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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۱، صفحات ۲۳-۳۱
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عنوان انگلیسی Impact of the National Lockdown Due to the COVID-19 Pandemic On Upper Limb Trauma Workload in Central London: A Multi-Centre Longitudinal Observational Study During Implementation and Ease of National Lockdown
چکیده انگلیسی مقاله Background: This study assessed the impact of the COVID-19 pandemic on acute upper limb referrals and operative case-mix at the beginning and ease of British lockdown. Methods: A longitudinal multicentre observational cohort study was conducted for both upper limb trauma referrals and operative case-mix over a 12-week period (6 weeks from the beginning and 6 weeks from the ease of the national lockdown). Statistical analysis included median (± median absolute deviation), risk and odds ratios, and Fisher’s exact test to calculate the statistical significance, set at p ≤ 0.05. Results: There was a 158% (n = 456 vs. 177) increase in upper limb referrals and 133% (n = 91 vs. 39) increase in the operative trauma caseload at the ease of lockdown compared with its commencement. An increase in sporting injuries was demonstrated (p=0.02), specifically cycling (p=0.004, OR=2.58). A significant increase in COVID-19 testing was demonstrated during the ease of lockdown (p=0.0001) with more patients having their management changed during the early pandemic (9.6% vs. 0.7%, p=0.0001). Of these patients, 47% went on to have delayed surgery within 6 months. No patients who underwent surgery tested positive for COVID-19 infection within 14 days post-operatively and no mortalities were recorded at 30 days. Conclusion: The ease of lockdown has seen upper limb referrals and operations more than double compared to early lockdown. With no patients testing positive for COVID-19 within 14 days of the procedure, this demonstrates that having upper limb surgery during the current pandemic is safe. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Trauma, Coronavirus, COVID-19, Upper Limb, lockdown
نویسندگان مقاله | Catrin Morgan
Chelsea and Westminster NHS Foundation Trust, London, England, UK


| Kapil Sugand
Imperial College Healthcare NHS Trust, London, England, UK


| Thomas Ashdown
Imperial College Healthcare NHS Trust, London, England, UK


| Nikita Nathoo
Chelsea and Westminster NHS Foundation Trust, London, England, UK


| Robert Macfarlane
Chelsea and Westminster NHS Foundation Trust, London, England, UK


| Rory Dyke
Imperial College Healthcare NHS Trust, London, England, UK


| Chang Park
Imperial College Healthcare NHS Trust, London, England, UK


| Arash Aframian
Chelsea and Westminster NHS Foundation Trust, London, England, UK


| Peter Domos
Barnet Hospital, Royal Free NHS Foundation Trust, London, England UK


| Maxim Horwitz
Chelsea and Westminster NHS Foundation Trust, London, England, UK


| Khaled Sarraf
Imperial College Healthcare NHS Trust, London, England, UK


| Rupen Dattani
Chelsea and Westminster NHS Foundation Trust, London, England, UK
نشانی اینترنتی https://abjs.mums.ac.ir/article_17787.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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