Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing
Purpose: To characterize the volume and variation in orthopedic consults and surgeries that took place during a period of social distancing and pandemic. Methods: All orthopedic consults and surgeries at an urban level 1 trauma center from 3/22/20-4/30/2020 were retrospectively reviewed (the social...
| Κύριοι συγγραφείς: | , , , , , , , , |
|---|---|
| Μορφή: | Άρθρο |
| Γλώσσα: | English |
| Έκδοση: |
SAGE Publishing
2020-11-01
|
| Σειρά: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Διαθέσιμο Online: | https://doi.org/10.1177/2151459320972674 |
| _version_ | 1828839050213064704 |
|---|---|
| author | Jonathan D. Haskel MD Charles C. Lin MD, MS Daniel J. Kaplan MD John F. Dankert MD, PhD David Merkow MD Alexander Crespo MD Omar Behery MD, MPH Abhishek Ganta MD Sanjit R. Konda MD |
| author_facet | Jonathan D. Haskel MD Charles C. Lin MD, MS Daniel J. Kaplan MD John F. Dankert MD, PhD David Merkow MD Alexander Crespo MD Omar Behery MD, MPH Abhishek Ganta MD Sanjit R. Konda MD |
| author_sort | Jonathan D. Haskel MD |
| collection | DOAJ |
| description | Purpose: To characterize the volume and variation in orthopedic consults and surgeries that took place during a period of social distancing and pandemic. Methods: All orthopedic consults and surgeries at an urban level 1 trauma center from 3/22/20-4/30/2020 were retrospectively reviewed (the social distancing period). Data from the same dates in 2019 were reviewed for comparison. Age, gender, Score for Trauma Triage in the Geriatric and Middle Aged (STTGMA) score and injury type were queried. Operating room data collected included: type of surgery performed, inpatient or outpatient status, and if the cases were categorized as elective, trauma or infectious cases. Results: Compared to 2019, there was a 48.3% decrease in consult volume in 2020. The 2020 population was significantly older (44.0 vs 52.6 years-old, p = 0.001) and more male (65% vs 35%, p = 0.021). There were 23 COVID positive patients, 10 of which died within the collection period. Consult distribution dramatically changed, with decreases in ankle fractures, distal radius fractures and proximal humerus fractures of 76.5%, 77.4% and 55.0%, respectively. However, there was no significant difference in volume of hip, tibial shaft and femoral shaft fractures (p > 0.05). In 2020, there was a 41.4% decrease in operating room volume, no elective cases were performed, and cases were primarily trauma related. Conclusions: During a period of pandemic and social distancing, the overall volume of orthopedic consults and surgeries significantly declined. However, hip fracture volume remained unchanged. Patients presenting with orthopedic injuries were older, and at higher risk for inpatient mortality. |
| first_indexed | 2024-12-12T19:15:07Z |
| format | Article |
| id | doaj.art-e74a6f9eeec340b4a6fb6f83c7e44d5d |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-12-12T19:15:07Z |
| publishDate | 2020-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-e74a6f9eeec340b4a6fb6f83c7e44d5d2022-12-22T00:14:45ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932020-11-011110.1177/2151459320972674Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social DistancingJonathan D. Haskel MD0Charles C. Lin MD, MS1Daniel J. Kaplan MD2John F. Dankert MD, PhD3David Merkow MD4Alexander Crespo MD5Omar Behery MD, MPH6Abhishek Ganta MD7Sanjit R. Konda MD8 Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, , New York, NY, USA Department of Orthopedic Surgery, Jamaica Hospital Medical Center, New York, NY, USA Department of Orthopedic Surgery, Jamaica Hospital Medical Center, New York, NY, USAPurpose: To characterize the volume and variation in orthopedic consults and surgeries that took place during a period of social distancing and pandemic. Methods: All orthopedic consults and surgeries at an urban level 1 trauma center from 3/22/20-4/30/2020 were retrospectively reviewed (the social distancing period). Data from the same dates in 2019 were reviewed for comparison. Age, gender, Score for Trauma Triage in the Geriatric and Middle Aged (STTGMA) score and injury type were queried. Operating room data collected included: type of surgery performed, inpatient or outpatient status, and if the cases were categorized as elective, trauma or infectious cases. Results: Compared to 2019, there was a 48.3% decrease in consult volume in 2020. The 2020 population was significantly older (44.0 vs 52.6 years-old, p = 0.001) and more male (65% vs 35%, p = 0.021). There were 23 COVID positive patients, 10 of which died within the collection period. Consult distribution dramatically changed, with decreases in ankle fractures, distal radius fractures and proximal humerus fractures of 76.5%, 77.4% and 55.0%, respectively. However, there was no significant difference in volume of hip, tibial shaft and femoral shaft fractures (p > 0.05). In 2020, there was a 41.4% decrease in operating room volume, no elective cases were performed, and cases were primarily trauma related. Conclusions: During a period of pandemic and social distancing, the overall volume of orthopedic consults and surgeries significantly declined. However, hip fracture volume remained unchanged. Patients presenting with orthopedic injuries were older, and at higher risk for inpatient mortality.https://doi.org/10.1177/2151459320972674 |
| spellingShingle | Jonathan D. Haskel MD Charles C. Lin MD, MS Daniel J. Kaplan MD John F. Dankert MD, PhD David Merkow MD Alexander Crespo MD Omar Behery MD, MPH Abhishek Ganta MD Sanjit R. Konda MD Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing |
| title_full | Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing |
| title_fullStr | Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing |
| title_full_unstemmed | Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing |
| title_short | Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing |
| title_sort | hip fracture volume does not change at a new york city level 1 trauma center during a period of social distancing |
| url | https://doi.org/10.1177/2151459320972674 |
| work_keys_str_mv | AT jonathandhaskelmd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT charlesclinmdms hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT danieljkaplanmd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT johnfdankertmdphd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT davidmerkowmd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT alexandercrespomd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT omarbeherymdmph hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT abhishekgantamd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing AT sanjitrkondamd hipfracturevolumedoesnotchangeatanewyorkcitylevel1traumacenterduringaperiodofsocialdistancing |