Intern Med. 1996 Apr;239(4):299-304.
- De Laet C, Kanis JA, Odén A, Johanson H, Johnell O, Delmas P, et al. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int. 2005 Nov;16(11):1330-8.
- MacIntyre NJ, Dewan N. Epidemiology of distal radius fractures and factors predicting risk and prognosis. J Hand Ther. 2016 Apr-Jun;29(2):136-45.
- Egol KA, Konda SR, Bird ML, Dedhia N, Landes EK, Ranson RA, et al. NYU COVID Hip Fracture Research Group. Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective. J Orthop Trauma. 2020 Aug;34(8):395-402.
- Iyengar K, Vaish A, Vaishya R. Revisiting conservative orthopaedic management of fractures during COVID-19 pandemic. J Clin Orthop Trauma. 2020;11(4):718-720.
There are 13 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | March 31, 2021 |
| Acceptance Date | January 22, 2021 |
| Published in Issue | Year 2021Volume: 43 Issue: 1 |