Corpus overview


Overview

MeSH Disease

Human Phenotype

There are no HP terms in the subcorpus


Transmission

Seroprevalence

There are no seroprevalence terms in the subcorpus

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    Impact of the Covid-19 lockdown period on adult TRANS musculoskeletal injuries MESHD and surgical management: a retrospective monocentric study

    Authors: Vincent Crenn; Monia El Kinani; Guy Pietu; Leteve Marie; Mike Persigant; Cécile Toanen; Yoann Varenne; Nicolas Goffinet; Kevin Buffenoir; François Javaudin; Emmanuel Montassier

    doi:10.21203/rs.3.rs-42234/v1 Date: 2020-07-13 Source: ResearchSquare

    Background The coronavirus disease MESHD 2019 (COVID-19) pandemic has led to the worldwide implementation of unprecedented public protection measures. On the 17th of March, the French government announced a lockdown of the population for 8 weeks. This monocentric study assessed the impact of this lockdown on the musculoskeletal injuries MESHD treated at the emergency department as well as the surgical indications.Methods We carried out a retrospective study in the Emergency Department and the Surgery Department of Nantes University Hospital from 18 February to 11 May 2020. We collected data pertaining to the demographics, the mechanism, the type, the severity, and inter-hospital transfer for musculoskeletal injuries MESHD from our institution. We compared the four-week pre-lockdown period and the eight-week lockdown period divided into two four-week periods: early lockdown and late lockdown.Results There was a 52.1% decrease in musculoskeletal injuries MESHD among patients presenting to the Emergency Department between the pre-lockdown and the lockdown period (weekly incidence: 415.3 ± 44.2 vs. 198.5 ± 46.0, respectively, p < .001). The number of patients with surgical indications decreased by 33.4% (weekly incidence: 44.3 ± 3.8 vs. 28.5 ± 10.2, p = .048). The policy for inter-hospital transfers to private entities resulted in 64 transfers (29.4%) during the lockdown period. There was an increase in the incidence of surgical high severity trauma MESHD (Injury Severity Score > 16) between the pre-lockdown and the early lockdown period (2 (1.1%) vs. 7 (7.2%), respectively, p = .010) as well as between the pre-lockdown and the late lockdown period (2 (1.1%) vs. 10 (8.3%), respectively, p = .004). We observed a significant increase in the weekly emergency department patient admissions between the early and the late lockdown period (161.5 ± 22.9, 235.5 ± 27.7, respectively, p = .028).Conclusion A pronounced decrease in the incidence of musculoskeletal injuries MESHD was observed secondary to the lockdown measures, with emergency department patient admissions being halved and surgical indications being reduced by a third. The increase in musculoskeletal injuries MESHD during the late confinement period and the higher incidence of severe trauma MESHD highlights the importance of maintaining a functional trauma MESHD center organization with an inter-hospital transfer policy in case of a COVID-19 second wave lockdown.

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MeSH Disease
Human Phenotype
Transmission
Seroprevalence


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