
@article{ref1,
title="Trauma workload during COVID19 lockdown: an analysis of incidence in 4 million people",
journal="Irish journal of medical science",
year="2021",
author="Aprato, Alessandro and Bini, Nathalie and Ferro, Silvia and Favella, Lucia and Conforti, Luigi and Masse, Alessandro",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Aim of this study is to report the trauma workload during COVID19 lockdown in a region of four million people and to compare it with the same period in 2019. <br><br>METHODS: The regional register for A&E admissions and hospitalizations has been reviewed in order to compare the number of A&D admission, the triage colour codes rates, aetiology of trauma, number of patients hospitalized for trauma, number of fractures that required surgery, type of fractures and injuries and mean patients' age. <br><br>RESULTS: During lockdown 7314 patients were admitted in A&E, while 22,508 patients were admitted in 2019. In 2020 and 2019 triage codes were respectively distributed as follows: red code 0.1% vs 0.2%, yellow code 8.9% vs 6.3%, green code 84% vs 84.7% and white code 6% vs 8.8%. (p = 0.042). The number of hospitalized patients for trauma was 670 in 2020, while in 2019 was 1774 (p = 0.02). The most common fracture that required surgery was femur fracture (409 in 2020 vs 635 in 2019); fracture subtype distribution and mean age of the patients were significantly different in the two groups (respectively p < 0.01 and p = 0.02). <br><br>CONCLUSIONS: One month of lockdown showed a 68% decrease in the number of A&E visits and a 74% decrease of fractures that required surgery. Femur fracture showed the lowest decrease moving from 635 to 409 units but increasing their incidence rate (42 to 61%).<p /> <p>Language: en</p>",
language="en",
issn="0021-1265",
doi="10.1007/s11845-021-02548-9",
url="http://dx.doi.org/10.1007/s11845-021-02548-9"
}