Changes in hospital admissions for facial fractures during and after COVID 19 pandemic: national multicentric epidemiological analysis on 2938 patients.

Autor: Petrocelli M; Oral and Maxillo-Facial Unit AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy., Ruggiero F; Oral and Maxillo-Facial Unit AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy., Allegri D; Department of Clinical Governance and Quality, AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy., Cutrupi S; Dentistry Unit, AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy., Baietti AM; Oral and Maxillo-Facial Unit AUSL Bologna Bellaria-Maggiore Hospital, Bologna, Italy., Salzano G; Maxillo-facial Surgery Unit, University Hospital of Naples 'Federico II,', Naples, Italy., Maglitto F; Maxillo-Facial Surgery Unit, University of Bari 'Aldo Moro,', Bari, Italy., Manfuso A; Maxillo-Facial Surgery Unit, University of Bari 'Aldo Moro,', Bari, Italy., Copelli C; Maxillo-Facial Surgery Unit, University of Bari 'Aldo Moro,', Bari, Italy., Barca I; Department of Experimental and Clinical Medicine, Unit of Maxillofacial Surgery, Magna Graecia University, Catanzaro, Italy., Cristofaro MG; Department of Experimental and Clinical Medicine, Unit of Maxillofacial Surgery, Magna Graecia University, Catanzaro, Italy., Galvano F; Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy., Loche VP; Maxillofacial Surgery Unit, ARNAS Brotzu, Cagliari, Italy., Gemini P; Maxillofacial Surgery Unit, ARNAS Brotzu, Cagliari, Italy., Tewfik K; Pediatric Maxillo-Facial Surgery Unit, Children's Hospital of Brescia - ASST Spedali Civili, Brescia, Italy., Burlini D; Pediatric Maxillo-Facial Surgery Unit, Children's Hospital of Brescia - ASST Spedali Civili, Brescia, Italy., Bernardi M; Maxillo-Facial Surgery Unit, ASO Santa Croce e Carle, Cuneo, Italy., Bianchi FA; Maxillo-Facial Surgery Unit, ASO Santa Croce e Carle, Cuneo, Italy., Catanzaro S; Department of Maxillo-Facial Surgery, Spirito Santo Hospital, Pescara, Italy., Ascani G; Department of Maxillo-Facial Surgery, Spirito Santo Hospital, Pescara, Italy., Consorti G; Maxillo-Facial Surgery Unit, Marche University Hospital, Ancona, Italy., Balercia P; Maxillo-Facial Surgery Unit, Marche University Hospital, Ancona, Italy., Braconi A; Maxillo-Facial Surgery Unit, A.R.N.A.S. Civico di Cristina Bonfratelli Hospital, Palermo, Italy., Scozzaro C; Maxillo-Facial Surgery Unit, A.R.N.A.S. Civico di Cristina Bonfratelli Hospital, Palermo, Italy., Catalfamo L; UOC of Maxillofacial Surgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy., De Rinaldis D; UOC of Maxillofacial Surgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy., De Ponte FS; UOC of Maxillofacial Surgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy., Tarabbia F; Head and Neck Department, Operative Unit of Maxillo-Facial Surgery, San Paolo Hospital of Milan, Milan, Italy., Biglioli F; Head and Neck Department, Operative Unit of Maxillo-Facial Surgery, San Paolo Hospital of Milan, Milan, Italy., Giovacchini F; Maxillo-Facial Surgery Unit, Perugia Hospital, Perugia, Italy., Tullio A; Maxillo-Facial Surgery Unit, Perugia Hospital, Perugia, Italy., Cama A; Oral and Maxillo-Facial Unit, ASL Teramo - G. Mazzini Hospital, Teramo, Italy., Di Emidio P; Oral and Maxillo-Facial Unit, ASL Teramo - G. Mazzini Hospital, Teramo, Italy., Ferrari S; Head and Neck Department, University Hospital of Parma, Parma, Italy., Perlangeli G; Head and Neck Department, University Hospital of Parma, Parma, Italy., Rossi MB; Maxillo-Facial Surgery, Surgical Sciences Department, University of Turin, Città della Salute e della Scienza Hospital, Turin, Italy., Biglio A; Head and Neck Department, Operative Unit of Maxillo-Facial Surgery, San Paolo Hospital of Milan, Milan, Italy.; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy., De Riu G; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy., Califano L; Maxillo-facial Surgery Unit, University Hospital of Naples 'Federico II,', Naples, Italy., Vaira LA; Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, Viale San Pietro 43B, 07100, Sassari, Italy. lavaira@uniss.it.; Biomedical Science Department, PhD School of Biomedical Science, University of Sassari, Sassari, Italy. lavaira@uniss.it.
Jazyk: angličtina
Zdroj: Oral and maxillofacial surgery [Oral Maxillofac Surg] 2024 Jun; Vol. 28 (2), pp. 753-759. Date of Electronic Publication: 2023 Dec 14.
DOI: 10.1007/s10006-023-01201-2
Abstrakt: Purpose: The objective of this multicenter study was to examine the differences in maxillo-facial fractures epidemiology across the various phases of the SARS-CoV-2 pandemic.
Methods: This is a retrospective study on patients who underwent surgery for facial bone fractures in 18 maxillo-facial surgery departments in Italy, spanning from June 23, 2019, to February 23, 2022. Based on the admission date, the data were classified into four chronological periods reflecting distinct periods of restrictions in Italy: pre-pandemic, first wave, partial restrictions, and post-pandemic. Epidemiological differences across the groups were analysed.
Results: The study included 2938 patients. A statistically significant difference in hospitalization causes was detected between the pre-pandemic and first wave groups (p = 0.005) and between the pre-pandemic and partial restriction groups (p = 0.002). The differences between the pre- and post-pandemic groups were instead not significant (p = 0.106). Compared to the pre-pandemic period, the number of patients of African origin was significantly higher during the first wave and the post-pandemic period. No statistically significant differences were found across the periods concerning gender, age, fracture type, treatment approach, and hospital stay duration CONCLUSIONS: The COVID-19 pandemic brought about significant changes in fracture epidemiology, influenced by the restrictive measures enforced by the government in Italy. Upon the pandemic's conclusion, the fracture epidemiology returned to the patterns observed in the pre-pandemic period.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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