Analysis Of Disease Spectrum Of Inpatients In Trauma Department Of Orthopedics Before And After The COVID-19

Objective Comparing the epidemiological differences of inpatients in the Department of Traumatology and Orthopedics in a tertiary hospital in Hangzhou before and after the new crown epidemic,we hope to do a good job in the primary prevention of related key diseases(home prevention)and the hospital to develop more targeted disease diagnosis and treatment-related medical models and Provide data reference for health administrative departments to formulate relevant policies.Methods A single-center cross-sectional retrospective study was conducted in a tertiary hospital in Hangzhou.We collected patients in the Department of Traumatology from April to July 2019(before COVID-19)and April to July 2020(after COVID-19),according to the inclusion criteria.Cases were screened by exclusion criteria and divided into pre-COVID-19 group and post-COVID-19 group according to the pre-and post-epidemic groups.The data of inpatient trauma orthopaedic patients were evaluated and analyzed through epidemiological and statistical tools.Results In this study,a total of 1815 cases were collected before the epidemic(929 cases)and after the epidemic(886 cases).Through descriptive analysis,it was found that there was no significant difference in the number of hospitalized patients in trauma orthopedics before and after the epidemic(P>0.05).In addition,it was found that the proportion of female hospitalized patients and the age of the patients increased after the epidemic,and there was a significant statistical difference(P<0.05).This study also found that the injury mechanism of trauma fractures changed to low-violence fractures at home after the epidemic(P<0.05).Among them,the age of inpatients in trauma orthopedics before and after the epidemic was screened,and the number of young inpatients dropped significantly after the epidemic,and there was a significant statistical difference(P<0.05).The proportion of middle-aged and elderly hospitalized patients increased after the epidemic.Among these diseases,the proportion of middle-aged and elderly spinal fractures increased significantly(P<0.05),and the incidence of osteoporotic vertebral compression fractures increased significantly(P<0.05),and was positively correlated with age,female,decreased T value,home,and low-energy injury.Conclusion The number of hospitalized patients with trauma fractures did not decrease significantly after the new crown epidemic,but the hospitalized patients turned to age and feminization.Moreover,the incidence of OVCFs in middle-aged and elderly patients increased significantly after the epidemic,and there was a trend of home outbreaks.These suggest that in the context of the current epidemic situation,actively improving the prevention and treatment of middle-aged and elderly fracture patients will play a positive role.