Objective To compare clinical characteristics of orthopedic trauma patients between the patients during pandemic of corona virus disease 2019 (COVID-19) and those beyond the pandemic period and analyze the factors influencing fracture site changes during pandemic of COVID-19. Methods A retrospective casecontrol study was made on data of 1048 patients with fractures hospitalized in Third Hospital of Hebei Medical University treated from January 20, 2020 to February 25, 2020 (pandemic period group) and from January 31, 2019 to March 9, 2019 (beyond pandemic period group). There were 232 patients in pandemic period group, including 121 males (52.2%) and 111 females (47.8%), with age range of 1-100 years [(47.9±26.3)years]. There were 816 patients in beyond pandemic period group, including 454 males (55.6%) and 363 females (44.5%), with age range of 1-96 years [(47.3±23.9)years]. Fracture sites were compared between the two groups. Age, sex, occupation, cause of injury, history of basic medical diseases, location of fracture, residence, marital status and other factors among the patients with low limb fractures and other fractures in pandemic period group were analyzed using the Logistic regression analysis. Results Incidence of limb fractures in pandemic period group (69.4%, 161/232) was significantly higher than that in beyond pandemic period group (59.8%, 488/816) (P<0.05), while the incidence of wholebody multiple fractures in pandemic period group (8.2%, 19/232) was significantly lower than that in beyond pandemic period group (13.6%, 111/816) (P<0.05). Univariate analysis showed that female, middle or older age, farmers, low-energy injury, basic medical disease, staying at home were risk factors for limb fracture during pandemic (P<0.05). Multivariate Logistic regression analysis showed low-energy injury (OR=8.264, P<0.01) was an independent risk factor for limb fracture during pandemic.
〖WTHZ〗Conclusions〓〖WTBZ〗Compared with the beyond pandemic period, some location of fracture is changed and incidence of limb fracture is increased during pandemic. Low energy injury is an independent risk factor of limb fracture during the pandemic.
吕红芝 崔怡 王娟 李栋正 朱燕宾 尹英超 张英泽. 石家庄地区新型冠状病毒肺炎疫情期间骨科住院患者骨折部位变化影响因素分析[J]. 中华创伤杂志, 2020, 36(3): 202-206.
Lyu Hongzhi, Cui Yi, Wang Juan, Li Dongzheng, Zhu Yanbin, Yin Yingchao, Zhang Yingze.. Influence factors of fracture site change of orthopedic trauma patients in Shijiazhuang during pandemic of corona virus disease 2019. CHINESE JOURNAL OF TRAUMA, 2020, 36(3): 202-206.