id0e9ac0

Property	Value
?:abstract	Aims: This study aims to define the epidemiology of trauma presenting to a single centre providing all orthopaedic trauma care for a population of â¼ 900,000 over the first 40 days of the COVID-19 pandemic compared to that presenting over the same period one year earlier. The secondary aim was to compare this with population mobility data obtained from Google. Methods: A cross-sectional study of consecutive adult (> 13 years) patients with musculoskeletal trauma referred as either in-patients or out-patients over a 40-day period beginning on 5 March 2020, the date of the first reported UK COVID-19 death, was performed. This time period encompassed social distancing measures. This group was compared to a group of patients referred over the same calendar period in 2019 and to publicly available mobility data from Google. Results: Orthopaedic trauma referrals reduced by 42% (1,056 compared to 1,820) during the study period, and by 58% (405 compared to 967) following national lockdown. Outpatient referrals reduced by 44%, and inpatient referrals by 36%, and the number of surgeries performed by 36%. The regional incidence of traumatic injury fell from 5.07 (95% confidence interval (CI) 4.79 to 5.35) to 2.94 (95% CI 2.52 to 3.32) per 100,000 population per day. Significant reductions were seen in injuries related to sports and alcohol consumption. No admissions occurred relating to major trauma (Injury Severity Score > 16) or violence against the person. Changes in population mobility and trauma volume from baseline correlated significantly (Pearson\'s correlation 0.749, 95% CI 0.58 to 0.85, p < 0.001). However, admissions related to fragility fractures remained unchanged compared to the 2019 baseline. Conclusion: The profound changes in social behaviour and mobility during the early stages of the COVID-19 pandemic have directly correlated with a significant decrease in orthopaedic trauma referrals, but fragility fractures remained unaffected and provision for these patients should be maintained.Cite this article: Bone Joint Open 2020;1-6:182-189.
is ?:annotates of	<https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0016658> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0027627> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0042693> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0043251> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0272448> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0302113> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C0332677> <https://research.tib.eu/covid-19/entity/id0e9ac0_hasAnnotation_C3263723>
?:creator	<https://research.tib.eu/covid-19/entity/Scott%2C_Chloe_E_H%3B_Holland%2C_George%3B_Powell-Bowns%2C_Matilda_F_R%3B_Brennan%2C_Caitlin_M%3B_Gillespie%2C_Matthew%3B_Mackenzie%2C_Samuel_P%3B_Clement%2C_Nick_D%3B_Amin%2C_Anish_K%3B_White%2C_Tim_O%3B_Duckworth%2C_Andrew_D>
?:journal	Bone_Jt_Open
?:license	unk
?:publication_isRelatedTo_Disease	<https://research.tib.eu/covid-19/entity/COVID-19>
is ?:relation_isRelatedTo_publication of	<https://research.tib.eu/covid-19/entity/id0e9ac0_HAS_C0042693_COEXISTS_WITH_C0016658> <https://research.tib.eu/covid-19/entity/id0e9ac0_HAS_C2744535_ASSOCIATED_WITH_C3263723>
?:source	WHO
?:title	Population mobility and adult orthopaedic trauma services during the COVID-19 pandemic: fragility fracture provision remains a priority
?:type	<https://research.tib.eu/covid-19/vocab/Publication>
?:who_covidence_id	#940052
?:year	2020

Property

Value

?:abstract

Aims: This study aims to define the epidemiology of trauma presenting to a single centre providing all orthopaedic trauma care for a population of â¼ 900,000 over the first 40 days of the COVID-19 pandemic compared to that presenting over the same period one year earlier. The secondary aim was to compare this with population mobility data obtained from Google. Methods: A cross-sectional study of consecutive adult (> 13 years) patients with musculoskeletal trauma referred as either in-patients or out-patients over a 40-day period beginning on 5 March 2020, the date of the first reported UK COVID-19 death, was performed. This time period encompassed social distancing measures. This group was compared to a group of patients referred over the same calendar period in 2019 and to publicly available mobility data from Google. Results: Orthopaedic trauma referrals reduced by 42% (1,056 compared to 1,820) during the study period, and by 58% (405 compared to 967) following national lockdown. Outpatient referrals reduced by 44%, and inpatient referrals by 36%, and the number of surgeries performed by 36%. The regional incidence of traumatic injury fell from 5.07 (95% confidence interval (CI) 4.79 to 5.35) to 2.94 (95% CI 2.52 to 3.32) per 100,000 population per day. Significant reductions were seen in injuries related to sports and alcohol consumption. No admissions occurred relating to major trauma (Injury Severity Score > 16) or violence against the person. Changes in population mobility and trauma volume from baseline correlated significantly (Pearson\'s correlation 0.749, 95% CI 0.58 to 0.85, p < 0.001). However, admissions related to fragility fractures remained unchanged compared to the 2019 baseline. Conclusion: The profound changes in social behaviour and mobility during the early stages of the COVID-19 pandemic have directly correlated with a significant decrease in orthopaedic trauma referrals, but fragility fractures remained unaffected and provision for these patients should be maintained.Cite this article: Bone Joint Open 2020;1-6:182-189.

is ?:annotates of