The Impact of the Covid-19 Pandemic on Orthopedic Trauma Management

Not Applicable

Completed

• Conditions: Trauma; COVID-19 Pandemic
• Interventions: Other: epidemyolojical

• Registration Number: NCT06237023
• Lead Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Brief Summary

The aim of the study is to compare emergency orthopedic trauma admissions between the pre-pandemic period and the pandemic period and to detect changes in orthopedic trauma epidemiology.

Detailed Description

The aim of the study is to compare emergency orthopedic trauma admissions between the pre-pandemic period and the pandemic period and to detect changes in orthopedic trauma epidemiology. For this purpose, an epidemiological study was conducted in our country, comparing trauma admissions to a level 1 trauma hospital during a one-year period before the pandemic with those in the year following the onset of the pandemic.Demographic characteristics of the patients, such as age and gender, were recorded. In addition, the injury mechanisms of the patients, diagnosis, injured extremityor anatomical region, broken bone, fracture classification, multitrauma rates, trauma releated complications, hospitalization days, and treatment modalities were examined.

Study Timeline

• Study Start: 2019-03-01
• Primary Completion: 2021-03-31
• Study Completion: 2021-11-01
• Status Verified: 2024-01
• Study First Submitted: 2024-01-30
• Study First Submitted QC: 2024-01-31
• Last Update Submitted: 2024-01-31
• Study First Posted: 2024-02-01
• Last Update Posted: 2024-02-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 57635

Inclusion Criteria

• The patients who were admitted between March 2019 and March 2021
• Patients presenting due to trauma

Exclusion Criteria

• Patients Admitted Before the Pandemic and Outside the Pandemic Period
• Consultation or Outpatient Clinic Patients
• Non-Traumatic Conditions
• Patients with Incomplete Records

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
pre-pandemic group	epidemyolojical	Patients who presented to the Orthopedics and Traumatology unit for any trauma-related reason during the one-year period prior to the pandemic
post-pandemic group	epidemyolojical	Patients who presented to the Orthopedics and Traumatology unit for any trauma-related reason within one year from the start of the pandemic

Primary Outcome Measures

Name	Time	Method
Detection of Changes in the Epidemiology of Orthopedic Trauma	up to 6 months	The research aims to determine the changes in the epidemiology of orthopedic traumas during the pandemic period compared to before the pandemic. This includes patient demographics, injury mechanisms, diagnoses, injured extremity or anatomical sites, fracture types and classifications, polytrauma rates, trauma-related complications, length of hospital stay, and treatment methods.
Comparison of Emergency Orthopedic Trauma Admissions Between Pre-Pandemic and Pandemic Period	up to 6 months	The main purpose of the study is to compare the changes in the number and quality of emergency orthopedic trauma applications before the COVID-19 pandemic and during the pandemic period.

Secondary Outcome Measures

Name	Time	Method
Comparison of Injury Mechanisms and Diagnoses	8 weeks	Different injury mechanisms and diagnosis distributions during the pandemic period compared to before the pandemic.
Injured Extremities or Anatomical Regions	8 weeks	The extremities or anatomical regions that were most frequently injured before and during the pandemic period.
Trauma-Related Complications	6 months	Changes in trauma-related complication rates before the pandemic and during the pandemic period.
Length of Hospital Stay	6 weeks	Differences in average length of hospital stay before the pandemic and during the pandemic period.
Changes in Patient Demographic Characteristics	6 weeks	Changes in the age and gender distribution of patients before the pandemic and during the pandemic period.
Fracture Types and Classifications	6 weeks	Changes in fracture types and classifications during the pandemic period.
Treatment Methods	8 weeks	Changes in the treatment methods applied before the pandemic and during the pandemic period, especially the increases in surgical treatment rates.

Trial Locations

Locations (1)

University of Health Sciences, Hamidiye Medical School, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Department of Orthopedics and Traumatology; 🇹🇷 Istanbul, Turkey