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Research Article
Dahui Wang
Children’s Hospital of Fudan University &National Children’s Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3101-702X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.
Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed.
Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.
Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.
Level of Evidence: Retrospective study Level II
Keywords
COVID-19 pandemic, prevention and control response, orthopedic trauma
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CURRENT STATUS: Published
View the published article at Archives of Public Health.
Version (no preprint)
Posted 29 Jul, 2021
Editorial decision: Minor Revision
On 29 Jul, 2021
Editor assigned
On 26 Jul, 2021
Editor invited
On 26 Jul, 2021
Submission checks complete
On 26 Jul, 2021
First submitted
On 26 Jul, 2021
This version was not preprinted
Version (no preprint)
Posted 02 May, 2021
Editorial decision: Major Revision
On 02 May, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #4 agreed
On 17 Apr, 2021
Review #2 received
Received 16 Apr, 2021
Reviewer #3 agreed
On 16 Apr, 2021
Review #3 received
Received 16 Apr, 2021
Reviewer #2 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
This version was not preprinted
Version (no preprint)
Posted 02 May, 2021
Editorial decision: Major Revision
On 02 May, 2021
Review #3 received
Received 30 Apr, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #3 agreed
On 17 Apr, 2021
Reviewer #2 agreed
On 16 Apr, 2021
Review #2 received
Received 16 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviews received
Received 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
First submitted
On 14 Apr, 2021
This version was not preprinted
Version (no preprint)
Posted 30 Apr, 2021
Review #4 received
Received 30 Apr, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #4 agreed
On 17 Apr, 2021
Reviewer #3 agreed
On 16 Apr, 2021
Review #3 received
Received 16 Apr, 2021
Reviewer #2 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
This version was not preprinted
No community comments so far
Editorial decision: Revise before peer review
On 08 Apr, 2021
Editor assigned
On 11 Feb, 2021
Submission checks complete
On 11 Feb, 2021
Editor invited
On 11 Feb, 2021
First submitted
On 10 Feb, 2021
Version 1
Posted 07 Dec, 2020
No comments provided
Editor assigned
On 26 Nov, 2020
Editorial decision: Reject and transfer
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
First submitted
On 24 Nov, 2020
Version (no preprint)
Posted 26 Nov, 2020
Editor assigned
On 26 Nov, 2020
Editorial decision: Reject and transfer
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
First submitted
On 24 Nov, 2020
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Subject Areas
Infectious Diseases
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See the published version of this preprint at Archives of Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Dahui Wang
Children’s Hospital of Fudan University &National Children’s Medical Center
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3101-702X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Archives of Public Health.
Version (no preprint)
Posted 29 Jul, 2021
Editorial decision: Minor Revision
On 29 Jul, 2021
Editor assigned
On 26 Jul, 2021
Editor invited
On 26 Jul, 2021
Submission checks complete
On 26 Jul, 2021
First submitted
On 26 Jul, 2021
This version was not preprinted
Version (no preprint)
Posted 02 May, 2021
Editorial decision: Major Revision
On 02 May, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #4 agreed
On 17 Apr, 2021
Review #2 received
Received 16 Apr, 2021
Reviewer #3 agreed
On 16 Apr, 2021
Review #3 received
Received 16 Apr, 2021
Reviewer #2 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
This version was not preprinted
Version (no preprint)
Posted 02 May, 2021
Editorial decision: Major Revision
On 02 May, 2021
Review #3 received
Received 30 Apr, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #3 agreed
On 17 Apr, 2021
Reviewer #2 agreed
On 16 Apr, 2021
Review #2 received
Received 16 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviews received
Received 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
First submitted
On 14 Apr, 2021
This version was not preprinted
Version (no preprint)
Posted 30 Apr, 2021
Review #4 received
Received 30 Apr, 2021
Review #1 received
Received 27 Apr, 2021
Reviewer #4 agreed
On 17 Apr, 2021
Reviewer #3 agreed
On 16 Apr, 2021
Review #3 received
Received 16 Apr, 2021
Reviewer #2 agreed
On 15 Apr, 2021
Reviewers invited
Invitations sent on 15 Apr, 2021
Reviewer #1 agreed
On 15 Apr, 2021
Editor assigned
On 14 Apr, 2021
Submission checks complete
On 14 Apr, 2021
Editor invited
On 14 Apr, 2021
This version was not preprinted
No community comments so far
Editorial decision: Revise before peer review
On 08 Apr, 2021
Editor assigned
On 11 Feb, 2021
Submission checks complete
On 11 Feb, 2021
Editor invited
On 11 Feb, 2021
First submitted
On 10 Feb, 2021
Version 1
Posted 07 Dec, 2020
No comments provided
Editor assigned
On 26 Nov, 2020
Editorial decision: Reject and transfer
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
First submitted
On 24 Nov, 2020
Version (no preprint)
Posted 26 Nov, 2020
Editor assigned
On 26 Nov, 2020
Editorial decision: Reject and transfer
On 26 Nov, 2020
Submission checks complete
On 26 Nov, 2020
Editor invited
On 26 Nov, 2020
First submitted
On 24 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Infectious Diseases
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Archives of Public Health.
Background: The Chinese government has taken strong prevention and control measures against the COVID-19 pandemic, and has achieved phased victory in the fight against it. The outbreak of COVID-19 pandemic provides an opportunity to study the influence of governmental prevention and control response on orthopedic trauma in children.
Methods: We collected and reviewed data on orthopedic trauma from the first half of 2018, 2019, and 2020. The data were divided according to the time of prevention and control response level in 2020. By comparing the relevant data from orthopedic emergency and operating rooms from the past three years, the influence of governmental pandemic prevention measures on orthopedic trauma in children was analyzed.
Results: A total of 36301 children were included in the study cohort. Before the prevention and control response, the data of the orthopedic emergency department in 2020 was the same as the previous two years. Under the first-level response, the number of fractures, open injuries, radial head subluxation, and surgery were significantly reduced, and the severity of patients with surgery was also significantly reduced. Under the second-level response, the number of operations began to increase, and the severity of the disease also began to rise. Under the third-level response control, the number of fractures, open injuries, and operations have returned to the levels of the previous two years. The severity of the operation has also returned to its previous level. The number of subluxations of the radial head is still different from before.
Conclusion: The pandemic of COVID-19 has affected the social activities of Shanghai residents and reduced the incidence of orthopedic trauma in children. With the control of the pandemic, the living conditions of Shanghai residents have basically recovered.
Level of Evidence: Retrospective study Level II
Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
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