Clinical Analysis of Causes and Countermeasures of Hand Injury During the COVID-19 Outbreak and Work Resumption Period: A Retrospective Study in a Designated Hospital in China

A total of 95 patients with hand injuries were admitted to the orthopedics department within half a year of the COVID-19 outbreak. Data were collected between January 23, 2020 and July 23, 2020. Data such as patients' demographics, type of injury, location, side of lesions, mechanism of injury, injury site, and surgical management were collected and subsequently analyzed. On the one hand, the total number of emergency visits due to hand injury during the COVID-19 outbreak decreased by 37%, compared to the same period in the previous year. On the other hand, work resumption injuries increased by 40%. Injuries within the resumption period occurred predominantly at work (64.7%) and were significantly higher than the same period in 2019 (37.3%) (P < .001). Machine-related injuries were the most frequent injuries seen in our hospital (58.8%). The majority of cases were from cut injuries (82.4%), with fingers being the most common site of these injuries. Simple fractures and dislocations were also reported during the study. Most injuries were classified as either minor or moderate (90%) during the outbreak. However, during the resumption of work, major injuries were more prevalent (40%). The proportion of major injuries this year’s work resumption stage (40%) has almost doubled compared to the previous year (21.8%, P = .006). The resumption of work following the COVID-19 outbreak is a time of high-risk for hand injuries. The overall number of patients with hand injuries admitted into our department has decreased compared to the corresponding period last year. However, workplace injuries, particularly machine-related ones, considerably increased during the first six months after the COVID-19 outbreak. As a result, the proportion of major injuries drastically increased. Emergency and surgical health care providers should be aware of this pattern of hand injuries during this untypical time in order to effectively prepare and plan services.

1. Chen, NZM, Dong, X, Qu, J, Gong, F, Han, Y, Qiu, Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395: 507-513.
10.1016/S0140-6736(20)30211-7.
Google Scholar | Crossref | Medline2. Zhu, N, Zhang, D, Wang, W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med 2020;382:727-733. doi:10.1056/NEJMoa2001017.
Google Scholar | Crossref | Medline3. WHO Novel coronavirus (2019-nCoV) situation report 11. Jan 31, 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200131-sitrep-11-ncov.pdf?sfvrsn=de7c0f7_4. Accessed 31 Jan 2020.
Google Scholar4. WHO . Naming the coronavirus disease (COVID-19) and the virus that causes it, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it. Accessed 11 Feb 2020.
Google Scholar5. WHO. Coronavirus disease (COVID-19) outbreak situation, https://covid19.who.int/. Accessed 6 November 2021.
Google Scholar6. China Daily . Efficient measures key to containment. https://www.chinadaily.com.cn/a/202004/07/WS5e8bbf2da3101282172849d0.html. Accessed 7 Apr 2020.
Google Scholar7. China, Government. The state overall emergency response plan for public emergencies, http://www.gov.cn/yjgl/2006-01/08/content_21048.htm. Accessed .
Google Scholar8. Hangzhou News . Zhejiang Further Lowers Coronavirus Response. https://en.hangzhou.com.cn/News/content/2020-03/24/content_7701349.htm. Accessed 24 Mar 2020.
Google Scholar9. Bendibao . A list of the time and batch of enterprises to resume work in Hangzhou. http://hz.bendibao.com/news/202027/79293.shtm. Accessed 7 Feb 2020.
Google Scholar10. China Daily . Companies modify production to prioritize masks, protective clothing, https://www.chinadaily.com.cn/a/202002/08/WS5e3e85e1a310128217275fde.html. Accessed 8 Feb 2020.
Google Scholar11. China Daily . Automakers join fight against epidemic. https://www.chinadaily.com.cn/a/202003/02/WS5e5c72a7a31012821727b87a.html. Accessed 2 Mar 2020.
Google Scholar12. Rosenbloom, D, Markard, J. A COVID-19 recovery for climate. Science 2020; 368: 447. 10.1126/science.abc4887.
Google Scholar | Crossref | Medline13. Jessop, ZM, Dobbs, TD, Ali, SR, et al. Personal Protective Equipment (PPE) for Surgeons during COVID-19 Pandemic: A Systematic Review of Availability, Usage, and Rationing. Br J Surg 2020. doi:10.1002/bjs.11750.
Google Scholar | Crossref | Medline14. Hollander, J, Carr, B. Virtually Perfect? Telemedicine for Covid-19. N Engl J Med 2020; 382. 10.1056/NEJMp2003539.
Google Scholar | Crossref15. Tanaka, MJ, Oh, LS, Martin, SD, Berkson, EM. Telemedicine in the Era of COVID-19: The Virtual Orthopaedic Examination. J Bone Joint Surg Am 2020. doi:10.2106/JBJS.20.00609.
Google Scholar | Crossref16. Grandizio, LC, Foster, BK, Klena, JC. Telemedicine in Hand and Upper-Extremity Surgery. J Hand Surg Am 2020; 45: 239-242. 10.1016/j.jhsa.2019.09.007.
Google Scholar | Crossref | Medline17. Diamond, S, Lundy, JB, Weber, EL, Lalezari, S, Gupta, R. A Call to Arms: Emergency Hand and Upper-Extremity Operations During the COVID-19 Pandemic. J Hand Surg Glob Online 2020;2:175-181. doi:10.1016/j.jhsg.2020.05.004.
Google Scholar | Crossref | Medline18. Fortane, T, Bouyer, M, Le Hanneur, M, Belvisi, B, Lafosse, T. Epidemiology of hand traumas during the COVID-19 confinement period. Injury 2021;52:679-685. doi:10.1016/j.injury.2021.02.024.
Google Scholar | Crossref | Medline19. Ho, E, Riordan, E, Nicklin, S. Hand injuries during COVID-19: Lessons from lockdown. J Plast Reconstr Aesthetic Surg 2021; 74: 1408-1412. 10.1016/j.bjps.2020.12.020.
Google Scholar | Crossref | Medline20. Regas, I, Bellemere, P, Lamon, B, Bouju, Y, Chaves, C. Hand injuries treated at a hand emergency center during the COVID-19 lockdown. Hand Surg Rehabil 2020;39:459-461. doi:10.1016/j.hansur.2020.07.001.
Google Scholar | Crossref | Medline21. Pichard, R, Kopel, L, Lejeune, Q, Masmoudi, R, Masmejean, EH. Impact of the COronaVIrus Disease 2019 lockdown on hand and upper limb emergencies: experience of a referred university trauma hand centre in Paris, France. Int Orthop 2020;44:1497-1501. doi:10.1007/s00264-020-04654-2.
Google Scholar | Crossref | Medline22. China Daily . Health QR code helps curb the spread of COVID-19. https://www.chinadaily.com.cn/a/202003/27/WS5e7dd30da310128217282956.html. Accessed 27 Mar 2020.
Google Scholar23. Zhou, H, Jin, Q, Lu, H. Exposure risk of patients with chronic infectious wounds during the COVID-19 outbreak and its countermeasures. J Orthop Surg Res 2020; 15: 452. 10.1186/s13018-020-01976-0.
Google Scholar | Crossref | Medline24. Welsh Surgical Research Initiative (WSRI) Collaborative . Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process. Br J Surg 2020. doi:10.1002/bjs.11747.
Google Scholar | Crossref25. Iacobucci, G . Covid-19: Doctors performing resuscitation need higher level of PPE, says royal college. BMJ 2020; 369: m1644. 10.1136/bmj.m1644.
Google Scholar | Crossref | Medline26. Xiao, Y, Torok, ME. Taking the right measures to control COVID-19. Lancet Infect Dis 2020; 20: 523-524. 10.1016/S1473-3099(20)30152-3.
Google Scholar | Crossref | Medline27. Wang, J, Feng, H, Zhang, S, et al. SARS-CoV-2 RNA detection of hospital isolation wards hygiene monitoring during the Coronavirus Disease 2019 outbreak in a Chinese hospital. Int J Infect Dis 2020;94:103-106. doi:10.1016/j.ijid.2020.04.024.
Google Scholar | Crossref | Medline28. Xiang, Y-T, Yang, Y, Li, W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry 2020;7:228-229. doi:10.1016/s2215-0366(20)30046-8.
Google Scholar | Crossref | Medline29. Liu, S, Yang, L, Zhang, C, Xiang, YT, Zhang, B. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry 2020;7:e17-e18. doi:10.1016/S2215-0366(20)30077-8. https://doi.org/10.1016/S2215-0366(20)30077-8.
Google Scholar | Crossref | Medline30. Tan, W, Hao, F, McIntyre, RS, Jiang, L, Tam, W. Is returning to work during the COVID-19 pandemic stressful? A study on immediate mental health status and psychoneuroimmunity prevention measures of Chinese workforce. Brain Behav Immun 2020. doi:10.1016/j.bbi.2020.04.055.
Google Scholar | Crossref31. Director-General WHO . WHO Director-General's remarks at the media briefing on COVID-2019 outbreak on 14 February 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-remarks-at-the-media-briefing-on-covid-2019-outbreak-on-14-february-2020. Accessed 14 Feb 2000.
Google Scholar

留言 (0)

沒有登入
gif