Changes in Pediatric Fracture Cases during the Coronavirus Disease 2019 Pandemic: Data from a National Referral Orthopedic Hospital in Indonesia

Pamudji Utomo; Muhammad Yogatama Wirawan; Hendra Cahya Kumara; Mochamadsyah Beizar Yudistira

doi:10.3889/oamjms.2021.6720

Authors

Pamudji Utomo Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia; Department of Orthopedic and Traumatology, Prof Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia https://orcid.org/0000-0001-6701-9521
Muhammad Yogatama Wirawan Department of Orthopedic and Traumatology, Prof Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia https://orcid.org/0000-0001-6701-9521
Hendra Cahya Kumara Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Sebelas Maret, Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia; Department of Orthopedic and Traumatology, Prof Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia https://orcid.org/0000-0002-0488-0223
Mochamadsyah Beizar Yudistira Department of Orthopedic and Traumatology, Prof Dr. R. Soeharso Orthopedic Hospital, Surakarta, Indonesia https://orcid.org/0000-0003-0387-7791

DOI:

https://doi.org/10.3889/oamjms.2021.6720

Keywords:

Child, Coronavirus disease 2019, Fracture, Length of stay, Pandemic

Abstract

AIM: This study aims to compare the impact of coronavirus disease 2019 (COVID-19) on pediatric fracture services in a national referral orthopedic hospital in Indonesia to understand the service provisions that may be required during the pandemic.

METHODS: The study compared the population group during 1 year of the COVID-19 pandemic in Indonesia to the same period 1 year before. This cross-sectional study was performed in Prof. Dr. R Soeharso Orthopedic Hospital, Surakarta, Indonesia, from March 2019 to February 2021. The subjects were pediatric fracture patients aged 0–18 years. Patients recorded on other orthopedic service support installations such as radiology, laboratory, or physiotherapy and diagnosed with any other orthopedic sub-specialty were excluded.

RESULTS: A total of 1787 patients were recorded in this study, with the mean of pediatric fracture patients during the pre-COVID-19 period was 90.75 (standard deviation [SD]: 28.5) and during the COVID-19 period was 58.16 (SD: 19.17) monthly. In the 1^styear of the pandemic, there was a significant reduction in clinical visits compared to the same period in 2019 (p < 0.005).

CONCLUSION: There were significant differences in pediatric fracture cases clinic visits and patients’ length of stay in the COVID-19 period than before the COVID-19 occurred.

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