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  1. Article ; Online: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic.

    Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G

    International orthopaedics

    2020  Volume 44, Issue 10, Page(s) 1921–1925

    Abstract: ... prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic ... the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 ... Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001 ...

    Abstract Purpose: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic.
    Methods: This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification.
    Results: The study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005).
    Conclusion: Our study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety/epidemiology ; Betacoronavirus ; COVID-19 ; Child ; Child, Preschool ; Cohort Studies ; Coronavirus Infections ; Female ; Humans ; Infant ; Male ; Mental Health/statistics & numerical data ; Middle Aged ; Musculoskeletal Diseases/psychology ; Pandemics ; Pneumonia, Viral ; Prevalence ; Retrospective Studies ; SARS-CoV-2 ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-07-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80384-4
    ISSN 1432-5195 ; 0341-2695
    ISSN (online) 1432-5195
    ISSN 0341-2695
    DOI 10.1007/s00264-020-04711-w
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  2. Article ; Online: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic

    Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W. / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G.

    International Orthopaedics ; ISSN 0341-2695 1432-5195

    2020  

    Keywords Orthopedics and Sports Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s00264-020-04711-w
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Mental health of orthopaedic trauma patients during the 2020 COVID-19 pandemic

    Ohliger, Erin / Umpierrez, Erica / Buehler, Lauren / Ohliger, Andrew W / Magister, Steven / Vallier, Heather / Hirschfeld, Adam G

    Int Orthop

    Abstract: ... of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic. METHODS ... at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence ... This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between ...

    Abstract PURPOSE: The outbreak of the SARS-CoV-2 virus has been associated with reports of increased anxiety, depression and fear among the general population. People with underlying psychiatric disorders are more susceptible to stress than the general population. The purpose of this study was to determine the prevalence of concomitant psychiatric conditions in the orthopaedic trauma population during the COVID-19 pandemic. METHODS: This retrospective cohort study evaluated orthopaedic trauma patients who received care at our institution between February through April of 2019 and February through April of 2020. Patient sex, age, mechanism of injury, associated injuries, fracture location, tobacco use, employment status, mental health diagnosis and presence of interpersonal violence were documented. Mental health diagnoses were defined based on International Classification of Diseases-10 classification. RESULTS: The study included 553 orthopaedic patients evaluated at our institution during the defined time period. Patients in the 2020 cohort had a higher prevalence of mental health diagnoses (26% vs. 43%, p < 0.0001) compared with the 2019 group. The odds ratio for mental health disorder in the 2020 patients was 2.21 (95% CI 1.54, 3.18) compared with the 2019 cohort. The 2020 cohort had a higher percentage of patients who reported interpersonal violence (20% vs. 11%, p = 0.005). CONCLUSION: Our study showed a higher prevalence of psychiatric disease among orthopaedic trauma patients during the COVID-19 pandemic when compared with those seen during the same time of the year in 2019. Stress induced by the coronavirus pandemic can place patients with mental illness at a higher risk for perilous behaviours and subsequent fractures.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #649015
    Database COVID19

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  4. Article ; Online: The effect of the COVID-19 pandemic on mental health associated trauma, admissions and fractures at a London major trauma centre.

    Hay, D / Jamal, M S / Al-Tawil, K / Petohazi, A / Gulli, V / Bednarczuk, N F / Baldwin-Smith, R / Gibbons, J / Sinha, J

    Annals of the Royal College of Surgeons of England

    2020  Volume 103, Issue 2, Page(s) 114–119

    Abstract: ... mental health during these periods, particularly as we look towards a potential 'second wave' of COVID-19. ... the number of patients presenting due to a traumatic suicide attempt almost tripled.: Conclusion ... disproportionately affects those with mental health problems, a group already at higher risk of poorer functional ...

    Abstract Introduction: Non-injury-related factors have been extensively studied in major trauma and have been shown to have a significant impact on patient outcomes. Mental illness and associated medication use has been proven to have a negative effect on bone health and fracture healing.
    Materials and methods: We collated data retrospectively from the records of orthopaedic inpatients in a non-COVID and COVID period. We analysed demographic data, referral and admission numbers, orthopaedic injuries, surgery performed and patient comorbidities, including psychiatric history.
    Results: There were 824 orthopaedic referrals and 358 admissions (six/day) in the non-COVID period, with 38/358 (10.6%) admissions having a psychiatric diagnosis and 30/358 (8.4%) also having a fracture. This was compared with 473 referrals and 195 admissions (three/day) in the COVID period, with 73/195 (37.4%) admissions having a documented psychiatric diagnosis and 47/195 (24.1%) having a fracture.
    Discussion: There was a reduction in the number of admissions and referrals during the pandemic, but a simultaneous three-fold rise in admissions with a psychiatric diagnosis. The proportion of patients with both a fracture and a psychiatric diagnosis more than doubled and the number of patients presenting due to a traumatic suicide attempt almost tripled.
    Conclusion: While total numbers using the orthopaedic service decreased, the impact of the pandemic and lockdown disproportionately affects those with mental health problems, a group already at higher risk of poorer functional outcomes and non-union. It is imperative that adequate support is in place for patients with vulnerable mental health during these periods, particularly as we look towards a potential 'second wave' of COVID-19.
    MeSH term(s) Adult ; Alcoholism/epidemiology ; Anxiety Disorders/epidemiology ; COVID-19 ; Comorbidity ; Depressive Disorder/epidemiology ; Female ; Foreign Bodies/epidemiology ; Foreign Bodies/surgery ; Fractures, Bone/epidemiology ; Fractures, Bone/surgery ; Hospitalization/trends ; Humans ; Joint Dislocations/epidemiology ; Joint Dislocations/surgery ; London/epidemiology ; Male ; Mental Disorders/drug therapy ; Mental Disorders/epidemiology ; Orthopedic Procedures ; Psychotropic Drugs/therapeutic use ; Referral and Consultation/trends ; Retrospective Studies ; SARS-CoV-2 ; Soft Tissue Injuries/epidemiology ; Soft Tissue Injuries/surgery ; Substance-Related Disorders/epidemiology ; Suicide, Attempted/trends ; Wounds and Injuries/epidemiology ; Wounds and Injuries/surgery
    Chemical Substances Psychotropic Drugs
    Language English
    Publishing date 2020-11-24
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 80044-2
    ISSN 1478-7083 ; 0035-8843
    ISSN (online) 1478-7083
    ISSN 0035-8843
    DOI 10.1308/rcsann.2020.7026
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    Uk I Zs.234: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Trauma and orthopaedic team members' mental health during the COVID-19 pandemic: results of a UK survey.

    Thakrar, Amit / Raheem, Ali / Chui, Karen / Karam, Edward / Wickramarachchi, Lilanthi / Chin, Kuen

    Bone & joint open

    2020  Volume 1, Issue 6, Page(s) 316–325

    Abstract: ... cross-sectional study of orthopaedic team members was conducted during the COVID-19 pandemic. The primary objective was ... on the mental health of our orthopaedic workforce and the contributory factors.: Methods: A 20-question survey-based ... to identify the impact of the pandemic on mental health in the form of major depressive disorder (MDD) and ...

    Abstract Aims: Healthcare systems have been rapidly restructured to meet COVID-19 demand. Clinicians are working to novel clinical guidelines, treating new patient cohorts and working in unfamiliar environments. Trauma and orthopaedics (T&O) has experienced cancellation of routine clinics and operating, with redistribution of the workload and human resources. To date, no studies have evaluated the mental health impact of these changes on the T&O workforce. We report the results of a novel survey on the impact of the pandemic on the mental health of our orthopaedic workforce and the contributory factors.
    Methods: A 20-question survey-based cross-sectional study of orthopaedic team members was conducted during the COVID-19 pandemic. The primary objective was to identify the impact of the pandemic on mental health in the form of major depressive disorder (MDD) and general anxiety disorder (GAD). The survey incorporated the patient health questionnaire (PHQ-2), which is validated for screening of MDD, and the generalized anxiety disorder questionnaire (GAD-2), which is validated for screening of GAD.
    Results: There were 62 respondents (18 females and 44 males). As compared to the general population, we noted a greater estimated prevalence of GAD (17.7% vs 5.9%, p = 0.0009297) and MDD (19.4% vs 3.3%, p = 0.0000007731). The prevalence of MDD symptoms was greatest among senior house officers (SHOs) (p = 0.02216). Female respondents scored higher for symptoms of MDD (p = 0.03583) and GAD (p = 0.0001086). Those identifying as 'Black, African, Caribbean or Black British' displayed a higher prevalence of GAD symptoms (p = 0.001575) and felt least supported at work (p = 0.001341).
    Conclusion: Our study, in the first of its kind, shows a significant prevalence of GAD and MDD in the workforce. We found that SHOs, females and those of Black, African, Caribbean, or Black British origin were disproportionately affected. Action should be taken to help prevent adverse mental health outcomes for our colleagues during the pandemic.Cite this article:
    Keywords covid19
    Language English
    Publishing date 2020-11-01
    Publishing country England
    Document type Journal Article
    ISSN 2633-1462
    ISSN (online) 2633-1462
    DOI 10.1302/2046-3758.16.BJO-2020-0053.R1
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  6. Article ; Online: Impact of COVID Pandemic on the Mental Well-Being of Orthopaedic Patients – A Single Centre Study

    Riaz Ahmed / Junaid Khan / Rahman Rasool Akhtar / Talia Urooj

    Journal of Rawalpindi Medical College, Vol 25, Iss

    2021  Volume 1

    Abstract: ... of psychiatric illnesses in Orthopaedic patients during the COVID-19 pandemic. Keywords: COVID-19, mental ... 47% patients with Orthopaedic injuries were diagnosed with a mental health problem. There were ... the COVID-19 pandemic. Material and methods: This study was conducted from 20th April 2020 to 20th September ...

    Abstract Objectives: To assess the frequency of psychiatric diseases in orthopaedic patients during the COVID-19 pandemic. Material and methods: This study was conducted from 20th April 2020 to 20th September 2020 at the Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi, Pakistan. Patients aged 18 years and above and belonging to either gender with Orthopaedic injuries were included. Gender, age, injury mechanism, associated trauma, site of fracture, use of tobacco and mental health disorder was recorded. Data was analyzed using SPSS version 23. Results: The study included 210 patients with Orthopaedic injuries. Mean age of patients in the study was 40.45±12.54 years. Falls were the most common mechanism of injury (50.4%) followed by motorcycle accidents (22.8%) and motor vehicle accidents (16.7%). 70.47% patients with Orthopaedic injuries were diagnosed with a mental health problem. There were notably higher rates of depression (33.1%) and anxiety (24.3%). Conclusion: There was a high frequency of psychiatric illnesses in Orthopaedic patients during the COVID-19 pandemic. Keywords: COVID-19, mental well-being, orthopaedic injuries, psychiatric illness.
    Keywords COVID-19 ; mental well-being ; orthopaedic injuries ; psychiatric illness ; Medicine ; R
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher Rawalpindi Medical University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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