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@article{Sugand:2020:10.1080/17453674.2020.1807092,
author = {Sugand, K and Park, C and Morgan, C and Dyke, R and Aframian, A and Hulme, A and Evans, S and Sarraf, KM},
doi = {10.1080/17453674.2020.1807092},
journal = {Acta Orthopaedica},
pages = {633--638},
title = {Impact of the COVID-19 pandemic on paediatric orthopaedic trauma workload in central London: a multi-centre longitudinal observational study over the "golden weeks" The COVid Emergency Related Trauma and orthopaedics (COVERT) Collaborative},
url = {http://dx.doi.org/10.1080/17453674.2020.1807092},
volume = {91},
year = {2020}
}

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TY  - JOUR
AB  - Background and purpose — The COVID-19 pandemic has been recognised as an unprecedented global health crisis. This study assesses the impact on a large acute paediatric hospital service in London, evaluating the trends in the acute paediatric orthopaedic trauma referral caseload and operative casemix before (2019) and during (2020) COVID-19 lockdown.Patients and methods — A longitudinal retrospective observational prevalence study of both acute paediatric orthopaedic trauma referrals and operative caseload was performed for the first 6 “golden weeks” of lockdown. These data were compared with the same period in 2019. Statistical analyses included median (± median absolute deviation), risk and odds ratios as well as Fisher’s exact test to calculate the statistical significance, set at p ≤ 0.05.Results — Acute paediatric trauma referrals in 2020 were reduced by two-thirds compared with 2019 (n = 302 vs. 97) with a halving risk (RR 0.55) and odds ratios (OR 0.43) of sporting-related mechanism of injuries (p = 0.002). There was a greater use of outpatient telemedicine in the COVID-19 period with more Virtual Fracture Clinic use (OR 97, RR 84, p < 0.001), and fewer patients being seen for consultation and followed up face to face (OR 0.55, RR 0.05, p < 0.001).Interpretation — The impact of the COVID-19 pandemic has led to a decline in the number of acute paediatric trauma referrals, admissions, and operations during the COVID period. There has also been a significant change in the patient pathway with more being reviewed via the means of telemedicine to reduce the risk of COVID-19 transmission and exposure. More work is required to observe for similar trends nationwide and globally as the pandemic has permanently affected the entire healthcare infrastructure.
AU  - Sugand,K
AU  - Park,C
AU  - Morgan,C
AU  - Dyke,R
AU  - Aframian,A
AU  - Hulme,A
AU  - Evans,S
AU  - Sarraf,KM
DO  - 10.1080/17453674.2020.1807092
EP  - 638
PY  - 2020///
SN  - 0001-6470
SP  - 633
TI  - Impact of the COVID-19 pandemic on paediatric orthopaedic trauma workload in central London: a multi-centre longitudinal observational study over the "golden weeks" The COVid Emergency Related Trauma and orthopaedics (COVERT) Collaborative
T2  - Acta Orthopaedica
UR  - http://dx.doi.org/10.1080/17453674.2020.1807092
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000562177800001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.tandfonline.com/doi/full/10.1080/17453674.2020.1807092
UR  - http://hdl.handle.net/10044/1/82554
VL  - 91
ER  -

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