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, Gulhan Kurtoglu Celik 2CDE, Servan Gökhan 2CDE, Mehmet Ali Ceyhan 3CDE
DOI: 10.12659/MSM.942916
Med Sci Monit 2024; 30:e942916
Table 3 Clinical outcomes in elderly trauma patients with at least 1 fracture who were examined in the ED 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).
| Clinical results all study groups | ALLn (%) | Group 1n (%) | Group 2n (%) | Group 3n (%) | P | |
|---|---|---|---|---|---|---|
| ED outcome | Discharged from ED | 636 (38.6) | 370 (41.1) | 70 (31.0) | 196 (37.8) | 0.009* |
| Hospitalization | 874 (53.1) | 466 (51.7) | 127 (56.2) | 281 (54.1) | ||
| Death at ED | 6 (0.4) | 2 (0.2) | 3 (1.3) | 1 (0.2) | ||
| Leaving ED to other location | 130 (7.9) | 63 (7) | 26 (11.5) | 41 (7.9) | ||
| ED cost (Turkish Liras) [median value (25–75%)]*** | 1028.65 (383.33–6087.87) | 791.67 (338.67–5738.14) | 1859.54 (515.29–6406.30) | 1291.49 (443.69–6536.58) | <0.001** | |
| Surgical status of inpatients | Emergency Surgery | 654 (74.80) | 339 (72.8) | 92 (72.40) | 223 (79.40) | 0.200**** |
| Conservative Surgery | 218 (25) | 125 (26.8) | 35 (27.60) | 58 (20.60) | ||
| Delayed Surgery | 2 (0.20) | 2 (0.40) | 0 (0) | 0 (0) | ||
| # | ||||||
| Hospital Outcome | Length of Stay (day) [Median Value (25–75%)] | 6 (4–10) | 6 (4–10) | 6 (4–12) | 6 (4–10) | 0.765** |
| Discharged from hospital | 769 (91.70) | 413 (92.60) | 104 (87.40) | 252 (92) | 0.185**** | |
| Death during hospitalization | 70 (8.30) | 33 (7.40) | 15 (12.6) | 22 (8) | ||
| * Fisher’s Exact test; Bonferroni Correction: the difference is due to the Group 2; ** Kruskal-Wallis Test; *** Bonferroni correction: The difference is due to the difference between Groups 1–2 and between Groups 1–3. There is no significant difference between 2–3; **** Pearson Chi-Square Test; # There were 35 patients excluded from study due to leaving the hospital before the treatment was completed. ED – Emergency Department. | ||||||