Main Article Content
Abstract
The COVID-19 pandemic has caused all countries to limit their activities to reduce transmission. In the orthopedic and traumatology services, the COVID-19 pandemic has limited the number of non-emergency surgeries, rescheduling activities, limiting hospitalization, etc. This study aimed to quantify the change in the number of visits, trauma cases, surgeries, and telemedicine in orthopedic and traumatology services. The search was carried out on the PubMed, Research Gate, MedRxiv, Elsevier, Link Springer, and Medline databases. The inclusion criteria of the articles used were observational studies. The assessment of the articles’ validity was carried out using a checklist made by the Joanna Briggs Institute. The data being synthesized is limited to quantitative data only. From the 19 articles meeting inclusion criteria, it was found that there was a decrease in the number of visits by 22.4%-86.1%. In additions, there is a decrease in the number of trauma cases by 21.1%-91.2%, lower limb trauma by 20%-77.7 %, upper limb trauma by 6%-78.8%, surgeries by 21.7%-88.8%, elective surgeries by 50%-100%, a change in the number of trauma cases and hip fractures, and an increase in the number of telemedicine application by 9.28%-21.87% in COVID-19 pandemic periode (2020) compared to the pre-COVID-19 pandemic periode (2019 or less). The COVID-19 pandemics affecting the orthopedic and traumatology services decreased the number of visits, especially trauma cases, and surgical intervention
Keywords
Article Details
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References
- References
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- Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020 Mar;579(7798):265-9. Epub 2020 Feb 3.
- Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar;579(7798):270-3. Epub 2020 Feb 3.
- Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020 Mar 19;91(1):157-60.
- Graichen H. The role of an orthopaedic surgeon in the time of Covid-19 Pandemic–a German perspective. J Orthop. 2020;19:A1–A3.
- No authors listed. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected. interim guidance. World Health Organization. 2020.
- No authors listed. Clinical guide for the management of trauma and orthopaedic patients during the coronavirus pandemic. NHS. 2020. https://www.england.nhs.uk/coronavirus/ wp-content/uploads/sites/52/2020/03/C0274-Specialty-guide-Orthopaedic-trauma-v2- 14-April.pdf (date last accessed 9 July 2020).
- No authors listed. Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. British Orthpaedic Association. https://www.boa.ac.uk/uploads/assets/ee39d8a8-9457-4533-9774e973c835246d/ 4e3170c2-d85f-4162-a32500f54b1e3b1f/COVID-19-BOASTs-Combined-FINAL.pdf (date last accessed 9 July 2020).
- Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Rev Esp Nutr Humana y Diet. 2016;20(2):148–60.
- Esteban PL, Querolt Coll J, Xicola Martínez M, Camí Biayna J, Delgado-Flores L. Has COVID-19 affected the number and severity of visits to a traumatology emergency department? Bone Jt Open. 2020;1(10):617–20.
- Nunez JH, Sallent A, Lakhani K, Guerra-farfan E. Impact of the COVID-19 pandemic on an emergency traumatology service: experience at a tertiary trauma centre in spain. Injuty 2020; 51:1414-1418. Doi : 10.1016/j.injury.2020.05.016
- Hashmi PM, Zahid M, Ali A, Naqi H, Pidani AS, Hashmi AP, and Noordin S. change in the spectrum of orthopaedic trauma: effects of COVID-19 pandemic in a developing nation during the upsurge; a cross-sectional study. Annals of Medicine and Surgery 60. 2020; 504-508.
- Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Jt Surg - Am Vol. 2020;102(14):E80.
- Pintado JF, Gibaja W, Vallejos RA, Rosas W, Guerra-Farfan E, and Nunez JH. Hor COVID-19 has affected emergent visits to a Latin-American trama department: Experience at a Peruvian national trauma referral center. Elsevier: Injury 51. 2020;2834-2839.
- Elbardesy H. Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland. EMJ Microbiol Infect Dis. 2020;(September).
- Luengo-Alonso G, Pérez-Tabernero FGS, Tovar-Bazaga M, Arguello-Cuenca JM, Calvo E. Critical adjustments in a department of orthopaedics through the COVID-19 pandemic. Int Orthop. 2020;44(8):1557–64.
- Arafa M, Nesar S, Abu-Jabeh H, Jayme MOR, Kalairajah Y. COVID-19 pandemic and hip fractures: impact and lessons learned. Bone Jt open [Internet]. 2020;1(9):530–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33215151%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC7659637
- Wong FL, Antoniou G, Williams N, Cundy PJ. Disruption of paediatric orthopaedic hospital services due to the covid-19 pandemic in a region with minimal covid-19 illness. J Child Orthop. 2020;14(4):245–51.
- Probert AC, Sivakumar BS, An V, Nicholls SL, Shatrov JG, Symes MJ, et al. Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave. ANZ J Surg. 2020;1–5.
- Giuntoli M, Bonicoli E, Bugelli G, Valesini M, Manca M, Scaglione M. Lessons learnt from COVID 19: An Italian multicentric epidemiological study of orthopaedic and trauma services. J Clin Orthop Trauma [Internet]. 2020;11(4):721–7. Available from: https://doi.org/10.1016/j.jcot.2020.05.021
- Sugand K, Park C, Morgan C, Dyke R, Aframian A, Hulme A, et al. Impact of the COVID-19 pandemic on paediatric orthopaedic trauma workload in central London: a multi-centre longitudinal observational study over the “golden weeks”: The COVid Emergency Related Trauma and orthopaedics (COVERT) Collaborative. Acta Orthop. 2020;91(6):633–8.
- Zagra L, Faraldi M, Pregliasco F, Vinci A, Lombardi G, Ottaiano I, et al. Changes of clinical activities in an orthopaedic institute in North Italy during the spread of COVID-19 pandemic: a seven-week observational analysis. Int Orthop. 2020;44(8):1591–8.
- Zhu Y, Chen W, xin X, Yin Y, Hu J, Lv H, et al. epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China. Int Orthop 2020;44:1565-70.
- Hampton M, Clark M, Baxter I, Stevens R, Flatt E, Murray J, et al. The effects of a UK lockdown on orthopaedic trauma admissions and surgical cases. Bone Jt Open. 2020;1(5):137–43.
- Aklilu TM, Abebe W, Worku A, Tadele H, Haile T, Shimelis D, Mekonen D, Amogne W, Moges A, Habtamu A, Argaw R. The Impact of COVID-19 on Care Seeking Behavior of Patients at Tertiary Care Follow-up Clinics: A Cross-Sectional Telephone Survey. Addis Ababa, Ethiopia. medRxiv. 2020 Jan 1.
- Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507-13.
- Gumina S, Proietti R, Polizzotti G, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elbow Surg. 2020 Sep;29(9):1737-1742. Doi: 10.1016/j.jse.2020.05.003.
- D’Apolito R, Faraldi M, Ottaiano I, Zagra L. Disruption of Arthroplasty Practice in an Orthopedic Center in Northern Italy During the Coronavirus Disease 2019 Pandemic. J Arthroplasty [Internet]. 2020;35(7):S6–9. Available from: https://doi.org/10.1016/j.arth.2020.04.057
- Guerra-farfan E, Nuñez JH. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . 2020;(January).
- Murphy T, Akehurst H, Mutimer J. Impact of the 2020 COVID-19 pandemic on the workload of the orthopaedic service in a busy UK district general hospital. Injury [Internet]. 2020;51(10):2142–7. Available from: https://doi.org/10.1016/j.injury.2020.07.001
- Elhalawany AS, Beastall J, Cousins G. The impact of the COVID-19 lockdown on orthopaedic emergency presentations in a remote and rural population. Bone Jt Open. 2020;1(10):621–7.
- Greenhalgh M, Dupley L, Unsworth R, Boden R. Where did all the trauma go? A rapid review of the demands on orthopaedic services at a UK Major Trauma Centre during the COVID-19 pandemic. Int J Clin Pract. 2020;0–2.
References
References
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33.
Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020 Feb 22; 395(10224):565-74. Epub 2020 Jan 30.
Wu F, Zhao S, Yu B, Chen YM, Wang W, Song ZG, et al. A new coronavirus associated with human respiratory disease in China. Nature. 2020 Mar;579(7798):265-9. Epub 2020 Feb 3.
Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar;579(7798):270-3. Epub 2020 Feb 3.
Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020 Mar 19;91(1):157-60.
Graichen H. The role of an orthopaedic surgeon in the time of Covid-19 Pandemic–a German perspective. J Orthop. 2020;19:A1–A3.
No authors listed. Clinical management of severe acute respiratory infection when novel coronavirus (2019-nCoV) infection is suspected. interim guidance. World Health Organization. 2020.
No authors listed. Clinical guide for the management of trauma and orthopaedic patients during the coronavirus pandemic. NHS. 2020. https://www.england.nhs.uk/coronavirus/ wp-content/uploads/sites/52/2020/03/C0274-Specialty-guide-Orthopaedic-trauma-v2- 14-April.pdf (date last accessed 9 July 2020).
No authors listed. Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. British Orthpaedic Association. https://www.boa.ac.uk/uploads/assets/ee39d8a8-9457-4533-9774e973c835246d/ 4e3170c2-d85f-4162-a32500f54b1e3b1f/COVID-19-BOASTs-Combined-FINAL.pdf (date last accessed 9 July 2020).
Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Rev Esp Nutr Humana y Diet. 2016;20(2):148–60.
Esteban PL, Querolt Coll J, Xicola Martínez M, Camí Biayna J, Delgado-Flores L. Has COVID-19 affected the number and severity of visits to a traumatology emergency department? Bone Jt Open. 2020;1(10):617–20.
Nunez JH, Sallent A, Lakhani K, Guerra-farfan E. Impact of the COVID-19 pandemic on an emergency traumatology service: experience at a tertiary trauma centre in spain. Injuty 2020; 51:1414-1418. Doi : 10.1016/j.injury.2020.05.016
Hashmi PM, Zahid M, Ali A, Naqi H, Pidani AS, Hashmi AP, and Noordin S. change in the spectrum of orthopaedic trauma: effects of COVID-19 pandemic in a developing nation during the upsurge; a cross-sectional study. Annals of Medicine and Surgery 60. 2020; 504-508.
Wong JSH, Cheung KMC. Impact of COVID-19 on Orthopaedic and Trauma Service: An Epidemiological Study. J Bone Jt Surg - Am Vol. 2020;102(14):E80.
Pintado JF, Gibaja W, Vallejos RA, Rosas W, Guerra-Farfan E, and Nunez JH. Hor COVID-19 has affected emergent visits to a Latin-American trama department: Experience at a Peruvian national trauma referral center. Elsevier: Injury 51. 2020;2834-2839.
Elbardesy H. Impact of the COVID-19 Pandemic on Trauma and Orthopaedic Service in the Republic of Ireland. EMJ Microbiol Infect Dis. 2020;(September).
Luengo-Alonso G, Pérez-Tabernero FGS, Tovar-Bazaga M, Arguello-Cuenca JM, Calvo E. Critical adjustments in a department of orthopaedics through the COVID-19 pandemic. Int Orthop. 2020;44(8):1557–64.
Arafa M, Nesar S, Abu-Jabeh H, Jayme MOR, Kalairajah Y. COVID-19 pandemic and hip fractures: impact and lessons learned. Bone Jt open [Internet]. 2020;1(9):530–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33215151%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC7659637
Wong FL, Antoniou G, Williams N, Cundy PJ. Disruption of paediatric orthopaedic hospital services due to the covid-19 pandemic in a region with minimal covid-19 illness. J Child Orthop. 2020;14(4):245–51.
Probert AC, Sivakumar BS, An V, Nicholls SL, Shatrov JG, Symes MJ, et al. Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave. ANZ J Surg. 2020;1–5.
Giuntoli M, Bonicoli E, Bugelli G, Valesini M, Manca M, Scaglione M. Lessons learnt from COVID 19: An Italian multicentric epidemiological study of orthopaedic and trauma services. J Clin Orthop Trauma [Internet]. 2020;11(4):721–7. Available from: https://doi.org/10.1016/j.jcot.2020.05.021
Sugand K, Park C, Morgan C, Dyke R, Aframian A, Hulme A, et al. Impact of the COVID-19 pandemic on paediatric orthopaedic trauma workload in central London: a multi-centre longitudinal observational study over the “golden weeks”: The COVid Emergency Related Trauma and orthopaedics (COVERT) Collaborative. Acta Orthop. 2020;91(6):633–8.
Zagra L, Faraldi M, Pregliasco F, Vinci A, Lombardi G, Ottaiano I, et al. Changes of clinical activities in an orthopaedic institute in North Italy during the spread of COVID-19 pandemic: a seven-week observational analysis. Int Orthop. 2020;44(8):1591–8.
Zhu Y, Chen W, xin X, Yin Y, Hu J, Lv H, et al. epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China. Int Orthop 2020;44:1565-70.
Hampton M, Clark M, Baxter I, Stevens R, Flatt E, Murray J, et al. The effects of a UK lockdown on orthopaedic trauma admissions and surgical cases. Bone Jt Open. 2020;1(5):137–43.
Aklilu TM, Abebe W, Worku A, Tadele H, Haile T, Shimelis D, Mekonen D, Amogne W, Moges A, Habtamu A, Argaw R. The Impact of COVID-19 on Care Seeking Behavior of Patients at Tertiary Care Follow-up Clinics: A Cross-Sectional Telephone Survey. Addis Ababa, Ethiopia. medRxiv. 2020 Jan 1.
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395:507-13.
Gumina S, Proietti R, Polizzotti G, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elbow Surg. 2020 Sep;29(9):1737-1742. Doi: 10.1016/j.jse.2020.05.003.
D’Apolito R, Faraldi M, Ottaiano I, Zagra L. Disruption of Arthroplasty Practice in an Orthopedic Center in Northern Italy During the Coronavirus Disease 2019 Pandemic. J Arthroplasty [Internet]. 2020;35(7):S6–9. Available from: https://doi.org/10.1016/j.arth.2020.04.057
Guerra-farfan E, Nuñez JH. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information . 2020;(January).
Murphy T, Akehurst H, Mutimer J. Impact of the 2020 COVID-19 pandemic on the workload of the orthopaedic service in a busy UK district general hospital. Injury [Internet]. 2020;51(10):2142–7. Available from: https://doi.org/10.1016/j.injury.2020.07.001
Elhalawany AS, Beastall J, Cousins G. The impact of the COVID-19 lockdown on orthopaedic emergency presentations in a remote and rural population. Bone Jt Open. 2020;1(10):621–7.
Greenhalgh M, Dupley L, Unsworth R, Boden R. Where did all the trauma go? A rapid review of the demands on orthopaedic services at a UK Major Trauma Centre during the COVID-19 pandemic. Int J Clin Pract. 2020;0–2.