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

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Morgan Catrin; Sugand Kapil; Ashdown Thomas; Nathoo Nikita; MacFarlane Robert; Dyke Rory; Park Chang; Aframian Arash; Domos Peter; Horwitz Maxim D.; Sarraf Khaled M.; Dattani Rupen

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Journal Paper

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Journal: Archives of Bone and Joint Surgery Year:2022 | Volume:10 | Issue:1 Page(s): 23-31

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Title

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

Author(s)

Keywords

Trauma

Coronavirus

COVID-19

Upper Limb

Lockdown

Abstract

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 lockdo wn. 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 beginning of the 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.

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APA: Copy

Sugand, Kapil, Ashdown, Thomas, Nathoo, Nikita, Dyke, Rory, Park, Chang, Domos, Peter, & Sarraf, Khaled M.. (2022). 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. THE ARCHIVES OF BONE AND JOINT SURGERY, 10(1), 23-31. SID. https://sid.ir/paper/984871/en

Vancouver: Copy

Sugand Kapil, Ashdown Thomas, Nathoo Nikita, Dyke Rory, Park Chang, Domos Peter, Sarraf Khaled M.. 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. THE ARCHIVES OF BONE AND JOINT SURGERY[Internet]. 2022;10(1):23-31. Available from: https://sid.ir/paper/984871/en

IEEE: Copy

Kapil Sugand, Thomas Ashdown, Nikita Nathoo, Rory Dyke, Chang Park, Peter Domos, and Khaled M. Sarraf, “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,” THE ARCHIVES OF BONE AND JOINT SURGERY, vol. 10, no. 1, pp. 23–31, 2022, [Online]. Available: https://sid.ir/paper/984871/en

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