Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

M. Boutray; J-D Kun-Darbois; N. Sigaux; J-C Lutz; A. Veyssiere; A. Sesque; C. Savoldelli; Stéphanie Dakpe; H. Bertin; B. Lallemant; A. Llobet; M. Cailar; F. Lauwers; Julien Davrou; J-M Foletti

doi:10.1016/j.ijom.2020.10.005

Article dans une revue

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

M. Boutray ¹ J-D Kun-Darbois ² N. Sigaux ³ J-C Lutz ⁴ A. Veyssiere ⁵ A. Sesque ⁶ C. Savoldelli ⁷ Stéphanie Dakpe ^{8, 9} H. Bertin ¹⁰ B. Lallemant ¹¹ A. Llobet ¹² M. Cailar ¹³ F. Lauwers ¹³ Julien Davrou ¹⁴ J-M Foletti ^{15, 16}

1 Hôpital Gui de Chauliac

2 CHU Angers - Centre Hospitalier Universitaire d'Angers

3 CHLS - Centre Hospitalier Lyon Sud [CHU - HCL]

4 CHU Strasbourg

5 Service de Chirurgie Maxillo-Faciale, Plastique et Reconstructrice, Chirurgie Orale et implantologie [CHU Caen]

6 CHU Estaing [Clermont-Ferrand]

7 CHU Nice - Centre Hospitalier Universitaire de Nice

8 CHU Amiens-Picardie

9 CHIMERE - CHirurgie, IMagerie et REgénération tissulaire de l’extrémité céphalique - Caractérisation morphologique et fonctionnelle - UR UPJV 7516

10 Service de chirurgie maxillo-faciale et stomatologie [CHU Nantes]

11 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes

12 CH Perpignan

13 Service de chirurgie plastique et maxillo-faciale, CHU Purpan, Toulouse

14 CHU Pitié-Salpêtrière [AP-HP]

15 LBA - Laboratoire de Biologie Appliquée

16 LA CONCEPTION - Hôpital de la Conception [CHU - APHM]

Abstract : The coronavirus disease 2019 (COVID-19) outbreak has had a major impact on medical and surgical activities. A decline in facial trauma incidence was noticed during the lockdown period. The aim of this study was to evaluate the decline in maxillofacial trauma in France during this particular period. A retrospective multicentre comparative study was initiated in 13 major French public hospital centres. The incidence of facial trauma requiring surgery during the first month of lockdown was compared to that during equivalent periods in 2018 and 2019. Differences in the types of trauma were also analysed. Thirteen maxillofacial departments participated in the study. A significant decline in maxillofacial trauma volumes was observed when compared to equivalent periods in 2018 and 2019 (106 patients compared to 318 and 296 patients, respectively), with an average reduction of 65.5% (P = 0.00087). The proportion of trauma due to sports and leisure was reduced when compared to reports in the literature. As a consequence, in the context of a pandemic, the material and human resources related to this activity could be reallocated to the management of other pathologies that cannot be postponed.

Keywords : COVID-19 epidemiology facial fracture lockdown maxillofacial trauma

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Article dans une revue

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Sciences du Vivant [q-bio]

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https://hal-u-picardie.archives-ouvertes.fr/hal-03599051
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Soumis le : dimanche 6 mars 2022 - 15:58:39
Dernière modification le : mardi 15 mars 2022 - 09:51:06

Impact of the COVID-19 lockdown on the epidemiology of maxillofacial trauma activity: a French multicentre comparative study

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