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01.12.2023 | Original Article

The total number of patients with any of four major fragility fractures decreased during the first wave of the COVID-19 epidemic in Japan, commencing before the state of emergency declaration, which was not as enforceable as lockdown

verfasst von: Kenta Minato, Jung-ho Shin, Susumu Kunisawa, Kiyohide Fushimi, Yuichi Imanaka

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2023

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Abstract

Summary

Durin g the first wave of the COVID-19 epidemic, the total number of patients with any of the four major fragility fractures, including both inpatients and first-visit outpatients, began to decline shortly before the state of emergency was declared, rather than immediately after it was declared.

Purpose

This study aimed to investigate the impact of public health measures in the first wave of the COVID-19 epidemic on the occurrence of major fragility fractures (MFFs).

Methods

Patients aged 50 years or older who were hospitalized or had an initial visit as an outpatient for an MFF, defined as a proximal femoral fracture (PFF), vertebral fragility fracture (VFF), distal radius fracture (DRF), or a proximal humeral fracture (PHF), were included in this study. Three-phase interrupted time-series analyses were performed to evaluate the impact of the voluntary event cancellation request in late February 2020 and the emergency declaration in early April 2020 on changes in the total number of patients, including inpatients and first-visit outpatients.

Results

A total of 166,560 patients with MFFs were included (92,767 PFFs, 26,158 VFFs, 33,869 DRFs, and 13,766 PHFs). From the end of February, in seven prefectures with high proportions of urbanization, decreasing trends were estimated for level changes and slope changes in the total number of patients with any of the four MFFs (level change: PFF; point estimate; − 13.5 (95% CI; − 43.4, 16.5), VFF; − 15.3 (− 32.2, 1.5), DRF; − 16.1 (− 39.9, 7.6), PHF; − 1.9 (− 13.6, 9.8), slope change: PFF; − 4.8 (− 14.0, 4.4), VFF; − 3.0 (− 8.1, 2.2), DRF; − 0.6 (− 7.9, 6.7), PHF; − 2.4 (− 6.0, 1.2)).

Conclusion

The findings suggested that the total number of patients with any of the four MFFs did not begin to decline from early April 2020 after the state of emergency was declared but earlier, in late February 2020.
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Metadaten
Titel
The total number of patients with any of four major fragility fractures decreased during the first wave of the COVID-19 epidemic in Japan, commencing before the state of emergency declaration, which was not as enforceable as lockdown
verfasst von
Kenta Minato
Jung-ho Shin
Susumu Kunisawa
Kiyohide Fushimi
Yuichi Imanaka
Publikationsdatum
01.12.2023
Verlag
Springer London
Erschienen in
Archives of Osteoporosis / Ausgabe 1/2023
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI
https://doi.org/10.1007/s11657-023-01297-9

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