Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe
The COVID-19 pandemic and the resulting restrictions led to a reduced number of surgeries. This study examines its impact on the course of treatment and clinical outcome of surgically treated paediatric upper limb fractures during that specific period. This retrospective cohort study evaluated all c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/2/172 |
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| author | Stephan Payr Theresia Dangl Andrea Schuller Philipp Scheider Britta Chocholka Manuela Jaindl Elisabeth Schwendenwein Thomas M. Tiefenboeck |
| author_facet | Stephan Payr Theresia Dangl Andrea Schuller Philipp Scheider Britta Chocholka Manuela Jaindl Elisabeth Schwendenwein Thomas M. Tiefenboeck |
| author_sort | Stephan Payr |
| collection | DOAJ |
| description | The COVID-19 pandemic and the resulting restrictions led to a reduced number of surgeries. This study examines its impact on the course of treatment and clinical outcome of surgically treated paediatric upper limb fractures during that specific period. This retrospective cohort study evaluated all children aged 0–18 years presenting with an upper limb fracture treated surgically at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery of Vienna within lockdown from 16 March to 29 May 2020 (definition applied through corresponding legislation) compared to the same period from 2015 to 2019. A total number of 127 children (m:63; f:44) were included. The lockdown did not lead to a significant increase in complications during and after initial surgery. Time until removal of implant was not significantly prolonged (<i>p</i> = 0.068; <i>p</i> = 0.46). The clinical outcome did not significantly differ compared to previous years. The experience of a level 1 trauma centre showed that despite reduced surgical capacity during the COVID-19 pandemic, no negative differences concerning course of treatment and clinical outcome of surgically treated paediatric upper limb fractures were present. These findings are still of importance since the COVID-19 pandemic continues and several countries in Central Europe are currently under their fourth lockdown. |
| first_indexed | 2024-03-09T22:18:44Z |
| format | Article |
| id | doaj.art-f6702a89477e41b9b948301a074da7cb |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T22:18:44Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f6702a89477e41b9b948301a074da7cb2023-11-23T19:18:40ZengMDPI AGChildren2227-90672022-01-019217210.3390/children9020172Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central EuropeStephan Payr0Theresia Dangl1Andrea Schuller2Philipp Scheider3Britta Chocholka4Manuela Jaindl5Elisabeth Schwendenwein6Thomas M. Tiefenboeck7Department of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaDepartment of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaThe COVID-19 pandemic and the resulting restrictions led to a reduced number of surgeries. This study examines its impact on the course of treatment and clinical outcome of surgically treated paediatric upper limb fractures during that specific period. This retrospective cohort study evaluated all children aged 0–18 years presenting with an upper limb fracture treated surgically at the level 1 trauma centre of the University Clinic of Orthopaedics and Trauma Surgery of Vienna within lockdown from 16 March to 29 May 2020 (definition applied through corresponding legislation) compared to the same period from 2015 to 2019. A total number of 127 children (m:63; f:44) were included. The lockdown did not lead to a significant increase in complications during and after initial surgery. Time until removal of implant was not significantly prolonged (<i>p</i> = 0.068; <i>p</i> = 0.46). The clinical outcome did not significantly differ compared to previous years. The experience of a level 1 trauma centre showed that despite reduced surgical capacity during the COVID-19 pandemic, no negative differences concerning course of treatment and clinical outcome of surgically treated paediatric upper limb fractures were present. These findings are still of importance since the COVID-19 pandemic continues and several countries in Central Europe are currently under their fourth lockdown.https://www.mdpi.com/2227-9067/9/2/172paediatric traumafracturesCOVID-19pandemic |
| spellingShingle | Stephan Payr Theresia Dangl Andrea Schuller Philipp Scheider Britta Chocholka Manuela Jaindl Elisabeth Schwendenwein Thomas M. Tiefenboeck Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe Children paediatric trauma fractures COVID-19 pandemic |
| title | Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe |
| title_full | Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe |
| title_fullStr | Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe |
| title_full_unstemmed | Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe |
| title_short | Course of Treatment and Short-Term Outcome of Surgically Treated Paediatric Upper Limb Fractures during the COVID-19 Pandemic—Experiences of a Level 1 Trauma Centre in Central Europe |
| title_sort | course of treatment and short term outcome of surgically treated paediatric upper limb fractures during the covid 19 pandemic experiences of a level 1 trauma centre in central europe |
| topic | paediatric trauma fractures COVID-19 pandemic |
| url | https://www.mdpi.com/2227-9067/9/2/172 |
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