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Emergency department visits due to hand trauma and subsequent emergency hand surgery in three Finnish hospitals during the first and second waves of COVID-19 pandemic

Kuitunen, Ilari ; Jokihaara, Jarkko ; Ponkilainen, Ville ; Reito, Aleksi ; Paloneva, Juha ; Mattila, Ville M ; Launonen, Antti P de Araújo, Gabriel

PloS one, 2022-02, Vol.17 (2), p.e0263435-e0263435 [Periódico revisado por pares]

United States: Public Library of Science

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Emergency department visits due to hand trauma and subsequent emergency hand surgery in three Finnish hospitals during the first and second waves of COVID-19 pandemic
Autor: Kuitunen, Ilari ; Jokihaara, Jarkko ; Ponkilainen, Ville ; Reito, Aleksi ; Paloneva, Juha ; Mattila, Ville M ; Launonen, Antti P
de Araújo, Gabriel
Assuntos: Adult ; Biology and Life Sciences ; Confidence intervals ; Control ; Coronaviruses ; COVID-19 ; Emergency medical care ; Emergency medical services ; Emergency Medical Services - statistics & numerical data ; Emergency Medical Services - trends ; Emergency procedures ; Emergency Service, Hospital ; Epidemics ; Ethics ; Female ; Finland ; Finland - epidemiology ; Forecasts and trends ; Fractures ; Hand ; Hand - surgery ; Hand Injuries - epidemiology ; Hand Injuries - surgery ; Hospitalization ; Hospitals ; Humans ; Incidence ; Injuries ; Male ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Orthopedics ; Pandemics ; Patients ; People and places ; Population ; Retrospective Studies ; SARS-CoV-2 ; Social aspects ; Social distancing ; Software ; State of emergency ; Statistics ; Supervision ; Surgery ; Surgical emergencies ; Trauma
É parte de: PloS one, 2022-02, Vol.17 (2), p.e0263435-e0263435
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Descrição: The rate of acute hand trauma visits to emergency departments (ED) and surgeries decreased during the COVID-19 lockdown. Our aim was to analyze the influence of national lockdown during the first wave and the regional restrictions during the second wave on the rate of visits to the ED and urgent hand surgeries in Finland. Material for this retrospective study was gathered from three Finnish hospitals All ED visits and urgent or emergency surgeries from January 2017 to December 2020 were included. Incidences per 100 000 persons with 95% confidence intervals (CI) were calculated and compared by incidence rate ratios (IRR). The incidence of hand injury was lower after the beginning of the lockdown in March 2020 (IRR 0.70 CI 0.63-0.78). After lockdown ended in May, the monthly incidences of ED visits returned to the reference level. During the lockdown, the incidence of fractures and dislocations was 42% lower in March (IRR 0.58 CI 0.50-0.68) and 33% lower in April 2020 (IRR 0.67 CI 0.57-0.80). The incidence of fracture repair surgeries was 43% lower in March 2020 (IRR 0.57 CI 0.35-0.93) and 41% lower in July 2020 (IRR 0.59 CI 0.36-0.98). Incidence of replantation was 49% higher in March 2020 (IRR 1.49 CI 0.53-4.20) and 200% higher in July 2020 (IRR 3.00 CI 0.68-13.2) but these increases had high uncertainty. The rate of ED visits due to hand injuries decreased while the rate of emergency hand operations remained unchanged during the national COVID-19 lockdown in spring. After the lockdown, the incidences returned to reference level and were unaffected by regional restrictions during the second wave of pandemic.
Editor: United States: Public Library of Science
Idioma: Inglês

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Emergency department visits due to hand trauma and subsequent emergency hand surgery in three Finnish hospitals during the first and second waves of COVID-19 pandemic

Kuitunen, Ilari ; Jokihaara, Jarkko ; Ponkilainen, Ville ; Reito, Aleksi ; Paloneva, Juha ; Mattila, Ville M ; Launonen, Antti P de Araújo, Gabriel

United States: Public Library of Science

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