Effects of the COVID-19 lockdown on orthopaedic trauma: a multicentre study across Scotland.
Effects of the COVID-19 lockdown on orthopaedic trauma: a multicentre study across Scotland.
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DOI：
10.1302/2633-1462.19.bjo-2020-0114.r1
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发表时间：
2020-09
期刊：
影响因子：
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通讯作者：
SCORE authors
中科院分区：
文献类型：
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作者：
MacDonald DRW;Neilly DW;Davies PSE;Crome CR;Jamal B;Gill SL;Jariwala AC;Stevenson IM;Ashcroft GP;SCORE authors
英国政府于二零二零年三月二十三日宣布全国封城，以减少COVID-19的传播。本研究旨在确定封锁对苏格兰各地肌肉骨骼创伤的发生率、类型、机制和死亡率的影响。在封锁期间（2020年3月23日至2020年5月28日），从苏格兰的五个主要骨科单位前瞻性收集了所有需要手术治疗的肌肉骨骼创伤的数据。这与2019年和2018年同期的数据进行了比较。收集的数据包括所有需要手术的病例、损伤类型、损伤机制和住院死亡率。于2020年3月23日至2020年5月28日，共有1，315名患者接受手术治疗，而2019年及2018年分别为1，791名及1，719名。所有损伤类型的数量都有所减少，但髋部骨折的相对频率增加（2020年为36.3%，2019年为30.2%，p < 0.0001，2018年为30.7%，p < 0.0001）。与DIY相关的伤害比例显着增加（2020年为3.1%，2019年为1.7%，p = 0.012，2018年为1.6%，p < 0.005）和因福尔斯跌倒造成的伤害（二零二零年为65. 6%，二零一九年为62. 6%，p = 0. 082;二零一八年为61. 9%，p = 0. 047）。道路交通碰撞的比例显著下降（2020年为2.6%，2019年为5.4%，p < 0.0001，2018年为4.2%，p = 0.016），职业伤害（2020年为1.8%，2019年为3.0%，p = 0.025，2018年为2.3%，p = 0.012）和感染（2020年为6.8%，2019年为7.8%，p = 0.268，2018年为10.3%，p < 0.012）。骑自行车受伤人数增加（2020年78人，2019年64人，2018年42人）。自伤伤害比例显著增加（2020年为1.7%，2019年为1.1%，p = 0.185，2018年为0.5%，p < 0.0001）。2020年创伤患者死亡率（5.0%）显著高于2019年（2.8%，p = 0.002）和2018年（1.8%，p < 0.0001）。英国COVID-19封锁导致苏格兰接受手术的肌肉骨骼创伤患者显著减少。损伤的类型和机制发生了重大变化，令人关切的是，创伤患者的死亡率显著上升。引用这篇文章：骨关节开放2020;1-9：541-548。
The UK government declared a national lockdown on 23 March 2020 to reduce transmission of COVID-19. This study aims to identify the effect of lockdown on the rates, types, mechanisms, and mortality of musculoskeletal trauma across Scotland. Data for all musculoskeletal trauma requiring operative treatment were collected prospectively from five key orthopaedic units across Scotland during lockdown (23 March 2020 to 28 May 2020). This was compared with data for the same timeframe in 2019 and 2018. Data collected included all cases requiring surgery, injury type, mechanism of injury, and inpatient mortality. A total of 1,315 patients received operative treatment from 23 March 2020 to 28 May 2020 compared with 1,791 in 2019 and 1,719 in 2018. The numbers of all injury types decreased, but the relative frequency of hip fractures increased (36.3% in 2020 vs 30.2% in 2019, p < 0.0001 and 30.7% in 2018, p < 0.0001). Significant increases were seen in the proportion of DIY-related injuries (3.1% in 2020 vs 1.7% in 2019, p = 0.012 and 1.6% in 2018, p < 0.005) and injuries caused by falls (65.6% in 2020 vs 62.6% in 2019, p = 0.082 and 61.9% in 2018, p = 0.047). Significant decreases were seen in the proportion of road traffic collisions (2.6% in 2020 vs 5.4% in 2019, p < 0.0001 and 4.2% in 2018, p = 0.016), occupational injuries (1.8% in 2020 vs 3.0% in 2019, p = 0.025 and 2.3% in 2018, p = 0.012) and infections (6.8% in 2020 vs 7.8% in 2019, p = 0.268 and 10.3% in 2018, p < 0.012). Cycling injuries increased (78 in 2020 vs 64 in 2019 vs 42 in 2018). A significant increase in the proportion of self-harm injuries was seen (1.7% in 2020 vs 1.1% in 2019, p = 0.185 and 0.5% in 2018, p < 0.0001). Mortality of trauma patients was significantly higher in 2020 (5.0%) than in 2019 (2.8%, p = 0.002) and 2018 (1.8%, p < 0.0001). The UK COVID-19 lockdown has resulted in a marked reduction in musculoskeletal trauma patients undergoing surgery in Scotland. There have been significant changes in types and mechanisms of injury and, concerningly, mortality of trauma patients has risen significantly. Cite this article: Bone Joint Open 2020;1-9:541–548.