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Impact of COVID-19 pandemic and national lockdown in an orthopaedic and traumatology department—a comparison with the homologous period of 2019

dc.contributor.authorRibau, Ana
dc.contributor.authorVale, João
dc.contributor.authorXará-Leite, Francisco
dc.contributor.authorRodrigues-Pinto, Ricardo
dc.date.accessioned2023-12-21T11:34:21Z
dc.date.available2023-12-21T11:34:21Z
dc.date.issued2021-01
dc.description.abstractBackground: The coronavirus disease-2019 pandemic has forced health systems to undergo dynamic changes. This study aims to evaluate the impact of the pre-lockdown and of the lockdown period on the surgical activity of a Portuguese Orthopaedic and Traumatology Department and to compare it with the homologous period of 2019. Methods: The surgical activity between March 2 and May 2, 2020 and that of the homologous period of 2019 were analyzed and compared. Additionally, the impact of national and institutional measures was analyzed. Results: There was a decrease in elective surgeries, from 587 to 100. In 2020, 59.3% of all surgeries were urgent and 48.4% were trauma whereas in 2019 there were 25.5% urgent and 23.0% trauma surgeries (P < .001 and P < .001, respectively). There was no difference in the mean of proximal hip fractures operated per week (P = .310), even when analyzing only the lockdown period (P = .102). However, proximal hip fractures corresponded to significantly higher proportion of surgeries in 2020 (P = .04). Hand and tendon injuries significantly reduced in 2020, as were sports-related trauma surgeries. Mean number of days until surgery was significantly lower in 2020 (2020:1.6 ± 2.1, 2019: 2.2 ± 2.5, P = .012). Conclusion: Governmental and institutional measures had high impact on the production and on the epidemiology of trauma. While resumption of elective surgery is needed, lessons from these measures may help in the response to a possible second wave.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRibau A, Vale J, Xará-Leite F, Rodrigues-Pinto R. Impact of COVID-19 pandemic and national lockdown in an orthopaedic and traumatology department-a comparison with the homologous period of 2019. Porto Biomed J. 2021;6(1):e109. doi:10.1097/j.pbj.0000000000000109pt_PT
dc.identifier.doi10.1097/j.pbj.0000000000000109pt_PT
dc.identifier.issn2444-8672
dc.identifier.issn2444-8664
dc.identifier.urihttp://hdl.handle.net/10400.16/2899
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWolters Kluwerpt_PT
dc.relation.publisherversionhttps://journals.lww.com/pbj/fulltext/2021/02000/impact_of_covid_19_pandemic_and_national_lockdown.4.aspxpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCOVID-19pt_PT
dc.subjectlock-downpt_PT
dc.subjectorthopaedic surgerypt_PT
dc.subjectpandemicpt_PT
dc.titleImpact of COVID-19 pandemic and national lockdown in an orthopaedic and traumatology department—a comparison with the homologous period of 2019pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPagee109pt_PT
oaire.citation.titlePorto Biomedical Journalpt_PT
oaire.citation.volume6pt_PT
person.familyNameCosta Ribau
person.familyNameXará-Leite
person.familyNameRodrigues-Pinto
person.givenNameAna Isabel
person.givenNameFrancisco
person.givenNameRicardo
person.identifier.ciencia-id221F-996E-52A5
person.identifier.orcid0000-0002-6087-942X
person.identifier.orcid0000-0003-2738-8204
person.identifier.orcid0000-0002-6903-348X
person.identifier.scopus-author-id54981067800
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication887620f2-12aa-49d2-9cad-90c1e4f621d1
relation.isAuthorOfPublicationd0c7114a-b94c-4622-b23e-fb93c758b69e
relation.isAuthorOfPublication40b26cca-90ca-47d6-9bbb-a14d37b9772c
relation.isAuthorOfPublication.latestForDiscovery887620f2-12aa-49d2-9cad-90c1e4f621d1

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