24 January 2024: Clinical Research
Impact of COVID-19 Lockdown on Traumatic Bone Fracture Patterns and Hospital Outcomes in 1646 Elderly Patients: A Retrospective Study in Turkey
Ahmet Akif Durak 1ABCDEF , Mehmet Ergin 2ACDE* , Selahattin Gürü 1CDEF , Hakan Oğuztürk 3CDE , Gülhan Kurtoglu Celik 2CDE , Servan Gökhan 2CDE , Mehmet Ali Ceyhan 3CDEDOI: 10.12659/MSM.942916
Med Sci Monit 2024; 30:e942916
Table 2 Fracture zones in elderly trauma patients with at least 1 fracture who were examined in the ED and their frequency in 1 of 3 time periods: before the lockdowns started (Group 1), during the lockdowns (Group 2), and during the post-lockdown normalization period (Group 3).
| Fracture zone | ALLn (%) | Group 1n (%) | Group 2n (%) | Group 3n (%) | P | |
|---|---|---|---|---|---|---|
| Cranium | Yes | 41 (2.5) | 25 (2.8) | 8 (3.5) | 8 (1.5) | 0.197* |
| No | 1605 (97.5) | 876 (97.2) | 218 (96.5) | 511 (98.5) | ||
| Maxillofacial | Yes | 57 (3.5) | 36 (4) | 7 (3.1) | 14 (2.7) | 0.414* |
| No | 1589 (96.5) | 865 (96) | 219 (96.9) | 505 (97.3) | ||
| Orbital | Yes | 34 (2.1) | 20 (2.2) | 6 (2.7) | 8 (1.5) | 0.549* |
| No | 1612 (97.9) | 881 (97.8) | 220 (97.3) | 511 (98.5) | ||
| Nasal | Yes | 85 (5.2) | 47 (5.2) | 11 (4.9) | 27 (5.2) | 0.977* |
| No | 1561 (94.8) | 854 (94.8) | 215 (95.1) | 492 (94.8) | ||
| Clavicle | Yes | 33 (2.0) | 20 (2.2) | 3 (1.3) | 10 (1.9) | 0.685* |
| No | 1613 (98) | 881 (97.8) | 223 (98.7) | 519 (98.1) | ||
| Rib | Yes | 265 (16.1) | 159 (17.6) | 30 (13.3) | 76 (14.6) | 0.154* |
| No | 1381 (83.9) | 742 (82.4) | 196 (86.7) | 443 (85.4) | ||
| Sternum | Yes | 24 (1.5) | 15 (1.7) | 4 (1.4) | 5 (1.0) | 0.521* |
| No | 1622 (98.5) | 886 (98.3) | 222 (98.6) | 514 (99.0) | ||
| Scapula | Yes | 21 (1.3) | 13 (1.4) | 1 (0.4) | 7 (1.3) | 0.48* |
| No | 1625 (98.7) | 888 (98.6) | 225 (99.6) | 512 (98.7) | ||
| Cervical | Yes | 39 (2.4) | 26 (2.9) | 6 (2.7) | 7 (1.3) | 0.178* |
| No | 1607 (97.6) | 875 (97.1) | 220 (97.3) | 512 (98.7) | ||
| Thoracic | Yes | 87 (5.3) | 51 (5.7) | 14 (6.2) | 22 (4.2) | 0.414* |
| No | 1559 (94.7) | 850 (94.3) | 212 (93.8) | 497 (95.8) | ||
| Lumbar | Yes | 160 (9.7) | 98 (10.9) | 20 (8.8) | 43 (8.3) | 0.251* |
| No | 1486 (90.3) | 803 (89.1) | 206 (91.2) | 476 (91.7) | ||
| Sacral | Yes | 32 (1.9) | 18 (2) | 3 (1.3) | 11 (2.1) | 0.76* |
| No | 1614 (98.1) | 883 (98) | 223 (98.7) | 508 (97.9) | ||
| Coccyx | Yes | 5 (0.3) | 2 (0.2) | 0 (0.0) | 3 (0.6) | 0.43** |
| No | 1641 (99.7) | 899 (99.8) | 226 (100.0) | 516 (99.4) | ||
| Pelvis | Yes | 88 (5.3) | 49 (5.4) | 11 (4.9) | 28 (5.4) | 0.942* |
| No | 1558 (94.7) | 852 (94.6) | 215 (95.1) | 491 (94.6) | ||
| Humerus | Yes | 161 (9.8) | 95 (10.5) | 20 (8.8) | 46 (8.9) | 0.519* |
| No | 1485 (90.2) | 806 (89.5) | 206 (91.2) | 473 (91.1) | ||
| Ulna | Yes | 39 (2.4) | 19 (2.1) | 11 (4.9) | 9 (1.7) | * |
| No | 1607 (97.6) | 882 (97.9) | 215 (95.1) | 510 (98.3) | ||
| Radius | Yes | 131 (8.0) | 60 (6.7) | 23 (10.2) | 48 (9.2) | 0.092* |
| No | 1515 (92.0) | 841 (93.3) | 203 (89.8) | 471 (90.8) | ||
| Hand-wrist | Yes | 80 (4.9) | 50 (5.5) | 7 (3.1) | 24 (4.6) | 0.292* |
| No | 1566 (95.1) | 851 (94.5) | 219 (96.9) | 495 (95.4) | ||
| Femur | Yes | 611 (37.1) | 310 (34.4) | 94 (41.6) | 208 (40.1) | * |
| No | 1035 (62.9) | 591 (65.6) | 132 (58.4) | 311 (59.9) | ||
| Patella | Yes | 15 (0.9) | 10 (1.1) | 2 (0.9) | 3 (0.6) | 0.578** |
| No | 1631 (99.1) | 891 (98.9) | 224 (99.1) | 516 (99.4) | ||
| Tibia | Yes | 66 (4.0) | 32 (3.6) | 10 (4.4) | 24 (4.6) | 0.576* |
| No | 1580 (96) | 869 (96.4) | 216 (95.6) | 495 (95.4) | ||
| Fibula | Yes | 67 (4.1) | 35 (3.9) | 8 (3.5) | 24 (4.6) | 0.722* |
| No | 1579 (95.9) | 866 (96.1) | 218 (96.5) | 495 (95.4) | ||
| Foot-ankle | Yes | 45 (2.7) | 28 (3.1) | 5 (2.2) | 12 (2.3) | 0.594* |
| No | 1601 (97.3) | 873 (96.9) | 220 (97.8) | 507 (97.7) | ||
| ED – Emergency Department; n – number of patients; categorical variables were presented as “number”; * Pearson Ki-Square; ** Fisher’s Exact Test. | ||||||