The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19
Background. The pattern of hospital admissions and medical care changed during the COVID pandemic. The aim of the study to describe the nature of patients attending the orthopedic emergency department of a level 1 trauma center in terms of number and proportion based on demographic characteristi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2023-06-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/7994/pdf |
| _version_ | 1797792416765313024 |
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| author | Balaji Zacharia Harshitha Hayavadana Udupa Rahul Chandran Arun Prakas |
| author_facet | Balaji Zacharia Harshitha Hayavadana Udupa Rahul Chandran Arun Prakas |
| author_sort | Balaji Zacharia |
| collection | DOAJ |
| description | Background. The pattern of hospital admissions and medical care changed during the COVID pandemic.
The aim of the study to describe the nature of patients attending the orthopedic emergency department of a level 1 trauma center in terms of number and proportion based on demographic characteristics and the nature of the injury before the lockdown, during the lockdown, and during the unlocking period of the nationwide lockdown for controlling the COVID-19 pandemic in India.
Methods. We conducted a longitudinal study from 01.01.2020 to 31.12.2020. Patients attending the orthopedic emergency were grouped based on cause, type, and site of injury. The median number observed each day with IQR. The distribution of the same was compared between the prelockdown with lockdown period and the lockdown period with a phased unlocking period.
Results. A total of 10513 patients were included. There was a statistically significant reduction in the proportion of patients needing inpatient care between the prelockdown phase and lockdown phase (p = 0.008). However, this was not seen between lockdown and postlockdown periods (p = 0.47). The proportion of road traffic accidents dropped from 26% to 15% during this time (p0.001). The proportion of contusions was reduced and that of soft tissue injuries increased (p0.001). The proportion of lower limb injuries decreased from the prelockdown phase to the lockdown phase, and that of spinal injury patients increased (p = 0.007). The proportion of patients with contusions increased and soft tissue injuries decreased during this period (p0.001). Lower limb injuries and road traffic accidents increased, and spinal injuries were reduced (p0.001).
Conclusion. The lockdown for controlling the spread of the pandemic affected the demographic and epidemiological aspects of injuries attending the orthopedic emergency department of a level 1 trauma center in a developing country. There was a decrease in the proportion of females and children attending the ED during the lockdown. The number of road traffic accedents s decreased during the lockdown. The number of patients with contusions attending the trauma center during the lockdown decreased, but there was an increase in the number of patients with spine injuries. We suggest that improvement in triage facilities, wider use of telemedicine, and increasing the stock of PPEs are essential for tackling such situations in the future. |
| first_indexed | 2024-03-13T02:32:48Z |
| format | Article |
| id | doaj.art-07cd437b57a14c0397071327502a6a43 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-03-13T02:32:48Z |
| publishDate | 2023-06-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-07cd437b57a14c0397071327502a6a432023-06-29T11:50:20ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332023-06-01292889810.17816/2311-2905-79941265The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19Balaji Zacharia0https://orcid.org/0000-0001-5080-1656Harshitha Hayavadana Udupa1https://orcid.org/0000-0002-9746-8528Rahul Chandran2https://orcid.org/0000-0002-4897-5582Arun Prakas3https://orcid.org/0009-0007-5173-2569Government Medical CollegeGovernment Medical CollegeGovernment Medical CollegeGovernment Medical CollegeBackground. The pattern of hospital admissions and medical care changed during the COVID pandemic. The aim of the study to describe the nature of patients attending the orthopedic emergency department of a level 1 trauma center in terms of number and proportion based on demographic characteristics and the nature of the injury before the lockdown, during the lockdown, and during the unlocking period of the nationwide lockdown for controlling the COVID-19 pandemic in India. Methods. We conducted a longitudinal study from 01.01.2020 to 31.12.2020. Patients attending the orthopedic emergency were grouped based on cause, type, and site of injury. The median number observed each day with IQR. The distribution of the same was compared between the prelockdown with lockdown period and the lockdown period with a phased unlocking period. Results. A total of 10513 patients were included. There was a statistically significant reduction in the proportion of patients needing inpatient care between the prelockdown phase and lockdown phase (p = 0.008). However, this was not seen between lockdown and postlockdown periods (p = 0.47). The proportion of road traffic accidents dropped from 26% to 15% during this time (p0.001). The proportion of contusions was reduced and that of soft tissue injuries increased (p0.001). The proportion of lower limb injuries decreased from the prelockdown phase to the lockdown phase, and that of spinal injury patients increased (p = 0.007). The proportion of patients with contusions increased and soft tissue injuries decreased during this period (p0.001). Lower limb injuries and road traffic accidents increased, and spinal injuries were reduced (p0.001). Conclusion. The lockdown for controlling the spread of the pandemic affected the demographic and epidemiological aspects of injuries attending the orthopedic emergency department of a level 1 trauma center in a developing country. There was a decrease in the proportion of females and children attending the ED during the lockdown. The number of road traffic accedents s decreased during the lockdown. The number of patients with contusions attending the trauma center during the lockdown decreased, but there was an increase in the number of patients with spine injuries. We suggest that improvement in triage facilities, wider use of telemedicine, and increasing the stock of PPEs are essential for tackling such situations in the future.https://journal.rniito.org/jour/article/viewFile/7994/pdfcovid-19sars-cov-2 infectionpandemicepidemiology of injuryorthopedic emergency department |
| spellingShingle | Balaji Zacharia Harshitha Hayavadana Udupa Rahul Chandran Arun Prakas The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 Travmatologiâ i Ortopediâ Rossii covid-19 sars-cov-2 infection pandemic epidemiology of injury orthopedic emergency department |
| title | The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 |
| title_full | The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 |
| title_fullStr | The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 |
| title_full_unstemmed | The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 |
| title_short | The Effect of Nationwide Lockdown in India on the Epidemiology of Injuries During the First Wave of COVID-19 |
| title_sort | effect of nationwide lockdown in india on the epidemiology of injuries during the first wave of covid 19 |
| topic | covid-19 sars-cov-2 infection pandemic epidemiology of injury orthopedic emergency department |
| url | https://journal.rniito.org/jour/article/viewFile/7994/pdf |
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