Impact of COVID-19-related social restrictions on orthopaedic trauma in a level 1 trauma centre in Sydney: the first wave.

Abstract:

BACKGROUND:The coronavirus disease 2019 (COVID-19) pandemic has affected communities worldwide. This study examines the impact that public health measures to control viral spread have had on orthopaedic trauma presenting to an Australian level 1 trauma centre. We hypothesized that the volume of orthopaedic trauma in the period of social distancing would decrease, and the mechanisms of injury differ, compared to pre-pandemic times. METHODS:We performed a retrospective analysis of patients requiring emergency orthopaedic surgery between 16 March and 21 April 2020 (the period after social distancing and lockdown commenced), and compared it to the group of patients from the same period in 2019. We collected demographic data, as well as injury type, anatomical location, mechanism of injury and surgical logistics. RESULTS:During the COVID-19 period, total emergency operations performed decreased by 15.6% compared to the same period in 2019. Orthopaedic admissions decreased by 30.8%. Demographics of the groups were unchanged. Anaesthetic time decreased, but total time spent in the operating theatre was unchanged. Road trauma comprised a similar proportion of cases overall; however, cycling-related accidents increased significantly, making up 11% of presentations during COVID-19. Sporting injuries, work-related injuries and multi-traumas reduced during the pandemic. CONCLUSION:The impact of COVID-19-related lockdown measures and social distancing on orthopaedic trauma in Australia has been an overall decrease in volume of cases, combined with significant changes in the mechanisms of injury necessitating surgery.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Probert AC,Sivakumar BS,An V,Nicholls SL,Shatrov JG,Symes MJ,Ellis AM

doi

10.1111/ans.16375

subject

Has Abstract

pub_date

2020-10-13 00:00:00

eissn

1445-1433

issn

1445-2197

pub_type

杂志文章
  • Laparoscopic versus robotic-assisted radical prostatectomy: an Australian single-surgeon series.

    abstract:BACKGROUND:In Australia, robotic-assisted radical prostatectomy (RARP) has steadily replaced open and laparoscopic surgery in the management of localized prostate cancer. Given the increased cost of this technology, we aimed to compare the perioperative, pathological, oncological and functional outcomes as well as shor...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12602

    authors: Papachristos A,Basto M,Te Marvelde L,Moon D

    更新日期:2015-03-01 00:00:00

  • Surgery: no profession for a lady.

    abstract::There are currently over 700 active female Fellows of the Royal Australasian College of Surgeons, accounting for just less than 10% of the surgical workforce. The first female Fellow of the College was Lillian Violet Cooper, of Queensland, who was admitted to Fellowship on 17 June 1927. Over the following half century...

    journal_title:ANZ journal of surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1111/ans.13369

    authors: Neuhaus SJ

    更新日期:2016-01-01 00:00:00

  • Gluteal compartment syndrome.

    abstract::Gluteal compartment syndrome is uncommon and is often diagnosed late, resulting in muscle necrosis and sciatic nerve palsy. The mainstay of treatment is prompt diagnosis and early surgery. A high index of suspicion is essential, especially in the setting of major bleeding and excessive pain. Embolization and hyperbari...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03797.x

    authors: Hayden G,Leung M,Leong J

    更新日期:2006-07-01 00:00:00

  • Operative experience in the Victorian general surgical training programme.

    abstract:BACKGROUND:The Royal Australasian College of Surgeons recommends minimum operative and endoscopy training requirements for advanced trainees in general surgery. This study examines the influences of trainee seniority, geographical location of surgical rotation, and surgeons' remuneration arrangements on the operative a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-1-.x

    authors: Wong K,Birks D

    更新日期:2003-12-01 00:00:00

  • Trends in publication of general surgical research in New Zealand, 1996-2015.

    abstract:BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13821

    authors: Wells CI,Robertson JP,O'Grady G,Bissett IP

    更新日期:2017-01-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05088.x

    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 00:00:00

  • Study of the early management of acute pancreatitis.

    abstract:BACKGROUND:Acute pancreatitis (AP) is a common acute surgical presentation with evidence-based guidelines for early management. The aim of this study was to assess the compliance to the published guidelines in patients presenting with AP in Western Sydney. METHODS:A retrospective case note audit was conducted for all ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13330

    authors: Nesvaderani M,Eslick GD,Faraj S,Vagg D,Cox MR

    更新日期:2017-10-01 00:00:00

  • Ten-year evolution of a massive transfusion protocol in a level 1 trauma centre: have outcomes improved?

    abstract:BACKGROUND:We aimed to evaluate the evolution and implementation of the massive transfusion protocol (MTP) in an urban level 1 trauma centre. Most data on this topic comes from trauma centres with high exposure to life-threatening haemorrhage. This study examines the effect of the introduction of an MTP in an Australia...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15416

    authors: van der Meij JE,Geeraedts LMG Jr,Kamphuis SJM,Kumar N,Greenfield T,Tweeddale G,Rosenfeld D,D'Amours SK

    更新日期:2019-11-01 00:00:00

  • Surgical treatment of hepatic haemangiomas: a 15-year experience.

    abstract:BACKGROUND:Hepatic haemangiomas are congenital vascular malformations. They are the most common benign tumours of the liver and are often asymptomatic. Spontaneous or traumatic rupture, intratumoral bleeding, consumption coagulopathy and rapid growth are the mandatory surgical indications. We present our experience ove...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03869.x

    authors: Gourgiotis S,Moustafellos P,Zavos A,Dimopoulos N,Vericouki C,Hadjiyannakis EI

    更新日期:2006-09-01 00:00:00

  • Peritoneal carcinomatosis from colorectal cancer and small bowel cancer treated with peritonectomy.

    abstract:BACKGROUND:This study aims to assess the survival of patients who underwent peritonectomy, to assess the morbidity and mortality associated with the procedure and to review the published reports on the survival of patients with peritoneal spread of colorectal cancer (CRC). METHODS:Peritonectomy involves resection of a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03749.x

    authors: Shehata M,Chu F,Saunders V,Kam PC,Links M,Morris DL

    更新日期:2006-06-01 00:00:00

  • Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia?

    abstract::Currently in Australasia, concomitant cholecystolithiasis and choledocholithiasis are usually managed with two procedures: laparoscopic cholecystectomy (LC) and pre or postoperative endoscopic retrograde cholangiopancreatography (ERCP). This approach exposes the patient to the risk of complications from the common bil...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13676

    authors: March B,Burnett D,Gani J

    更新日期:2016-11-01 00:00:00

  • Surgical management of ductal carcinoma in situ in Australia in 1995.

    abstract:BACKGROUND:In the present paper we describe the presentation and management of ductal carcinoma in situ (DCIS) of the breast in women in Australia in 1995. This representative, national data set provides a historical comparator for studies examining DCIS management that follow. METHODS:Surgeons identified by populatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02532.x

    authors: Shugg D,White VM,Kitchen PR,Pruden M,Collins JP,Hill DJ

    更新日期:2002-10-01 00:00:00

  • Management of recurrent bleeding after pancreatoduodenectomy.

    abstract:BACKGROUND:Re-bleeding after management of a first haemorrhage following pancreatic surgery is an ever-present danger and often presents diagnostic and management dilemmas. METHODS:All cases of post-pancreatectomy haemorrhage (PPH) following pancreatoduodenectomy were identified from a tertiary referral, clinical data...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13976

    authors: Staerkle RF,Gundara JS,Hugh TJ,Maher R,Steinfort B,Samra JS

    更新日期:2018-05-01 00:00:00

  • Weasels, keys and Thersites.

    abstract::It was the achievement of Andreas Vesalius (1514-1564) to redefine the understanding of human anatomy; and that of Homer was to write the first historical novel. This paper offers a link between the works of these two venturers, by way of an examination of the clinical anatomy of the clavicle. ...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2011.05711.x

    authors: Beasley AW

    更新日期:2011-12-01 00:00:00

  • Time to computed tomography scanning for major trauma patients: the Australian reality.

    abstract:BACKGROUND:Computed tomography (CT) can facilitate the diagnosis of life-threatening injuries in polytrauma patients. Reported times to imaging vary widely, but it has been suggested that rapid whole body scanning improves mortality rates. The aim of this study was to determine the time to CT for severe polytrauma pati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06150.x

    authors: Easton R,Sisak K,Balogh ZJ

    更新日期:2012-09-01 00:00:00

  • Video-assisted thoracoscopic surgery versus open thoracotomy for pulmonary metastasectomy: a systematic review.

    abstract:BACKGROUND:Pulmonary metastasectomy has become a popular procedure for patients with pulmonary metastases. It can be achieved via the traditional open thoracotomy or the more recently developed video-assisted thoracoscopic surgery (VATS). However, there has been much debate as to which approach is better in terms of de...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.12925

    authors: Cheang MY,Herle P,Pradhan N,Antippa P

    更新日期:2015-06-01 00:00:00

  • Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa.

    abstract::Skull base surgery has gone through significant changes with the development of extended endoscopic endonasal approaches over the last decade. Initially used for the transphenoidal removal of hypophyseal adenomas, the endoscopic transnasal approach gradually evolved into a way of accessing the whole ventral skull base...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2011.05971.x

    authors: Oostra A,van Furth W,Georgalas C

    更新日期:2012-03-01 00:00:00

  • Cohort study of 1241 patients to identify predictors of negative appendicectomy.

    abstract:BACKGROUND:Acute Appendicitis is the most common surgical presentation within Australia. Despite the increasing use of radiological investigations to aid clinical diagnosis, many appendectomies result in a histologically normal appendix. This study examines the histological negative appendicectomy rate (NAR) in a metro...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16203

    authors: Mackay TG,Dissanayake B,Yuide PJ,Burstow MJ,Gundara JS,Chua TC

    更新日期:2020-08-17 00:00:00

  • Pancreatic resection in patients with synchronous extra-pancreatic malignancy: outcomes and complications.

    abstract:BACKGROUND:Patients may present with a resectable pancreatic tumour in the context of a concurrent primary extra-pancreatic malignancy. These patients pose a dilemma regarding their suitability for surgery. We evaluated our experience with such patients who underwent pancreatic resection with curative intent and detail...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15651

    authors: Mehta S,Tan GI,Nahm CB,Chua TC,Pearson A,Gill AJ,Samra JS,Mittal A

    更新日期:2020-03-01 00:00:00

  • Paediatric mild head injury: is routine admission to a tertiary trauma hospital necessary?

    abstract:BACKGROUND:Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving ne...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14175

    authors: Tallapragada K,Peddada RS,Dexter M

    更新日期:2018-03-01 00:00:00

  • Effect of magnesium on arrhythmia incidence in patients undergoing coronary artery bypass grafting.

    abstract:BACKGROUND:Cardiac arrhythmia after coronary artery bypass grafting (CABG) surgery is a common complication of cardiac surgery. The effect of serum magnesium, hypomagnesaemia treatment and prophylactic administration of magnesium in the development and prevention of arrhythmias is controversial and there are many diffe...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/ans.14056

    authors: Mohammadzadeh A,Towfighi F,Jafari N

    更新日期:2018-06-01 00:00:00

  • Two-stage brachiobasilic arteriovenous fistula for chronic haemodialysis access.

    abstract:BACKGROUND:Many haemodialysis patients are unable to have or maintain distal upper limb arteriovenous (AV) fistulas because of inadequate veins or arteries and therefore require more proximal access. We have reviewed our experience with a two-stage brachiobasilic AV haemodialysis fistula fashioned in the arm. METHODS:...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03996.x

    authors: Francis DM,Lu Y,Robertson AJ,Millar RJ,Amy J

    更新日期:2007-03-01 00:00:00

  • Intraoperative nerve monitoring in endocrine surgery: prevalence and reasons for its use in Australia and New Zealand.

    abstract:BACKGROUND:Intraoperative nerve monitoring (IONM) has increasingly been used in thyroid surgery by general, endocrine and head and neck surgeons. The purpose of this paper was to explore the prevalence and reasons for the usage of IONM in endocrine surgery in Australia and New Zealand. METHODS:A survey was sent to gen...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15536

    authors: Leong DCW,Lo J,Ryan S,Nguyen H,Lisewski D

    更新日期:2020-05-01 00:00:00

  • Method of pedicle division during laparoscopic right hemicolectomy affects lymph node yield and short-term outcomes.

    abstract:BACKGROUND:Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. We compare these approaches in terms of pathologic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14504

    authors: Pal A,Stearns AT,Kapur S,Speakman CTM,Wharton RQ,Shaikh I,Hernon JM

    更新日期:2018-10-01 00:00:00

  • Colonoscopy withdrawal time and polyp/adenoma detection rate: a single-site retrospective study in regional Queensland.

    abstract:BACKGROUNDS:Bowel cancer is the second most common non-cutaneous cancer diagnosed in Australia among both genders. Colonoscopy withdrawal time of at least 6 min has been accepted as the standard to achieve the target polyp detection rate (PDR) and adenoma detection rate (ADR). A retrospective review was conducted in Bu...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15652

    authors: Wong WJ,Arafat Y,Wang S,Hawes S,Hung K

    更新日期:2020-03-01 00:00:00

  • Morgagni's hernia: believing is seeing.

    abstract::The original description by Morgagni of the anterior diaphragmatic defect that bears his name implies a paramedian defect and this may be true when acquired in adulthood. In contrast, the anterior diaphragmatic defect that is observed in children is central rather than paramedian, as is often assumed. Its central retr...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2008.04641.x

    authors: McBride CA,Beasley SW

    更新日期:2008-09-01 00:00:00

  • Pancreatic injury after thoracoabdominal aortic occlusion in a porcine model.

    abstract:BACKGROUND:The aim of this study was to investigate pancreatic injury after 45 min of thoracoabdominal aortic occlusion in a porcine model. METHODS:Twenty-four pigs were used. Six pigs underwent sham operation and 18 intravascular balloon thoracoabdominal aortic occlusions for 45 min. The animals were randomly killed ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04098.x

    authors: Papakostas JC,Toumpoulis IK,Pappa LS,Arnaoutoglou HM,Kirou IE,Malamou-Mitsi VD,Kappas AM,Matsagas MI

    更新日期:2007-06-01 00:00:00

  • The importance of international consensus statements in surgery.

    abstract::The article is a summary of some of the pertinent literature on professionalism, highlighting the difference between how physicians understand professionalism and how other groups e.g. politicians, nurses and hospital managers might view the professionalism of doctors. It partly explains why surgeons have become incre...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04822.x

    authors: Canter RJ

    更新日期:2009-03-01 00:00:00

  • Tumour cell frequency in pleural lavage in cases with stage I epidermoid lung cancer with no visceral pleural involvement.

    abstract:BACKGROUND:The presence of tumour cells in the pleural lavage of lung cancer patients with no malignant pleural effusion is a negative prognosticator. In the present study we aimed to determine the lowest frequency of positive pleural lavage in lung cancer. METHODS:The study included 26 consecutive patients who underw...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03355.x

    authors: Oguzkaya F,Akçali Y,Bilgin M,Haberal A,Akgün H

    更新日期:2005-05-01 00:00:00

  • Patterns of polyp histology: predictors of peril in the mucosa.

    abstract:BACKGROUND:Precursor colonic polyps of varied subtypes correlate with the known neoplastic pathways. When patients present with synchronous pre-malignant polyps of multiple histologies, multiple genetic mechanisms are likely to be active, potentially resulting in a more unstable, tumourigenic mucosa. METHODS:We hypoth...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15662

    authors: Dean M,Plesec T,Kalady MF,Church J

    更新日期:2020-05-01 00:00:00