Staying home during "COVID-19" decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the "tsunami of recommendations" could not lockdown twelve elective operations.
Identifieur interne : 000579 ( Main/Exploration ); précédent : 000578; suivant : 000580Staying home during "COVID-19" decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the "tsunami of recommendations" could not lockdown twelve elective operations.
Auteurs : Jacques Hernigou [Belgique] ; Xavier Morel [Belgique] ; Antoine Callewier [Belgique] ; Olivier Bath [Belgique] ; Philippe Hernigou [France]Source :
- International orthopaedics [ 1432-5195 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Betacoronavirus (MeSH), Durée du séjour (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Fractures osseuses (épidémiologie), Humains (MeSH), Infections à coronavirus (MeSH), Interventions chirurgicales non urgentes (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Nourrisson (MeSH), Pandémies (MeSH), Plaies et blessures (épidémiologie), Pneumopathie virale (MeSH), Quarantaine (MeSH), Service hospitalier d'urgences (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études rétrospectives (MeSH).
- MESH :
- épidémiologie : Fractures osseuses, Plaies et blessures.
- Adolescent, Adulte, Adulte d'âge moyen, Betacoronavirus, Durée du séjour, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Infections à coronavirus, Interventions chirurgicales non urgentes, Jeune adulte, Mâle, Nourrisson, Pandémies, Pneumopathie virale, Quarantaine, Service hospitalier d'urgences, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Child (MeSH), Child, Preschool (MeSH), Coronavirus Infections (MeSH), Elective Surgical Procedures (MeSH), Emergency Service, Hospital (MeSH), Female (MeSH), Fractures, Bone (epidemiology), Humans (MeSH), Infant (MeSH), Length of Stay (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (MeSH), Quarantine (MeSH), Retrospective Studies (MeSH), Wounds and Injuries (epidemiology), Young Adult (MeSH).
- MESH :
- epidemiology : Fractures, Bone, Wounds and Injuries.
- Adolescent, Adult, Aged, Aged, 80 and over, Betacoronavirus, Child, Child, Preschool, Coronavirus Infections, Elective Surgical Procedures, Emergency Service, Hospital, Female, Humans, Infant, Length of Stay, Male, Middle Aged, Pandemics, Pneumonia, Viral, Quarantine, Retrospective Studies, Young Adult.
Abstract
PURPOSE
The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, fractures still need to be treated, as some patients with non-deferrable pathologies. The aim of this paper is to report the early experience of an integrated team of orthopaedic surgeons during this period.
MATERIAL AND METHODS
This is a mono-geographic, observational, retrospective, descriptive study. We collected data from the beginning of the epidemic (1 March 2020), during the pandemic lockdown period (declared in the country on March 16, 2020) until the end of our study period on April 15, 2020. All the 140 patients presented to the Emergency Department of the hospital during this period with a diagnosis of fracture, or trauma (sprains, dislocations, wounds) were included in the cohort. In addition, 12 patients needing hospitalization for planning a non-deferrable elective surgical treatment were included. A group of patients from the two same hospitals and treated during the same period (1
RESULTS
Of these 152 patients (mean age 45.5 years; range 1 to 103), 100 underwent a surgical procedure and 52 were managed non-operatively. Twenty-eight were children and 124 were adults. The COVID-19 diagnosis was confirmed for four patients. The frequency of patients with confirmed COVID-19 diagnosis among this population treated in emergency was ten fold higher (2.6%; 4 among 152) than in the general population (0.30%) of the country. The mortality rate for patients with surgery was 2% (2 of 100 patients) and 50% (2 of 4) for those older than 60 years with COVID-19; it was null for patients who were managed non-operatively. As compared to the year 2018, the number of patients seen with trauma had decreased of 32% during the epidemic.
CONCLUSION
Staying home during the COVID-19 pandemic decreased trauma frequency of 32%. The structural organization in our hospital allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available to treat all the patients who needed orthopedic care during this period.
DOI: 10.1007/s00264-020-04619-5
PubMed: 32451655
PubMed Central: PMC7247744
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu</wicri:regionArea><wicri:noRegion>Hornu</wicri:noRegion></affiliation></author><author><name sortKey="Morel, Xavier" sort="Morel, Xavier" uniqKey="Morel X" first="Xavier" last="Morel">Xavier Morel</name><affiliation wicri:level="1"><nlm:affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu</wicri:regionArea><wicri:noRegion>Hornu</wicri:noRegion></affiliation></author><author><name sortKey="Callewier, Antoine" sort="Callewier, Antoine" uniqKey="Callewier A" first="Antoine" last="Callewier">Antoine Callewier</name><affiliation wicri:level="1"><nlm:affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu</wicri:regionArea><wicri:noRegion>Hornu</wicri:noRegion></affiliation></author><author><name sortKey="Bath, Olivier" sort="Bath, Olivier" uniqKey="Bath O" first="Olivier" last="Bath">Olivier Bath</name><affiliation wicri:level="1"><nlm:affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu</wicri:regionArea><wicri:noRegion>Hornu</wicri:noRegion></affiliation></author><author><name sortKey="Hernigou, Philippe" sort="Hernigou, Philippe" uniqKey="Hernigou P" first="Philippe" last="Hernigou">Philippe Hernigou</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Henri Mondor, University of Paris-Est, Creteil, France. philippe.hernigou@wanadoo.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hospital Henri Mondor, University of Paris-Est, Creteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author></analytic><series><title level="j">International orthopaedics</title><idno type="eISSN">1432-5195</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Coronavirus Infections (MeSH)</term><term>Elective Surgical Procedures (MeSH)</term><term>Emergency Service, Hospital (MeSH)</term><term>Female (MeSH)</term><term>Fractures, Bone (epidemiology)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Length of Stay (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (MeSH)</term><term>Quarantine (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Wounds and Injuries (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Durée du séjour (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>Fractures osseuses (épidémiologie)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (MeSH)</term><term>Interventions chirurgicales non urgentes (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Pandémies (MeSH)</term><term>Plaies et blessures (épidémiologie)</term><term>Pneumopathie virale (MeSH)</term><term>Quarantaine (MeSH)</term><term>Service hospitalier d'urgences (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Fractures, Bone</term><term>Wounds and Injuries</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fractures osseuses</term><term>Plaies et blessures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Child</term><term>Child, Preschool</term><term>Coronavirus Infections</term><term>Elective Surgical Procedures</term><term>Emergency Service, Hospital</term><term>Female</term><term>Humans</term><term>Infant</term><term>Length of Stay</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Pneumonia, Viral</term><term>Quarantine</term><term>Retrospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Betacoronavirus</term><term>Durée du séjour</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus</term><term>Interventions chirurgicales non urgentes</term><term>Jeune adulte</term><term>Mâle</term><term>Nourrisson</term><term>Pandémies</term><term>Pneumopathie virale</term><term>Quarantaine</term><term>Service hospitalier d'urgences</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, fractures still need to be treated, as some patients with non-deferrable pathologies. The aim of this paper is to report the early experience of an integrated team of orthopaedic surgeons during this period.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>This is a mono-geographic, observational, retrospective, descriptive study. We collected data from the beginning of the epidemic (1 March 2020), during the pandemic lockdown period (declared in the country on March 16, 2020) until the end of our study period on April 15, 2020. All the 140 patients presented to the Emergency Department of the hospital during this period with a diagnosis of fracture, or trauma (sprains, dislocations, wounds) were included in the cohort. In addition, 12 patients needing hospitalization for planning a non-deferrable elective surgical treatment were included. A group of patients from the two same hospitals and treated during the same period (1</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of these 152 patients (mean age 45.5 years; range 1 to 103), 100 underwent a surgical procedure and 52 were managed non-operatively. Twenty-eight were children and 124 were adults. The COVID-19 diagnosis was confirmed for four patients. The frequency of patients with confirmed COVID-19 diagnosis among this population treated in emergency was ten fold higher (2.6%; 4 among 152) than in the general population (0.30%) of the country. The mortality rate for patients with surgery was 2% (2 of 100 patients) and 50% (2 of 4) for those older than 60 years with COVID-19; it was null for patients who were managed non-operatively. As compared to the year 2018, the number of patients seen with trauma had decreased of 32% during the epidemic.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Staying home during the COVID-19 pandemic decreased trauma frequency of 32%. The structural organization in our hospital allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available to treat all the patients who needed orthopedic care during this period.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32451655</PMID><DateCompleted><Year>2020</Year><Month>08</Month><Day>14</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-5195</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><Issue>8</Issue><PubDate><Year>2020</Year><Month>08</Month></PubDate></JournalIssue><Title>International orthopaedics</Title><ISOAbbreviation>Int Orthop</ISOAbbreviation></Journal><ArticleTitle>Staying home during "COVID-19" decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the "tsunami of recommendations" could not lockdown twelve elective operations.</ArticleTitle><Pagination><MedlinePgn>1473-1480</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00264-020-04619-5</ELocationID><Abstract><AbstractText Label="PURPOSE">The current pandemic caused by COVID-19 is the biggest challenge for national health systems for a century. While most medical resources are allocated to treat COVID-19 patients, fractures still need to be treated, as some patients with non-deferrable pathologies. The aim of this paper is to report the early experience of an integrated team of orthopaedic surgeons during this period.</AbstractText><AbstractText Label="MATERIAL AND METHODS">This is a mono-geographic, observational, retrospective, descriptive study. We collected data from the beginning of the epidemic (1 March 2020), during the pandemic lockdown period (declared in the country on March 16, 2020) until the end of our study period on April 15, 2020. All the 140 patients presented to the Emergency Department of the hospital during this period with a diagnosis of fracture, or trauma (sprains, dislocations, wounds) were included in the cohort. In addition, 12 patients needing hospitalization for planning a non-deferrable elective surgical treatment were included. A group of patients from the two same hospitals and treated during the same period (1<sup>st</sup> March 2018 to April 15, 2018) but previously was used as control.</AbstractText><AbstractText Label="RESULTS">Of these 152 patients (mean age 45.5 years; range 1 to 103), 100 underwent a surgical procedure and 52 were managed non-operatively. Twenty-eight were children and 124 were adults. The COVID-19 diagnosis was confirmed for four patients. The frequency of patients with confirmed COVID-19 diagnosis among this population treated in emergency was ten fold higher (2.6%; 4 among 152) than in the general population (0.30%) of the country. The mortality rate for patients with surgery was 2% (2 of 100 patients) and 50% (2 of 4) for those older than 60 years with COVID-19; it was null for patients who were managed non-operatively. As compared to the year 2018, the number of patients seen with trauma had decreased of 32% during the epidemic.</AbstractText><AbstractText Label="CONCLUSION">Staying home during the COVID-19 pandemic decreased trauma frequency of 32%. The structural organization in our hospital allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available to treat all the patients who needed orthopedic care during this period.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hernigou</LastName><ForeName>Jacques</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morel</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Callewier</LastName><ForeName>Antoine</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bath</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>EpiCURA Hospital, Orthopedic Department, Baudour, Hornu, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hernigou</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><Identifier Source="ORCID">0000-0002-8475-279X</Identifier><AffiliationInfo><Affiliation>Hospital Henri Mondor, University of Paris-Est, Creteil, France. philippe.hernigou@wanadoo.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>05</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Int Orthop</MedlineTA><NlmUniqueID>7705431</NlmUniqueID><ISSNLinking>0341-2695</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName><SupplMeshName Type="Organism" UI="C000656484">severe acute respiratory syndrome coronavirus 2</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="Y">Coronavirus Infections</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004636" MajorTopicYN="N">Emergency Service, Hospital</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D050723" MajorTopicYN="N">Fractures, Bone</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="Y">Pneumonia, Viral</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011790" MajorTopicYN="N">Quarantine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014947" MajorTopicYN="N">Wounds and Injuries</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Adult trauma</Keyword><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">Children fractures</Keyword><Keyword MajorTopicYN="Y">Dislocation</Keyword><Keyword MajorTopicYN="Y">Fracture</Keyword><Keyword MajorTopicYN="Y">Lockdown</Keyword><Keyword MajorTopicYN="Y">Paediatrics</Keyword><Keyword MajorTopicYN="Y">Quarantine</Keyword><Keyword MajorTopicYN="Y">Recommendation</Keyword><Keyword MajorTopicYN="Y">Sprain</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>5</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>5</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32451655</ArticleId><ArticleId IdType="doi">10.1007/s00264-020-04619-5</ArticleId><ArticleId IdType="pii">10.1007/s00264-020-04619-5</ArticleId><ArticleId IdType="pmc">PMC7247744</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Bone Joint J. 2020 Jun;102-B(6):671-676</Citation><ArticleIdList><ArticleId IdType="pubmed">32323563</ArticleId></ArticleIdList></Reference><Reference><Citation>J Bone Joint Surg Am. 2020 Jun 3;102(11):942-945</Citation><ArticleIdList><ArticleId IdType="pubmed">32282419</ArticleId></ArticleIdList></Reference><Reference><Citation>J Bone Joint Surg Am. 2020 Jul 1;102(13):e69</Citation><ArticleIdList><ArticleId IdType="pubmed">32618917</ArticleId></ArticleIdList></Reference><Reference><Citation>Int Orthop. 2020 Aug;44(8):1565-1570</Citation><ArticleIdList><ArticleId IdType="pubmed">32350584</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Musculoskelet Disord. 2018 Oct 12;19(1):369</Citation><ArticleIdList><ArticleId IdType="pubmed">30314495</ArticleId></ArticleIdList></Reference><Reference><Citation>Int Orthop. 2020 May;44(5):813-817</Citation><ArticleIdList><ArticleId IdType="pubmed">32279098</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Feb 24;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32091533</ArticleId></ArticleIdList></Reference><Reference><Citation>J Bone Joint Surg Am. 2020 May 6;102(9):750-758</Citation><ArticleIdList><ArticleId IdType="pubmed">32379114</ArticleId></ArticleIdList></Reference><Reference><Citation>Arch Acad Emerg Med. 2020 Apr 6;8(1):e46</Citation><ArticleIdList><ArticleId IdType="pubmed">32309810</ArticleId></ArticleIdList></Reference><Reference><Citation>J Bone Joint Surg Am. 2020 Jun 17;102(12):e58</Citation><ArticleIdList><ArticleId IdType="pubmed">32345864</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Créteil</li></settlement></list><tree><country name="Belgique"><noRegion><name sortKey="Hernigou, Jacques" sort="Hernigou, Jacques" uniqKey="Hernigou J" first="Jacques" last="Hernigou">Jacques Hernigou</name></noRegion><name sortKey="Bath, Olivier" sort="Bath, Olivier" uniqKey="Bath O" first="Olivier" last="Bath">Olivier Bath</name><name sortKey="Callewier, Antoine" sort="Callewier, Antoine" uniqKey="Callewier A" first="Antoine" last="Callewier">Antoine Callewier</name><name sortKey="Morel, Xavier" sort="Morel, Xavier" uniqKey="Morel X" first="Xavier" last="Morel">Xavier Morel</name></country><country name="France"><region name="Île-de-France"><name sortKey="Hernigou, Philippe" sort="Hernigou, Philippe" uniqKey="Hernigou P" first="Philippe" last="Hernigou">Philippe Hernigou</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Staying home during "COVID-19" decreased fractures, but trauma did not quarantine in one hundred and twelve adults and twenty eight children and the "tsunami of recommendations" could not lockdown twelve elective operations.
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