IMPACT OF THE COVID-19 PANDEMIC ON EMERGENCY UPPER LIMB SURGERIES IN A QUATERNARY HOSPITAL.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243204e278237

Erick Yoshio Wataya, João Pedro Teixeira Basmage, Giuliana Olivi Tanaka, Guilherme Moreira Dias, Luiz Sorrenti, Luciano Ruiz Torres, Teng Hsiang Wei, Marcelo Rosa de Rezende, Rames Mattar

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Abstract

The COVID-19 pandemic has triggered a global crisis in health systems worldwide. Emergency care services have been overloaded, and there have been different changes in the patient's profile and the most frequent diagnoses. The aim of the study was to compare the number of emergency surgeries in the Hand and Microsurgery group of the quaternary hospital (IOT-FMUSP) from March 2020 to February 2022, the pandemic period, with the previous two years, March 2018 to February 2020. Two hundred and seventy-two patients were evaluated, with a mean age of 39.54 ± 17 years (range 1 to 90 years), 12.50% (n = 34) women and 87.50% (n = 238) men. Between March 2018 and February 2020, 142 (52.21%) emergency upper limb surgeries were performed; between March 2020 and February 2022, 130 surgeries were performed (47.79%). There was a reduction in upper limb surgeries in patients between 26-45 years and blunt injury surgeries. There was also an increase in surgeries in patients over 46, amputations, fractures, re-implantation procedures, and open fracture fixation. Level of evidence III, Retrospective Comparative Study.

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Covid-19大流行对一家四级医院上肢急诊手术的影响。

COVID-19 大流行引发了全球卫生系统的危机。急诊服务已不堪重负，病人的情况和最常见的诊断也发生了不同的变化。这项研究的目的是比较 2020 年 3 月至 2022 年 2 月（即大流行期间）与前两年（2018 年 3 月至 2020 年 2 月）在四级医院（IOT-FMUSP）手部和显微外科组进行的急诊手术数量。接受评估的 272 名患者平均年龄为 39.54 ± 17 岁（1 至 90 岁不等），其中女性占 12.50%（n = 34），男性占 87.50%（n = 238）。2018年3月至2020年2月期间，共进行了142例（52.21%）急诊上肢手术；2020年3月至2022年2月期间，共进行了130例（47.79%）手术。26-45 岁患者的上肢手术和钝伤手术有所减少。46 岁以上患者的手术、截肢、骨折、再植手术和开放性骨折固定术也有所增加。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.