• Alessandro Aprato, Nathalie Bini, Silvia Ferro, Lucia Favella, Luigi Conforti, and Alessandro Massè.
• School of Medicine, University of Turin, Turin, Italy. ale_aprato@hotmail.com.
• Ir J Med Sci. 2022 Feb 1; 191 (1): 394339-43.

BackgroundAim of this study is to report the trauma workload during COVID19 lockdown in a region of four million people and to compare it with the same period in 2019.MethodsThe regional register for A&E admissions and hospitalizations has been reviewed in order to compare the number of A&D admission, the triage colour codes rates, aetiology of trauma, number of patients hospitalized for trauma, number of fractures that required surgery, type of fractures and injuries and mean patients' age.ResultsDuring lockdown 7314 patients were admitted in A&E, while 22,508 patients were admitted in 2019. In 2020 and 2019 triage codes were respectively distributed as follows: red code 0.1% vs 0.2%, yellow code 8.9% vs 6.3%, green code 84% vs 84.7% and white code 6% vs 8.8%. (p = 0.042). The number of hospitalized patients for trauma was 670 in 2020, while in 2019 was 1774 (p = 0.02). The most common fracture that required surgery was femur fracture (409 in 2020 vs 635 in 2019); fracture subtype distribution and mean age of the patients were significantly different in the two groups (respectively p < 0.01 and p = 0.02).ConclusionsOne month of lockdown showed a 68% decrease in the number of A&E visits and a 74% decrease of fractures that required surgery. Femur fracture showed the lowest decrease moving from 635 to 409 units but increasing their incidence rate (42 to 61%).© 2021. Royal Academy of Medicine in Ireland.

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