EVALUATION OF THE EPIDEMIOLOGY OF EXPOSED FRACTURES BEFORE AND DURING THE COVID-19 PANDEMIC.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2023-07-31 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233104e268179

Vinicius Pagliaro Franco, Gabriel Massarico Gonçalves, Orlando Copetti Fração, Heloisa Yumi Fujiya Sungaila, Luiz Fernando Cocco, Eiffel Tsuyoshi Dobashi

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Abstract

Objective: To assess the impact of the COVID-19 pandemic on the epidemiology and clinical outcomes of open fractures considering the periods before and during the pandemic.

Methods: An observational and retrospective study, which included patients aged over 18 years, admitted to the Orthopedics and Traumatology Ward of Hospital São Paulo, of the Federal University of São Paulo (UNIFESP). Data was collected in two moments: pre-pandemic (March 1, 2019, to February 29, 2020) and during the pandemic (March 1, 2020, to February 28, 2021).

Results: In total, 183 patients were evaluated with a mean age of 36 years ± 14 years. In the pre-pandemic period, 94 patients underwent surgery, 81 men (85.37%) and 13 women (14.2%), with a mean age of 36 ± 3 years. During the pandemic period, 89 patients were subjected to surgery, 77 men (86.6%) and 12 women (13.4%), with a mean age of 38 ± 3 years.

Conclusion: During the pandemic, open fractures were still more common in men. Regarding hospital indicators, the prevalence of infections in the surgical wound and the length of stay of patients with open fractures increased, however, with little significance. Fractures classified as Gustilo IIIA were the most common, while the most common according to the AO classification were 33, 34, 42, 43, 2R3, and 2R3 + 2U2. The frequency of run overs during the pandemic decreased. However, firearm projectile injuries and falls and occupational injuries increased. Level of Evidence III, Retrospective Comparative Study.

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评估科维德-19 大流行之前和期间暴露性骨折的流行病学。

目的：评估 COVID-19 大流行对开放性骨折的流行病学和临床结果的影响：评估COVID-19大流行对开放性骨折流行病学和临床结果的影响：这是一项观察性和回顾性研究，研究对象包括圣保罗联邦大学（UNIFESP）圣保罗医院骨科和创伤科病房收治的 18 岁以上患者。数据收集分为两个阶段：大流行前（2019年3月1日至2020年2月29日）和大流行期间（2020年3月1日至2021年2月28日）：共有 183 名患者接受了评估，平均年龄（36 岁 ± 14 岁）。在大流行前，94 名患者接受了手术，其中 81 名男性（85.37%），13 名女性（14.2%），平均年龄为 36 ± 3 岁。大流行期间，89 名患者接受了手术，其中男性 77 人（86.6%），女性 12 人（13.4%），平均年龄为（38 ± 3）岁：结论：大流行期间，开放性骨折仍以男性居多。在医院指标方面，开放性骨折患者的手术伤口感染率和住院时间有所增加，但意义不大。古斯蒂洛 IIIA 级骨折最为常见，而根据 AO 分类，33、34、42、43、2R3 和 2R3 + 2U2 级骨折最为常见。在大流行期间，跑偏的频率有所下降。然而，火器射伤、跌倒和职业伤害却有所增加。证据等级 III，回顾性比较研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.