The impact of COVID-19 pandemic on the Emergency Room and Orthopedic Departments in Piacenza: a retrospective analysis

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Pietro Maniscalco
Corrado Ciatti
Serena Gattoni
Calogero Puma Pagliarello
Giorgio Moretti
Michele Cauteruccio
Diana Carpaneto
Patrizio Capelli
Luca Gurrieri
Filippo Banchini
Fabrizio Quattrini

Keywords

Covid-19 pandemic, Emergency Room, Orthopedic traumas, proximal femur fractures, proximal humerus fractures, ankle fractures, wrist fractures

Abstract

Introduction and Aim: The Coronavirus pandemic represents one of the most massive health emergencies in the last century. Aim of the study is to evaluate the trend of E.R. accesses and orthopaedic events during the pandemic of Covid-19.


Materials and Methods: we retrospectively analysed all data related to patients admitted to the E.R. Department of the Hospital of Piacenza from August 26th 2019 to August 23rd 2020, splitting this period on February 23rd 2020.


Results: Our analysis shows a reduction of -18.0% in E.R. accesses. We calculated a growth of deaths in the E.R. equal to +220%. Our orthopaedic pathway recorded a drop of -26.8%. Traumas occurred at home increased (+19.1%). We note an actual drop only on proximal femur fractures (weighted average of -17.7%), while all the others underwent an increase.


Discussion: The amount of E.R. accesses registered a drop -18.0%, while the pathway dedicated to emergency cases underwent an increase. The major complexity of clinical conditions influenced the number of hospitalizations and the fear of the infection increased hospitalization refusals. There has been a zeroing of school traumas, a reduction in sport, transfer home-work/work-home, work, roadside, injuries. Total amount of fractures strongly increase after the end of the lockdown.


Conclusion: our data confirmed the decrease of retirement houses, sports, works and roadsides traumas and a zeroing of schools ones, while those occurred inside domestic environment underwent a consistent raise. We noticed a reduction in femur fractures and significant spread of all fractures after the end of the lockdown.

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References

1. Lu H et al, Oubreak of pneumonia of unkwown etiology in Wuhan China: the mistery and the miracle. J Med Virol 2020.
2. World Health Organization. Novel coronavirus (2019-nCov): situation report, 2. 22 January 2020. Available from https://apps.who.int/iris/handle/10665/330761 (accessed 2 April 2020)
3. Jin X, Lian J, Hu J, et al. Epidemiological, clinical and virological characteristics of 74 cases of coronavirus-infected disease 2019 (COVID-19) with gastrointestinal symptoms. Gut 2020 Mar 24. pii: gutjnl-2020-320926. doi: 10.1136/gutjnl-2020-320926 (Epub ahead of print).
4. Poggiali E, Ramos PM, Bastoni D, Vercelli A, Magnacavallo A. Abdominal pain: a real challenge in novel COVID-19 infection. EJCRIM 2020;7: doi:10.12890/2020_001632
5. American Academy of Otolaryngology-Head and Neck Surgery. Coronavirus disease 2019: resources. Available from https://www.entnet.org/content/coronavirus-disease2019- resources (accessed 23 March 2020).
6. Giacomelli A, Pezzati L, Conti F, et al. Self-reported olfactory and taste disorders in SARS-CoV-2 patients: a crosssectional study. Clin Infect Dis 2020 Mar 26. doi: 10.1093/cid/ciaa330 (Epub ahead of print).
7. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497.
8. Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020 Feb 28. doi: 10.1056/NEJMoa2002032 (Epub ahead of print)
9. https://www.epicentro.iss.it/coronavirus/sars-cov-2-decessi-italia
10. Maniscalco P, Poggiali E, Quattrini F. Proximal femur fractures in COVID-19 emergency: the experience of two Orthopaedics and Traumatology Departments in the first eight weeks of the Italian epidemic. Acta Biomed. 2020 May 11;91(2):89-96. doi: 10.23750/abm.v91i2.9636. PMID: 32420932; PMCID: PMC7569630.
11. Benazzo F, Rossi SMP, Maniscalco P. The orthopaedic and traumatology scenario during Covid-19 outbreak in Italy: chronicles of a silent war. Int Orthop. 2020 Aug;44(8):1453-1459. doi: 10.1007/s00264-020-04637-3. Epub 2020 Jun 26. PMID: 32591960; PMCID: PMC7319215.
12. Maniscalco P, Poggiali E, Quattrini F. The deep impact of novel CoVID-19 infection in an Orthopaedics and Traumatology Department: the experience of the Piacenza Hospital. Acta Biomed. 2020 May 11;91(2):97-105. doi: 10.23750/abm.v91i2.9635. PMID: 32420933; PMCID: PMC7569660.
13. Decree of the President of the Government February 23rd 2020, No 45 (Implementing provisions of the Decree-Law February 23rd 2020, No 6).
14. Decree of the President of the Government March 11th 2020, No 64 (Additional implementing provisions of the Decree-Law February 23rd 2020, No 6).

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