Severity of Covid-19 Lockdown Orders Corresponds to Orthopaedic Trauma Volume.

Kasa B Cooper, Adam K Lee, Douglass W Tucker, Eric Siegel, Simon C Mears, Steven M Cherney
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Abstract

During the Coronavirus Disease 2019 (COVID-19) pandemic, states implemented social distancing guidelines. This study examines the effect of the severity of lockdown orders on orthopaedic trauma volume. Two institutions, one in a state with strict stay home (SH) orders and one in a state with lax social distancing (SD) orders, were examined. Surgical case counts, total orthopaedic case counts, orthopaedic trauma case counts, institution trauma activations, and mechanism of injury data were collected and compared to control periods. For SH versus SD, total surgical cases decreased 48.6% vs. 62%; orthopaedic cases decreased 51.8% vs. 62%, and orthopaedic trauma cases decreased 34% v. 0%. Orthopaedic trauma cases comprised more of both institutions' total cases. Total surgical cases decreased at both SH and SD, but orthopaedic trauma cases did not decrease at SD. More strict social distancing orders correlate with greater reduction in orthopaedic trauma cases. (Journal of Surgical Orthopaedic Advances 31(4):222-225, 2022).

Covid-19 封锁令的严重程度与骨科创伤量相对应。
在 2019 年冠状病毒病(COVID-19)大流行期间,美国各州实施了社会隔离指导方针。本研究探讨了封锁令的严厉程度对创伤骨科手术量的影响。研究考察了两所医院,一所位于执行严格的留在家中(SH)命令的州,一所位于执行宽松的社会隔离(SD)命令的州。研究人员收集了手术病例数、骨科总病例数、骨科创伤病例数、机构创伤激活率和受伤机制数据,并与对照期进行了比较。SH 与 SD 相比,手术病例总数减少了 48.6% 对 62%;骨科病例减少了 51.8% 对 62%,骨科创伤病例减少了 34% 对 0%。骨科创伤病例在两家机构的病例总数中都占比较高。上海和特区的手术病例总数都有所下降,但特区的骨科创伤病例没有减少。更严格的社会疏远命令与骨科创伤病例的大幅减少有关。(矫形外科进展期刊》31(4):222-225,2022 年)。
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