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Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France

INTRODUCTION: Lockdown involved strict confinement of children at home, radically affecting their way of life, with increased risk of domestic accidents and the temptation to step outside of the legal framework. The aim of the present study was to analyze the impact of lockdown on pediatric emergenc...

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Autores principales: Simon, Anne-Laure, Kassab Hassan, Sammy, Julien-Marsollier, Florence, Happiette, Adèle, Jehanno, Pascal, Delvaque, Jean-Gabriel, Ilharreborde, Brice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Masson SAS. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761103/
https://www.ncbi.nlm.nih.gov/pubmed/34597824
http://dx.doi.org/10.1016/j.otsr.2021.103088
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author Simon, Anne-Laure
Kassab Hassan, Sammy
Julien-Marsollier, Florence
Happiette, Adèle
Jehanno, Pascal
Delvaque, Jean-Gabriel
Ilharreborde, Brice
author_facet Simon, Anne-Laure
Kassab Hassan, Sammy
Julien-Marsollier, Florence
Happiette, Adèle
Jehanno, Pascal
Delvaque, Jean-Gabriel
Ilharreborde, Brice
author_sort Simon, Anne-Laure
collection PubMed
description INTRODUCTION: Lockdown involved strict confinement of children at home, radically affecting their way of life, with increased risk of domestic accidents and the temptation to step outside of the legal framework. The aim of the present study was to analyze the impact of lockdown on pediatric emergency turnover in a university reference center situated in a high-risk “red zone” and to describe specific management measures. HYPOTHESIS: Pediatric emergency turnover and the corresponding lesion mechanisms were altered by lockdown. MATERIALS AND METHODS: All children undergoing emergency orthopedic surgery during lockdown (group 1) were prospectively included, then retrospectively compared to series operated on during the same period in the previous 3 years. Demographic and surgical data were analyzed, and the pathway changes that were developed were detailed. RESULTS: Turnover fell by a mean 33.5%, without change in indications. The most frequent lesions were wounds (54.3%), followed by fractures (34.3%) and infections (11.4%); the upper limbs were involved in 84.6% of cases. Lockdown had been infringed in 9.7% of traumas, mainly concerning fractures (55%). Postoperative management was modulated during lockdown in 34% of cases, without complications at the time of writing. DISCUSSION: Pediatric emergency turnover decreased, without major change in lesion mechanisms. Accidents associated with lockdown infringement were rare (< 10%), demonstrating good adaptation on the part of these children living in an urban area. The adapted care pathway was beneficial, and will no doubt continue to optimize management in future, with accelerated circuits and use of telemedicine. LEVEL OF EVIDENCE: IV, comparative retro-prospective study.
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spelling pubmed-97611032022-12-19 Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France Simon, Anne-Laure Kassab Hassan, Sammy Julien-Marsollier, Florence Happiette, Adèle Jehanno, Pascal Delvaque, Jean-Gabriel Ilharreborde, Brice Orthop Traumatol Surg Res Original Article INTRODUCTION: Lockdown involved strict confinement of children at home, radically affecting their way of life, with increased risk of domestic accidents and the temptation to step outside of the legal framework. The aim of the present study was to analyze the impact of lockdown on pediatric emergency turnover in a university reference center situated in a high-risk “red zone” and to describe specific management measures. HYPOTHESIS: Pediatric emergency turnover and the corresponding lesion mechanisms were altered by lockdown. MATERIALS AND METHODS: All children undergoing emergency orthopedic surgery during lockdown (group 1) were prospectively included, then retrospectively compared to series operated on during the same period in the previous 3 years. Demographic and surgical data were analyzed, and the pathway changes that were developed were detailed. RESULTS: Turnover fell by a mean 33.5%, without change in indications. The most frequent lesions were wounds (54.3%), followed by fractures (34.3%) and infections (11.4%); the upper limbs were involved in 84.6% of cases. Lockdown had been infringed in 9.7% of traumas, mainly concerning fractures (55%). Postoperative management was modulated during lockdown in 34% of cases, without complications at the time of writing. DISCUSSION: Pediatric emergency turnover decreased, without major change in lesion mechanisms. Accidents associated with lockdown infringement were rare (< 10%), demonstrating good adaptation on the part of these children living in an urban area. The adapted care pathway was beneficial, and will no doubt continue to optimize management in future, with accelerated circuits and use of telemedicine. LEVEL OF EVIDENCE: IV, comparative retro-prospective study. Published by Elsevier Masson SAS. 2023-02 2021-09-28 /pmc/articles/PMC9761103/ /pubmed/34597824 http://dx.doi.org/10.1016/j.otsr.2021.103088 Text en © 2021 Published by Elsevier Masson SAS. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Simon, Anne-Laure
Kassab Hassan, Sammy
Julien-Marsollier, Florence
Happiette, Adèle
Jehanno, Pascal
Delvaque, Jean-Gabriel
Ilharreborde, Brice
Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title_full Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title_fullStr Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title_full_unstemmed Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title_short Descriptive analysis of pediatric orthopedic surgical emergencies during the COVID-19 lockdown: Single-center observational study in a pandemic red-zone area in France
title_sort descriptive analysis of pediatric orthopedic surgical emergencies during the covid-19 lockdown: single-center observational study in a pandemic red-zone area in france
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761103/
https://www.ncbi.nlm.nih.gov/pubmed/34597824
http://dx.doi.org/10.1016/j.otsr.2021.103088
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