Resilience Against COVID-19: How Italy Faced the Pandemic in Pediatric Orthopedics and Traumatology

Resilience Against COVID-19: How Italy Faced the Pandemic in Pediatric Orthopedics and Traumatology

We aimed to investigate the variation of medical and surgical activities in pediatric orthopedics in Italy, during the year of the COVID-19 pandemic, in comparison with data from the previous two years. The differences among the first wave, phase 2 and second wave were also analyzed. We conducted a...

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Bibliographic Details
Published in:Children (Basel) Vol. 8; no. 7; p. 530
Main Authors: Trisolino, Giovanni, Toniolo, Renato Maria, Marengo, Lorenza, Dibello, Daniela, Guida, Pasquale, Panuccio, Elena, Evangelista, Andrea, Stallone, Stefano, Sansò, Maria Lucia, Amati, Carlo, Costici, Pier Francesco, Boero, Silvio, Farsetti, Pasquale, De Sanctis, Nando, Verdoni, Fabio, Memeo, Antonio, Gigante, Cosimo
Format: Journal Article
Language:English
Published: Switzerland MDPI AG 22-06-2021
MDPI
Subjects:
Coronaviruses
COVID-19
Disease transmission
Elective surgery
Health services
Hospitals
Orthopedics
Pandemics
Pediatrics
statistics
surgery
traumatology
Italy
COVID-19
traumatology
orthopedics
pediatrics
statistics
surgery
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Summary:We aimed to investigate the variation of medical and surgical activities in pediatric orthopedics in Italy, during the year of the COVID-19 pandemic, in comparison with data from the previous two years. The differences among the first wave, phase 2 and second wave were also analyzed. We conducted a retrospective multicenter study regarding the clinical and surgical activities in pediatric orthopedics during the pandemic and pre-pandemic period. The hospital databases of seven tertiary referral centers for pediatric orthopedics and traumatology were queried for events regarding pediatric orthopedic patients from 1 March 2018 to 28 February 2021. Surgical procedures were classified according to the "SITOP Priority Panel". An additional classification in "high-priority" and "low-priority" surgery was also applied. Overall, in 2020, we observed a significant drop in surgical volumes compared to the previous two years. The decrease was different across the different classes of priority, with "high-priority" surgery being less influenced. The decrease in emergency department visits was almost three-fold greater than the decrease in trauma surgery. During the second wave, a lower decline in surgical interventions and a noticeable resumption of "low-priority" surgery and outpatient visits were observed. Our study represents the first nationwide survey quantifying the impact of the COVID-19 pandemic on pediatric orthopedics and traumatology during the first and second wave.
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ISSN:2227-9067
2227-9067
DOI:10.3390/children8070530