Pediatric Traumatology and COVID-19. Pandemic Experiences from Córdoba, Argentina Pandemic Experiences from Córdoba, Argentina
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Published:
Feb 11, 2021
Keywords:
Pediatric orthopedic, COVID-19, pediatric trauma, quarantine, fractures
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Abstract
Introduction: Coronavirus disease spreads rapidly, which leads to an increased demand for health services. Such services must be adapted accordingly. Our aim is to provide a general vision on the way these circumstances affect our practice, based on our experience and remarking the positive aspects as well as those which need to change in the future.
Materials and Methods: A record was kept of the daily number of consultations, age of the patient, gender, trauma history, place of injury, reason for consultation, diagnosis and treatment. These data were contrasted with the records for the different quarantine phases and with the records for the same period of 2019.
Results: the number of consultations amounts to 120, the number of surgeries amounts to 33, and 185 emergency room consultations were carried out, 160 of them with trauma patients. The most frequent place of injury was the home (56.25%). 30% of the injuries were wrist fractures and 28,8% were supracondylar fractures. The number of patients increased over quarantine flexibilization.
Conclusion: Fast adaptation is fundamental. Common fractures occur even during quarantine, as well as infections. Professionals should avoid neglecting unpostponable attention to patients with a chronic condition.Level of Evidence: III
Materials and Methods: A record was kept of the daily number of consultations, age of the patient, gender, trauma history, place of injury, reason for consultation, diagnosis and treatment. These data were contrasted with the records for the different quarantine phases and with the records for the same period of 2019.
Results: the number of consultations amounts to 120, the number of surgeries amounts to 33, and 185 emergency room consultations were carried out, 160 of them with trauma patients. The most frequent place of injury was the home (56.25%). 30% of the injuries were wrist fractures and 28,8% were supracondylar fractures. The number of patients increased over quarantine flexibilization.
Conclusion: Fast adaptation is fundamental. Common fractures occur even during quarantine, as well as infections. Professionals should avoid neglecting unpostponable attention to patients with a chronic condition.Level of Evidence: III
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How to Cite
Pedro Maraude, A. E., Luna, M., & Zecchini, L. (2021). Pediatric Traumatology and COVID-19. Pandemic Experiences from Córdoba, Argentina. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(1), 122-129. https://doi.org/10.15417/issn.1852-7434.2021.86.1.1147
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12. Hernigou J, Morel X, Callewier A, Bath O1, Hernigou P. Staying home during “COVID-19” decreased fractures,
but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the “tsunami of
recommendations” could not lockdown twelve elective operations. Int Orthop 2020;44(8):1473-80. https://doi.
org/10.1007/s00264-020-04619-5
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Surg Am 2020;102(13):e66. https://doi.org/10.2106/JBJS.20.00567
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BPO.0000000000000595
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18. Ranuccio F, Tarducci L, Familiari F, Mastroianni V, Giuzio E. Disruptive effect of COVID-19 on orthopaedic daily
practice. J Bone Joint Surg Am 2020;102(14):e77. https://doi.org/10.2106/JBJS.20.00604
19. Sarac NJ, Sarac BA, Schoenbrunner AR, Janis JE, Harrison RK, Phieffer L, et al. A Review of state guidelines for
elective orthopaedic procedures during the COVID-19 outbreak. J Bone Joint Surg Am 2020;102(11):942-5. https://
doi.org/10.2106/JBJS.20.00510
during the COVID-19 pandemic: safe surgical practices and a classification to guide treatment. J Bone Joint Surg
Am 2020;102(14):e76. https://doi.org/10.2106/JBJS.20.00599
2. Farrell S, Schaeffer EK, Mulpuri K. Recommendations for the care of pediatric orthopaedic patients during the
COVID pandemic. J Am Acad Orthop Surg 2020;28(11):e477-e486. https://doi.org/10.5435/JAAOS-D -20-00391
3. Liang ZC, Chong MSY, Sim MA, Lim JL, Castañeda P, Green DW, et al. Surgical considerations in patients
with COVID-19: what orthopaedic surgeons should know. J Bone Joint Surg Am 2020;102(11):e50. https://doi.
org/10.2106/JBJS.20.00513
4. Información epidemiológica. Ministerio de Salud de la República Argentina. Disponible en: https://www.argentina.gob.ar/salud/coronavirus-COVID-19/sala-situacion
5. Di Martino A, Faldini C. Trauma service reorganization in Bologna (Italy) during COVID-19 pandemic. Injury
2020;51(7):1684. https://doi.org/10.1016/j.injury.2020.04.033 0020-1383
6. Chang Liang Z, Wang W, Murphy D, Po Hui JH. Novel coronavirus and orthopaedic surgery: early experiences
from Singapore. J Bone Joint Surg Am 2020;102(9):745-9. https://doi.org/10.2106/JBJS.20.00236
7. Awad ME, Rumley JCL, Vazquez JA, Devine JG. Perioperative considerations in urgent surgical care of suspected
and confirmed coronavirus disease 2019 orthopaedic patients: operating room protocols and recommendations in the current coronavirus disease 2019 pandemic. J Am Acad Orthop Surg 2020;28(11):451-63.https://doi.org/10.5435/JAAOS-D-20-00227
8. Nuñez 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.
https://doi.org/10.1016/j.injury.2020.05.016
9. Iyengar K, Vaish A, Vaishya R. Revisiting conservative orthopaedic management of fractures during COVID-19
pandemic. J Clin Orthop Trauma 2020;11(4):718-20. https://doi.org/10.1016/j.jcot.2020.05.010
10. Chhabra HS, Bagaraia V, Keny S, Kalidindi KKV, Mallepally A, Dhillon MS, et al. COVID‑19: current knowledge
and best practices for orthopaedic surgeons. Ind J Orthop 2020;54(4)1-15. https://doi.org/10.1007/s43465-020-
00135-1
11. Luengo-Alonso G, García-Seisdedos Pérez-Tabernero FG, Tovar-Bazaga M, Arguello-Cuenca JM, Calvo E. Critical adjustments in a department of orthopaedics through the COVID-19 pandemic. Int Orthop 2020;44(8):1557-64. https://doi.org/10.1007/s00264-020-04647-1
12. Hernigou J, Morel X, Callewier A, Bath O1, Hernigou P. Staying home during “COVID-19” decreased fractures,
but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the “tsunami of
recommendations” could not lockdown twelve elective operations. Int Orthop 2020;44(8):1473-80. https://doi.
org/10.1007/s00264-020-04619-5
13. Randelli PS, Compagnoni R. Management of orthopaedic and traumatology patients during the coronavirus disease (COVID-19) pandemic in northern Italy. Knee Surg Sports Traumatol Arthrosc 2020;28(6):1683-9. https://doi.org/10.1007/s00167-020-06023-3
14. Wilson JM, Schwartz AM, Farley KX, Devito DP, Fletcher ND. Doing our part to conserve resources. J Bone Joint
Surg Am 2020;102(13):e66. https://doi.org/10.2106/JBJS.20.00567
15. Naranje SN, Erali RA, Warner WC Jr, Sawyer JR, Kelly DM. Epidemiology of pediatric fractures presenting
to emergency departments in the United States. J Pediatr Orthop 2016;36(4):e45-8. https://doi.org/10.1097/
BPO.0000000000000595
16. Feeley I, McAleese T, Clesham K, Moloney D, Crozier-Shaw G, et al. Foot and ankle service adaptation in response to COVID-19 and beyond. Ann Med Surg (Lond) 2020;54:62-4. https://doi.org/10.1016/j.amsu.2020.04.023
17. Thaler M, Khosravi I, Leithner A, Papagelopoulos PJ, Ruggieri P. Impact of the COVID-19 pandemic on patients
suffering from musculoskeletal tumours. Int Orthop 2020;44(8):1503-9. https://doi-org/10.1007/s00264-020-04636-4
18. Ranuccio F, Tarducci L, Familiari F, Mastroianni V, Giuzio E. Disruptive effect of COVID-19 on orthopaedic daily
practice. J Bone Joint Surg Am 2020;102(14):e77. https://doi.org/10.2106/JBJS.20.00604
19. Sarac NJ, Sarac BA, Schoenbrunner AR, Janis JE, Harrison RK, Phieffer L, et al. A Review of state guidelines for
elective orthopaedic procedures during the COVID-19 outbreak. J Bone Joint Surg Am 2020;102(11):942-5. https://
doi.org/10.2106/JBJS.20.00510