Impact of COVID-19 on Pathology Presenting to a Foot and Ankle Clinic
| Autor: | Nabil Mehta MD, Edward Hur, Joseph Michalski, Ashlyn Fitch, Arash Sayari, Daniel D. Bohl MD, MPH, George B. Holmes MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Foot & Ankle Orthopaedics, Vol 5 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2473-0114 24730114 |
| DOI: | 10.1177/2473011420S00354 |
| Popis: | Category: Other Introduction/Purpose: In our city, the COVID-19 pandemic led to a shelter-in-place ordinance, job loss, gym closures, and employees working from home. As a result, individuals adjusted their daily activities and exercise routines, potentially impacting the burden of foot and ankle disease. The purpose of the present study was to compare diagnoses made in an orthopaedic foot and ankle clinic during the months of the COVID-19 pandemic to diagnoses made during the same months of the previous year. Methods: A retrospective review of new patients presenting to our group of four fellowship-trained orthopaedic foot and ankle surgeons was performed. Patients in the COVID-19 group presented between March 22, 2020 (the beginning of our shelter-in- place ordinance) and July 1, 2020. Patients in the control group presented during the same period of the previous year. Final diagnosis was characterized. Chronicity was classified as acute (symptom duration 1 month). Diagnoses were classified as fractures (e.g. ankle fractures, foot fractures) or activity-related (e.g. plantar fasciitis, ankle sprain). Pearson Chi-squared tests were performed to assess for differences in patient presentations between the COVID-19 and control periods. Results: A total of 1,409 new patient visits were reviewed with 449 visits in the COVID-19 group and 960 visits in the control group. The COVID-19 group had a significantly higher proportion of ankle fractures (8.7% versus 5.4%; p=0.020) and stress fractures (4.2% versus 2.2%, p=0.031), but a smaller proportion of Achilles tendon ruptures (0.7% versus 2.5%; p=0.019). Similarly, the COVID-19 group had a higher proportion of acute injuries (35.4% versus 23.5%; p |
| Databáze: | Directory of Open Access Journals |
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