Understanding the pattern and volume of various orthopaedic disorders observed at a tertiary care hospital, before and during the COVID-19 pandemic

Authors

  • Girish Rathod Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India
  • Pushkar Borole Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India
  • Chandan Shetty Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India
  • Nitin Raut Department of Orthopaedics, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India
  • Namrata Britto Department of Clinical Research, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India
  • Vijaykumar Gawali Department of Medical Research, Bhaktivedanta Hospital and Research Institute Mira Road, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20221620

Keywords:

Orthopaedics, Tertiary care hospital, COVID-19, Fracture, Intervertebral disc prolapse, Arthritis

Abstract

Background: The COVID-19 pandemic has lead to a huge loss of life and disruption of lifestyle. The pandemic has also led to disruption in the health sector, as significant changes in the pattern of hospital admissions, medical care and variations in disorders have been observed especially in the orthopaedics department. To assess the change in pattern and volume of trauma in our region, we evaluated data from our center for the pandemic period and compared it with the previous years’ data (pre-pandemic period).

Methods: Comparison of orthopaedic in-patient records was carried out of the pre-pandemic and during the COVID-19 period, to assess the effect of COVID-19 on the orthopaedic in-patient load and prevailing diseases. Medical records of the patients were analyzed and the data collected were subjected to statistical analysis using IBM SPSS software version 1.0.

Results: Significant reduction in patient load was observed during the pandemic period. Cases of various types of fractures were observed to be high in number, followed by arthritis. The only disorder that was observed to be highly prevalent in both the periods is proximal femur fractures.

Conclusions: A high variation was observed in both the volume and nature of trauma presentations during the COVID-19 lockdown. A significant decrease in overall admissions was observed, this could be related to the period of societal restrictions and nationwide lockdown.

 

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References

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J et al. Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.

WHO, 2020. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Accessed on 15 January, 2021.

Jacob S, Mwagiru D, Thakur I, Moghadam A, Oh T, Hsu J. Impact of societal restrictions and lockdown on trauma admissions during the COVID-19 pandemic: a single-centre cross-sectional observational study. ANZ J Surg. 2020;90(11):2227-31.

Dhillon MS, Kumar D, Saini UC, Bhayana H, Gopinathan NR, Aggarwal S. Changing Pattern of Orthopaedic Trauma Admissions During COVID-19 Pandemic: Experience at a Tertiary Trauma Centre in India. Indian J Orthop. 2020;54(2):1-6.

Christey G, Amey J, Campbell A, Smith A. Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand. NZ Med J. 2020;133(1513):81-8.

Zhu W, Li X, Wu Y, Xu C, Li L, Yang J et al. Community quarantine strategy against coronavirus disease 2019 in Anhui: an evaluation based on trauma center patients. Int J Infect Dis. 2020;96:417-21.

Hunez JH, Sallent A, Lakhani K, Guerra-Farfan E, Vidal N, Ekhtiari S et al. Impact of the COVID-19 Pandemic on an Emergency Traumatology Service: Experience at a Tertiary Trauma Centre in Spain. Injury. 2020;51(7):1414-8.

Kamine TH, Rembiz A, Barron RJ, Baldwin C, Kromer M. Decrease in Trauma Admissions with COVID-19 Pandemic. West J Emerg Med. 2020;21(4):819-22.

Fahy S, Moore J, Kelly M, Flannery O, Kenny P. Analysing the variation in volume and nature of trauma presentations during COVID-19 lockdown in Ireland. Bone Jt Open. 2020;1(6):261-6.

Service, N. H. (ed Royal Society for the Prevention of Accidents). 2020. Available at: https://www. rospa. com/ Campaigns- Fundraising/ Current/ Coronavirus. Accessed on 15 January, 2021.

Lezak BA, Cole PA Jr, Schroder LK, Cole PA. Global experience of orthopaedic trauma surgeons facing COVID-19: a survey highlighting the global orthopaedic response. Int Orthop. 2020;44(8):1519-29.

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.

COVID-19 guidelines Indian Orthopaedic Association. Available at: https://www.ioaindia.org/COVID-19IOAguidelines.pdf. Accessed on 15 January, 2022.

Joob B, Wiwanitkit V. Carpal Fracture and COVID-19 Infection: Observation from Thailand. Indian J Orthop. 2020;54(3):393.

Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G. Characteristics and Early Prognosis of COVID-19 Infection in Fracture Patients. J Bone Joint Surg Am. 2020;102(9):750-8.

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Published

2022-06-24

How to Cite

Rathod, G., Borole, P., Shetty, C., Raut, N., Britto, N., & Gawali, V. (2022). Understanding the pattern and volume of various orthopaedic disorders observed at a tertiary care hospital, before and during the COVID-19 pandemic. International Journal of Research in Orthopaedics, 8(4), 446–450. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20221620

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Original Research Articles