Ali TURGUT, Hakan ARLI, Ümit ALTUNDAĞ, Sert HANCIOĞLU, Ercüment EGELİ, Önder KALENDERER

Effect of COVID-19 pandemic on the fracture demographics: Data from a tertiary care hospital in Turkey

Objective: The purpose of this study was to evaluate the types and the frequency of fractures, both in the pediatric and adult population during the COVID-19 pandemic and to find out the differences in comparison to the non-pandemic period. Methods: Patients who were admitted to the hospital with a new fracture during pandemic period (March 16 to May 22, 2020) were evaluated. Control group consisted of patients with new fractures admitted to the hospital in the same date range in 2018 and 2019. The patients were divided into two groups as ≤16 years old (group 1) and >16 years old (group 2). The evaluation was based on the age and gender of the patients and localization of the fractures. Hospitalized and surgically treated patients were evaluated as well. Results: A total of 1794, 1747, and 670 fractures were observed in 2018, 2019, and 2020, respectively. Mean age of the patients in group 1 was found to have decreased in the pandemic period (p

___

1. Özdin S, Özdin ŞB. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry 2020 doi: 10.1177/0020764020927051. Online ahead of print. [Crossref]

2. Neher RA, Dyrdak R, Druelle V, Hodcroft EB, Albert J. Potential impact of seasonal forcing on a SARS-CoV-2 pandemic. Swiss Med Wkly 2020; https://doi.org/10.4414/smw.2020.20224 [Crossref]

3. Nussbaumer-Streit B, Mayr V, Dobrescu AL, et al. Quarantine alone or in combination with other public health measures to control COVID‐19: A rapid review. Cochrane Database Syst Rev 2020; 4: CD013574. doi: 10.1002/14651858.CD013574. [Crossref]

4. Landin LA. Epidemiology of children’s fractures. J Pediatr Orthop B 1997; 6: 79-83. [Crossref]

5. Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury 2006; 37: 691-7. [Crossref]

6. Bram JT, Johnson MA, Magee LC, et al. Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic. J Pediatr Orthop 2020; doi: 10.1097/ BPO.0000000000001600. Online ahead of print. [Crossref]

7. Wong JS, Cheung KM. Orthopaedic surgeons and orthopaedic surgery in the era of COVID-19. Acta Orthop Traumatol Turc 2020; 54: 221-2. [Crossref]

8. Cakmak G, Ceyhan E, Demirtas Y, Berk H. The management of orthopedics and traumatology patients during SARS-CoV-2 pandemic. Acta Orthop Traumatol Turc 2020; 54: 223-7. [Crossref]

9. Ozturk K, Unkar EA, Ozturk AA. Perioperative management recommendations to resume elective orthopaedic surgeries for post-COVID-19 “new normal”: Current vision of the Turkish Society of Orthopaedics and Traumatology. Acta Orthop Traumatol Turc 2020; 54: 228-33. [Crossref]

10. Ergun M, Denerel HN, Binnet MS, Ertat KA. Injuries in elite youth football players: A prospective three-year study. Acta Orthop Traumatol Turc 2013; 47: 339-46. [Crossref]

11. Bombaci H, Ulku K, Adiyeke L, Kara S, Gorgec M. Childhood injuries, their etiologies, and preventive measures. Acta Orthop Traumatol Turc 2008; 42: 166-73. [Crossref]

12. Ergen E. Sports injuries in children and adolescents: etiology, epidemiology, and risk factors. Acta Orthop Traumatol Turc 2004; 38 Suppl 1: 27-31.

13. Rennie L, Court-Brown CM, Mok JY, Beattie TF. The epidemiology of fractures in children. Injury 2007; 38: 913-22. [Crossref]

14. Hedström EM, Svensson O, Bergström U, Michno P. Epidemiology of fractures in children and adolescents. Acta Orthop 2010; 81: 148-53. [Crossref]

15. Singer BR, McLauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15 000 adults: the influence of age and gender. J Bone Joint Surg Br 1998; 80: 243-8. [Crossref]

16. Turgut A, Kalenderer O, Akan I, Ilyas G, Kumbaracı M, Karapinar L. Do patients with acute isolated pubic ramus fractures have to be hospitalized? Acta Orthop Belg 2017; 83: 574-80.

17. Krappinger D, Kammerlander C, Hak DJ, Blauth M. Low-energy osteoporotic pelvic fractures. Arch Orthop Trauma Surg 2010; 130: 1167-75. [Crossref]