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Epidemiological Characteristics of Bicycle-related Injuries with the Emergence of the COVID-19
Korean J Sports Med 2021;39:110-116
Published online September 1, 2021;  https://doi.org/10.5763/kjsm.2021.39.3.110
© 2021 The Korean Society of Sports Medicine.

Bong Seong Ko, Soong Hwan Cho, Dong Young Noh, Jin Goo Kim

Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea
Correspondence to: Jin Goo Kim
Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine, 55 Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 10475, Korea
Tel: +82-31-810-5010, Fax: +82-31-965-6649, E-mail: jgkim@mjh.or.kr
Received March 4, 2021; Revised August 4, 2021; Accepted August 5, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: Following the outbreak and global spread of the coronavirus disease 2019 (COVID-19), an increasing number of people have turned to cycling. This study aims to investigate the epidemiology of bicycle-related injuries before and after the emergence of the COVID-19.
Methods: In this retrospective study, we collected medical records of those patients who visited the emergency room for orthopedic injuries related to bicycle accidents. The “COVID-19 period” consisted of the patients identified from April 1 to November 31 in the year 2020, while the “pre-COVID-19 period” consisted of those identified during the same months of the year 2019.
Results: A total of 519 patients were identified. The bicycle-related injuries increased by 5.1% during the COVID-19, in comparison to the pre-COVID-19 period. Among these, 76.3% were men. The highest incidence of the injuries was seen for 10– 19 years of age during the pre-COVID-19, and for 50– 59 years of age during the COVID-19 period. Overall, upper limb injuries were the commonest, consisting of 32.2% of all injuries. The shoulder injuries were the commonest in the pre-COVID-19, while the knee injuries were the commonest in the COVID-19 period. Assessing the severity of the injuries, contusion (81.8%) was the commonest. Of the injuries requiring hospital admissions, hip injuries had the highest incidence at 76.5%.
Conclusion: During the COVID-19, the total number of bicycle-related injuries did not increase significantly. In the bicycle-related injuries, the middle-age group had the highest proportion during the COVID-19 period. More efficient prevention strategies for middle-aged riders are necessary.
Keywords : Bicycle-related injuries, COVID-19, Traffic accidents, Epidemiology
꽌 濡

2020뀈 3썡 11씪 肄붾줈굹諛붿씠윭뒪媛먯뿼利-19 (coronavirus disease 2019, COVID-19)濡 씤빐 珥 114媛쒓뎅뿉꽌 118,319紐낆쓽 솚옄 4,292紐낆쓽 궗留앹옄媛 諛쒖깮븿뿉 뵲씪 꽭怨꾨낫嫄닿린援ъ뿉꽌 꽭怨꾩쟻 쑀뻾(pandemic)쓣 꽑뼵븯떎. COVID-19뒗 궗쉶 뙣윭떎엫쓣 蹂솕떆耳곗쑝硫, 쟾꽭怨 씤援ш 씠윭븳 蹂솕瑜 諛쏆븘뱾씠怨 궗쉶援ъ“瑜 옱렪븯寃 留뚮뱾뿀떎. 吏묐떒쟻 鍮꾨硫닿낵 臾쇰━쟻 嫄곕━몢湲곕뒗 슦由ъ쓽 씪긽씠 맂吏 삤옒씠硫, 떦遺꾧컙 吏냽맆 寃껋씠떎. COVID-19媛 諛쒕컻븳 씠썑遺꽣 寃쎄린옣쓣 룷븿븳 怨듦났泥댁쑁떆꽕씠 룓뇙릺怨 봽濡 뒪룷痢 寃쎄린쓽 愿엺媛앹 젣븳릺뿀쑝硫 援젣 뒪룷痢 뻾궗뒗 뿰湲곕릺뿀떎. 吏묐떒 슫룞씠 젣븳릺怨 留롮 궗엺뱾씠 諛吏묓븯뒗 以묎탳넻쓣 뵾븯寃 릺硫댁꽌, COVID-19 씠썑 옄쟾嫄곕뒗 뼵깮듃 援먰넻닔떒쑝濡쒖꽌 씤怨쇱쓽 젒珥됱쓣 理쒖냼솕븷 닔 엳쑝硫 떎궡슫룞 洹쒖젣瑜 뵾빐 利먭만 닔 엳뒗 깮솢닔떒쑝濡 씠슜씠 利앷븯怨 엳떎.

COVID-19쓽 옣湲고솕濡 옄쟾嫄 닔슂媛 利앷븿뿉 뵲씪 援궡 옄쟾嫄 뾽泥대뱾쓽 留ㅼ텧룄 겕寃 利앷븯떎. 궪泥쒕━ 옄쟾嫄곕뒗 2020뀈 1,208뼲 썝쓽 留ㅼ텧쓣 湲곕줉븯뿬 쟾뀈 鍮 38% 利앷뻽쑝硫 2016뀈 씠썑 理쒕 留ㅼ텧쓣 湲곕줉븯떎. 븣넠 뒪룷痢 뿭떆 2020뀈 449뼲 썝쑝濡 쟾뀈 鍮 44% 利앷뻽쑝硫 2018뀈 씠썑 理쒕 留ㅼ텧쓣 湲곕줉븯떎1. 利앷븯뒗 옄쟾嫄 닔슂뿉 뵲씪 꽌슱떆뒗 “궗엺 以묒떖쓽 옄쟾嫄 쁺紐” 궗뾽쑝濡 쁽옱 940 km 洹쒕え쓽 옄쟾嫄 룄濡쒕 2030뀈源뚯 珥 1,330 km쑝濡 떒怨꾩쟻쑝濡 셿꽦빐 꽌슱 떆궡 뼱뵒뱺 옄쟾嫄곕줈 留됲옒 뾾씠 븞쟾븯寃 媛 닔 엳뒗 ‘옄쟾嫄 1떆媛 깮솢沅’쓣 留뚮뱺떎뒗 紐⑺몴瑜 꽭슦怨, 옄쟾嫄곕 솢슜븷 怨꾪쉷쓣 꽭슦怨 엳떎2.

COVID-19 씠썑 옄쟾嫄 留ㅼ텧肉먮쭔 븘땲씪 옄쟾嫄 씠슜 삉븳 利앷븯떎. 꽌슱떆뿉꽌 슫쁺븯뒗 怨듦났 옄쟾嫄 ‘뵲由됱씠’ 씠슜瑜좎 2019뀈 4썡遺꽣 11썡源뚯 16,317,936嫄댁씠뿀쑝굹 COVID-19 씠썑 2020뀈 4썡遺꽣 11썡源뚯 19,418,740嫄댁쑝濡 19% 利앷븯떎3. 쟾援 媛 吏諛⑹옄移섎떒泥댁뿉꽌 怨듭쁺 옄쟾嫄곕 슫쁺 以묒씠硫 怨듭쁺 옄쟾嫄 씠슜 嫄댁닔뒗 젏李 利앷븯怨 엳떎. 2016뀈 怨듭쁺 옄쟾嫄 뿬냼 1,534媛, 怨듭쁺 옄쟾嫄 25,917媛 2019뀈 怨듭쁺 옄쟾嫄 뿬냼 3,360媛(219%), 怨듭쁺 옄쟾嫄 49,633(191%)濡 겕寃 利앷븯떎. 삉븳 怨듭쁺 옄쟾嫄 뿬 떎쟻 2016뀈 10,022,379嫄댁뿉꽌 2019뀈 30,313,739嫄(302%)쑝濡 利앷븯떎4.

洹몃윭굹, 옄쟾嫄 씠슜씠 利앷븿뿉 뵲씪 옄쟾嫄 愿젴 넀긽 쐞뿕 삉븳 利앷븯怨 엳떎. 援궡 援먰넻궗怨 넻怨꾩뿉 뵲瑜대㈃ 理쒓렐 10뀈媛 옄쟾嫄 援먰넻궗怨 궗怨좉굔닔뒗 2010뀈 11,439紐낆뿉꽌 2019뀈 13,693紐낆쑝濡 19.7% 利앷븯떎. 궗留앹옄 닔뒗 2010뀈 299紐낆뿉꽌 2019뀈 178紐낆쑝濡 40.4% 媛먯냼븯쑝굹, 遺긽옄 닔뒗 2010뀈 11,646紐낆뿉꽌 2019뀈 14,343紐낆쑝濡 23.1% 利앷븯떎5.

留ㅻ뀈 옄쟾嫄 愿젴 넀긽씠 利앷븿뿉 뵲씪 씠瑜 遺꾩꽍븳 뿰援 蹂닿퀬媛 엳뿀쑝硫, 넀긽 삁諛⑷낵 梨 닔由쎌쓣 留덈젴븯뒗 뜲 룄씠 릺뿀떎. 듅엳 젙삎쇅怨쇱쟻 넀긽쓣 以묒젏쑝濡 蹂닿퀬븳 뿰援щ뒗 옄쟾嫄 愿젴 넀긽뿉 븳 젙삎쇅怨쇱쟻 뿰援ъ쓽 湲곗큹瑜 젣怨듯븯떎6. 援궡 옄쟾嫄 愿젴 넀긽 留ㅽ빐 利앷븯怨 엳쓬뿉룄 遺덇뎄븯怨 理쒓렐쓽 옄쟾嫄 愿젴 넀긽뿉 븳 뿰援 蹂닿퀬뒗 뱶臾쇰ʼn, 듅엳 2020뀈 COVID-19 諛쒕퀝 씠쟾怨 씠썑쓽 옄쟾嫄 愿젴 넀긽뿉 븳 뿰援щ뒗 諛쒗몴맂 諛 뾾떎. 蹂 뿰援щ뒗 COVID-19 씠쟾怨 씠썑쓽 옄쟾嫄 愿젴 넀긽 솚옄뱾쓣 遺꾩꽍븯뿬 옄쟾嫄 愿젴 넀긽쓣 삁痢≫븯怨 쐞뿕쓣 以꾩씠뒗 삁諛 梨낆쓣 留덈젴븯怨좎옄 븯떎. 씠뿉 옄뱾 蹂몄썝 쓳湲됱떎濡 궡썝븳 옄쟾嫄 愿젴 넀긽 솚옄뱾뿉 빐 肄붾줈굹 19 씠쟾怨 씠썑瑜 鍮꾧탳븯뿬 옄쟾嫄 愿젴 넀긽쓽 뿭븰쟻 듅꽦, 諛쒖깮 鍮덈룄 諛 넀긽 듅꽦쓣 遺꾩꽍븯怨좎옄 븳떎.

뿰援щ갑踰

蹂 뿰援щ뒗 COVID-19 씠쟾(2019뀈 4썡遺꽣 11썡源뚯)怨 COVID-19 씠썑(2020뀈 4썡遺꽣 11썡源뚯) 옄쟾嫄 愿젴 넀긽쑝濡 蹂몄썝 쓳湲됱떎뿉 궡썝븳 珥 519紐낆쓽 솚옄뱾쓣 긽쑝濡 븯떎. 썑뼢쟻 뿰援щ줈 쓳湲됱떎 궡썝 떦떆 쓽臾닿린濡앹쓣 넻빐 옄猷뚮 뼸뿀쑝硫, 궡썝씪, 굹씠, 꽦蹂, 넀긽 遺쐞, 넀긽 젙룄, 엯썝 뿬遺瑜 遺꾨쪟븯떎. 궡썝븳 솚옄뱾 蹂몄썝 쓳湲됱떎뿉꽌 떆뻾븳 떊泥닿궗 諛 떒닚 諛⑹궗꽑珥ъ쁺, 而댄벂꽣떒痢듭눋쁺쓣 넻빐 吏꾨떒諛쏆븯쑝硫 닔닠 샊 以묓솚옄떎 移섎즺媛 븘슂븳 솚옄뱾 엯썝솚옄뱾濡 遺꾨쪟븯떎. 솚옄뱾쓽 굹씠뒗 10뀈 떒쐞濡 굹늻뼱 룊媛븯쑝硫 10꽭 誘몃쭔, 10(10–19꽭), 20(20–29꽭), 30(30–39꽭), 40(40–49꽭), 50(50–59꽭), 60(60–69꽭), 70꽭 씠긽쑝濡 遺꾨쪟븯떎. 넀긽 遺쐞뒗 癒몃━, 긽吏(뼱源, 긽셿, 뙏轅덉튂, 쟾셿, 넀紐, 넀), 븯吏(怨좉젅, 눜, 臾대쫷, 븯눜, 諛쒕ぉ, 諛), 泥숈텛(寃쎌텛遺, 쓨異붾, 슂異붾, 怨⑤컲)濡 援щ텇븯쑝硫 넀긽 젙룄뒗 諛뺤긽, 뿴긽, 怨⑥젅, 뇤異쒗삁, 泥숈텛떊寃 넀긽쑝濡 援щ텇븯떎.

뿰졊 諛 떆湲곕퀎 궗怨 鍮덈룄瑜 鍮꾧탳븯湲 쐞빐 솚옄뱾쓽 굹씠뒗 10뀈 떒쐞濡 굹늻뼱 鍮꾧탳 遺꾩꽍븯쑝硫 썡蹂꾨줈 궗怨 鍮덈룄瑜 議곗궗븯뿬 COVID-19 씠쟾怨 씠썑瑜 鍮꾧탳 遺꾩꽍븯떎. 넻怨꾨텇꽍 SPSS 12.0 봽濡쒓렇옩(SPSS Inc., Chicago, IL, USA)쓣 씠슜븯怨, 넀긽 遺쐞 諛 넀긽 젙룄 COVID-19 씠쟾怨 씠썑쓽 긽愿 愿怨꾨 븣븘蹂닿린 쐞빐 移댁씠젣怨깃젙쓣 넻븳 援먯감遺꾩꽍쓣 떆뻾븯쑝硫 p媛믪씠 0.05 誘몃쭔씤 寃쎌슦瑜 넻怨꾩쟻쑝濡 쑀쓽븳 李⑥씠媛 엳뒗 寃껋쑝濡 뙋떒븯떎.

蹂 뿰援щ뒗 紐낆蹂묒썝 湲곌깮紐낆쑄由ъ쐞썝쉶쓽 듅씤쓣 諛쏆븘 떆뻾븯쑝硫(No. MJH 2021-02-009) 뿰援ъ쓽 썑뼢쟻 듅꽦긽 솚옄쓽 꽌硫대룞쓽뒗 硫댁젣릺뿀떎.

寃 怨

1. 굹씠 꽦蹂

쟾泥 옄쟾嫄 愿젴 넀긽 솚옄뱾쓽 룊洹 뿰졊 39.6꽭쑝硫 COVID-19 씠쟾 솚옄뱾쓽 룊洹 뿰졊 38.3꽭쑝굹 COVID-19 씠썑 솚옄뱾쓽 룊洹 뿰졊 40.9꽭濡 2.6꽭 利앷븯떎. 쟾泥 옄쟾嫄 愿젴 넀긽 솚옄뱾쓽 굹씠뿉 뵲씪 鍮덈룄 닚꽌濡 遺꾨쪟븯硫 10媛 104紐(20.0%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 50 98紐(18.9%), 40 73紐(14.1%), 70꽭 씠긽 56紐(10.8%), 60 53紐(10.2%), 10꽭 誘몃쭔 51紐(9.8%), 20 43紐(8.3%), 30 41紐(7.9%) 닚씠뿀떎. COVID-19 씠쟾 솚옄뱾 10媛 64紐(25.3%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 50 42紐(16.6%), 40 33紐(13.0%), 70꽭 씠긽 29紐(11.5%), 10꽭 誘몃쭔 26紐(10.3%), 60 24紐(9.5%), 20 19紐(7.5%), 30 16紐(6.3%) 닚씠뿀떎. 諛섎㈃ COVID-19 씠썑 솚옄뱾 50媛 56紐(21.1%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 40 40紐(15.0%), 10 40紐(15.0%), 60 29紐(10.9%), 70꽭 씠긽 27紐(10.2%), 30 25紐(9.4%), 10꽭 誘몃쭔 25紐(9.4%), 20 24紐(9.0%) 닚쑝濡 굹궗떎(Fig. 1).

Fig. 1. Age distribution of patients who has bicycle-related injury. COVID-19: coronavirus disease 2019. Pre-COVID-19: April 1 to November 31, 2019; post- COVID-19: April 1 to November 31, 2020.

쟾泥 옄쟾嫄 愿젴 넀긽 솚옄뱾쓽 꽦蹂꾩 궓옄 396紐(76.3%), 뿬옄 123紐(23.7%)씠뿀떎. COVID-19 씠쟾 솚옄뱾쓽 꽦蹂꾩 궓옄媛 202紐(79.8%), 뿬옄媛 51紐(20.2%)씠뿀쑝硫, COVID-19 씠썑 솚옄뱾쓽 꽦蹂꾩 궓옄媛 195紐(73.3%), 뿬옄媛 71紐(26.7%)쑝濡 뿬옄 솚옄媛 20紐(6.5%) 利앷븯떎.

2. 쟾泥 궗怨 諛쒖깮 鍮덈룄 諛 썡蹂 諛쒖깮 鍮덈룄

옄쟾嫄 궗怨좊줈 蹂몄썝 쓳湲됱떎뿉 궡썝븳 珥 519紐낆쓽 솚옄뱾 以 COVID-19 씠쟾 솚옄뱾 253紐낆씠뿀쑝굹 COVID-19 씠썑 솚옄뱾 쟾泥 266紐낆쑝濡 13紐(5.1%) 利앷븯떎. 쟾泥 옄쟾嫄 궗怨 솚옄뱾쓽 썡蹂 諛쒖깮 嫄댁닔瑜 鍮덈룄 닚꽌濡 遺꾨쪟븯硫 7썡 94紐(18.1%)씠 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫, 6썡 78紐(15.0%), 9썡 74紐(14.3%), 10썡 72紐(13.9%), 5썡 69紐(13.3%), 8썡 60紐(11.6%), 4썡 42紐(8.1%), 11썡 30紐(5.8%)씠뿀떎. COVID-19 씠쟾 솚옄뱾쓽 썡蹂 諛쒖깮 嫄댁닔뒗 7썡씠 49紐(19.4%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫, 10썡 40紐(15.8%), 8썡 38紐(15.0%), 6썡 33紐(13.0%), 9썡 29紐(11.5%), 5썡 28紐(11.1%), 4썡 22紐(8.7%), 11썡 14紐(5.5%)씠뿀떎. COVID-19 씠썑 솚옄뱾쓽 썡蹂 嫄댁닔뒗 6썡, 7썡, 9썡씠 媛곴컖 45紐(16.9%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫, 洹 쇅 5썡 41紐(15.4%), 10썡 32紐(12.0%), 8썡 22紐(8.3%), 4썡 20紐(7.5%), 11썡 16紐(6.0%) 닚씠뿀떎(Fig. 2).

Fig. 2. Frequency of bicycle- related injury per month. COVID- 19: coronavirus disease 2019. Pre-COVID-19: April 1 to Novem-ber 31, 2019; post-COVID-19: April 1 to November 31, 2020.

3. 넀긽 遺쐞 諛 넀긽 젙룄

쟾泥 옄쟾嫄 궗怨 솚옄뱾쓽 넀긽 遺쐞뒗 긽吏 167紐(32.2%)씠 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 븯吏 136紐(26.3%), 癒몃━ 130紐(25.1%), 泥숈텛 84紐(16.2%)씠뿀떎. 옄쟾嫄 궗怨좊줈 蹂몄썝 쓳湲됱떎뿉 궡썝븳 珥 519紐낆쓽 솚옄뱾 以 COVID-19 씠쟾 솚옄 1紐, COVID-19 씠썑 솚옄 1紐 벑 珥 2紐(0.4%) 궡썝 떦떆 쓽떇 냼떎濡 떖룓냼깮닠쓣 諛쏆븯쑝굹 궗留앺븯떎. 긽吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 뼱源 53紐(10.2%), 뙏轅덉튂 40紐(7.7%), 긽셿 19紐(3.7%), 넀 27紐(5.2%), 넀紐 23紐(4.4%), 쟾셿 5紐(1.0%)씠뿀떎. 븯吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 臾대쫷 넀긽 56紐(10.8%), 븯눜 27紐(5.2%), 怨좉젅 17紐(3.3%), 諛쒕ぉ 17紐(3.3%), 諛 14紐(2.7%), 눜 5紐(1.0%)씠뿀떎. 泥숈텛 넀긽 슂異붾 넀긽씠 40紐(7.7%)쑝濡 媛옣 쓷븯寃 愿李곕릺뿀쑝硫 쓨異붾 23紐(4.4%), 怨⑤컲 15紐(2.9%), 寃쎌텛遺 6紐(1.2%)씠뿀떎. COVID-19 씠쟾 솚옄뱾쓽 넀긽 遺쐞뒗 긽吏媛 82紐(32.5%)쑝濡 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 癒몃━ 66紐(26.2%), 븯吏 62紐(24.6%), 泥숈텛 42紐(16.7%) 닚씠뿀떎. 긽吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 뼱源 넀긽 28紐(11.1%), 뙏轅덉튂 20紐(7.9%), 긽셿 11紐(4.4%), 넀 11紐(4.4%), 넀紐 8紐(3.2%), 쟾셿 4紐(1.6%)씠뿀떎. 븯吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 臾대쫷 넀긽 24紐(9.5%), 븯눜 17紐(6.7%), 怨좉젅 10紐(4.0%), 諛쒕ぉ 5紐(2.0%), 諛 5紐(2.0%), 눜 1紐(0.4%)씠뿀떎. 泥숈텛 넀긽 遺쐞쓽 鍮덈룄 닚꽌뒗 슂異붾 넀긽 23紐(9.1%), 쓨異붾 10紐(4.0%), 怨⑤컲 6紐(2.4%), 寃쎌텛遺 3紐(1.2%)씠뿀떎. COVID-19 씠썑 솚옄뱾쓽 넀긽 遺쐞뒗 긽吏 85紐(32.1%)씠 媛옣 留롮 鍮꾩쑉쓣 李⑥뻽쑝硫 븯吏 74紐(27.9%), 癒몃━ 64紐(24.2%), 泥숈텛 42紐(15.8%) 닚쑝濡, COVID-19 씠쟾뿉 鍮꾪빐 븯吏 넀긽 솚옄媛 12紐 利앷븯떎. 긽吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 뼱源 넀긽 25紐(9.4%), 뙏轅덉튂 20紐(7.5%), 넀 16紐(6.0%), 넀紐 15紐(5.7%), 긽셿 8紐(3.0%), 쟾셿 1紐(0.4%)씠뿀떎. 븯吏 넀긽 遺쐞뿉 뵲瑜 鍮덈룄 닚꽌뒗 臾대쫷 넀긽 32紐(12.1%), 諛쒕ぉ 12紐(4.5%), 븯눜 10紐(3.8%), 諛 9紐(3.4%), 怨좉젅 7紐(2.6%), 눜 4紐(1.5%)쑝濡 COVID-19 씠쟾蹂대떎 利앷븳 븯吏 넀긽 솚옄 12紐 以 臾대쫷 넀긽씠 8紐낆씠뿀떎. 泥숈텛 넀긽 遺쐞쓽 鍮덈룄 닚꽌뒗 슂異붾 넀긽 17紐(6.4%), 쓨異붾 13紐(4.9%), 怨⑤컲 9紐(3.4%), 寃쎌텛遺 3紐(1.1%)씠뿀떎. 넀긽 遺쐞뿉 븳 COVID-19 씠쟾怨 씠썑쓽 넻怨꾨텇꽍 쑀쓽븳 李⑥씠瑜 蹂댁씠吏 븡븯떎.

쟾泥 옄쟾嫄 궗怨 솚옄뱾쓽 넀긽 젙룄뒗 諛뺤긽씠 423紐(81.7%)쑝濡 媛옣 쓷븯寃 愿李곕릺뿀쑝硫 怨⑥젅 73紐(14.1%), 뇤異쒗삁 10紐(1.9%), 뿴긽 7紐(1.4%), 泥숈텛떊寃 넀긽 4紐(0.8%)씠뿀떎. COVID-19 씠쟾 솚옄뱾쓽 넀긽 젙룄뒗 諛뺤긽 198紐(78.6%), 怨⑥젅 45紐(17.9%), 뿴긽 6紐(2.4%), 뇤異쒗삁 2紐(0.8%), 泥숈텛떊寃 넀긽 1紐(0.4%)씠뿀쑝硫 COVID-19 씠썑 솚옄뱾쓽 넀긽 젙룄뒗 諛뺤긽 225紐(84.9%), 怨⑥젅 28紐(10.6%), 뇤異쒗삁 8紐(3.0%), 泥숈텛떊寃 넀긽 3紐(1.1%), 뿴긽 1紐(0.4%)씠뿀떎. 넀긽 젙룄뿉 븳 넻怨꾨텇꽍 寃곌낵 怨⑥젅 諛 뿴긽 솚옄쓽 媛먯냼뒗 넻怨꾩쟻쑝濡 쑀쓽븳 李⑥씠瑜 蹂댁쑝굹 씠瑜 젣쇅븳 諛뺤긽, 뇤異쒗삁, 泥숈텛떊寃 넀긽 넻怨꾩쟻쑝濡 쑀쓽븳 李⑥씠瑜 蹂댁씠吏 븡븯떎(Table 1). 옄쟾嫄 궗怨좊줈 蹂몄썝 쓳湲됱떎뿉 궡썝븳 珥 519紐낆쓽 솚옄뱾 以 엯썝 솚옄뒗 94紐(18.1%)씠뿀쑝硫 COVID-19 씠쟾쓽 엯썝 솚옄 55紐낆뿉꽌 COVID-19 씠썑 엯썝 솚옄 39紐낆쑝濡 16紐(29.1%) 媛먯냼븯떎. 엯썝 솚옄 鍮꾩쑉씠 媛옣 넂 넀긽 遺쐞뒗 怨좉젅 遺쐞씠硫 怨좉젅 넻利앹쑝濡 궡썝븳 17紐낆쓽 솚옄 以 13紐(76.5%) 엯썝 썑 닔닠쟻 移섎즺瑜 諛쏆븯떎. 癒몃━ 넀긽쑝濡 엯썝븳 솚옄 鍮꾩쑉 COVID-19 씠쟾 솚옄 66紐 以 4紐(6.1%)씠뿀쑝굹 COVID-19 씠썑 솚옄 64紐 以 8紐낆쑝濡(12.5%) 利앷븯떎.

Table 1 . Distribution of type and site of injury

VariableTotalPre-COVID-19Post-COVID-19p-value
No. of patients519253266
Expired2 (0.4)1 (0.4)1 (0.4)-
Type of injury
Contusion423 (81.8)198 (78.6)225 (84.9)0.06
Laceration7 (1.4)6 (2.4)1 (0.4)<0.05
Fracture73 (14.1)45 (17.9)28 (10.6)<0.05
Cerebral hemorrhage10 (1.9)2 (0.8)8 (3.0)0.06
Spinal cord injury4 (0.8)1 (0.4)3 (1.1)0.34
Site of injury
Head130 (25.1)66 (26.2)64 (24.2)0.59
Upper extremity167 (32.3)82 (32.5)85 (32.1)0.91
Shoulder53 (10.3)28 (11.1)25 (9.4)0.53
Humerus19 (3.7)11 (4.4)8 (3.0)0.42
Elbow40 (7.7)20 (7.9)20 (7.6)0.87
Forearm5 (1.0)4 (1.6)1 (0.4)0.16
Wrist23 (4.4)8 (3.2)15 (5.7)0.17
Hand27 (5.2)11 (4.4)16 (6.0)0.39
Lower extremity136 (26.3)62 (24.6)74 (27.9)0.39
Hip17 (3.3)10 (4.0)7 (2.6)0.40
Thigh5 (1.0)1 (0.4)4 (1.5)0.20
Knee56 (10.8)24 (9.5)32 (12.1)0.35
Lower leg27 (5.2)17 (6.7)10 (3.8)0.13
Ankle17 (3.3)5 (2.0)12 (4.5)0.10
Foot14 (2.7)5 (2.0)9 (3.4)0.32
Spine84 (16.3)42 (16.7)42 (15.8)0.80
Cervical6 (1.2)3 (1.2)3 (1.1)0.95
Thoracic23 (4.4)10 (4.0)13 (4.9)0.61
Lumbar40 (7.7)23 (9.1)17 (6.4)0.25
Pelvis15 (2.9)6 (2.4)9 (3.4)0.49

Values are presented as number (%).

COVID 19: coronavirus disease 2019.

Pre-COVID-19: April 1 to November 31, 2019; post-COVID-19: April 1 to November 31, 2020.


怨 李

援궡 옄쟾嫄 愿젴 넀긽 솚옄쓽 뿭븰쟻 듅吏뺤뿉 븳 뿰援 蹂닿퀬뿉 뵲瑜대㈃ 궓 鍮꾩쑉 3.1:1씠硫 20꽭 誘몃쭔씠 42.6%떎7. 蹂 뿰援ъ뿉꽌 쟾泥 옄쟾嫄 궗怨 솚옄쓽 닔뒗 COVID-19 씠썑 쑀쓽誘명븯寃 利앷븯吏 븡븯쑝硫 궓 鍮꾩쑉 3.1:1濡 룞씪븳 鍮꾩쑉쓣 蹂댁쑝굹 COVID-19 씠쟾뿉 鍮꾪빐 COVID-19 씠썑 뿬옄 솚옄媛 20紐(6.5%) 利앷븯떎. 쟾泥 옄쟾嫄 愿젴 넀긽쓽 二쇱슂 뿰졊뒗 10(20.0%) 50(18.9%)쑝硫 COVID-19 씠쟾 二쇰줈 10(25.3%), 50(16.6%)쑝굹 COVID-19 씠썑 二쇰줈 50(21.1%), 40(15.0%), 10(15.0%)濡 COVID-19 씠썑 옄쟾嫄 愿젴 넀긽 솚옄뱾뿉꽌 以묐뀈痢 鍮꾩쑉씠 利앷븯떎. COVID-19 씠쟾 솚옄뱾쓽 룊洹 뿰졊 38.3꽭쑝굹 COVID-19 씠썑 솚옄뱾쓽 룊洹 뿰졊 40.9꽭濡 2.6꽭 利앷븯쑝誘濡, 以묐뀈痢듭쓽 蹂댄샇 옣援 李⑹슜 벑 븞쟾 援먯쑁뿉 빐 媛뺤“븷 븘슂媛 엳떎.

援궡 뿰援ъ뿉꽌 썡蹂 옄쟾嫄 愿젴 넀긽 諛쒖깮 鍮덈룄뒗 5썡怨 9썡뿉(71.4%) 二쇰줈 諛쒖깮븳떎怨 蹂닿퀬븳 諛 엳떎6. 蹂 뿰援ъ뿉꽌 7썡(18.1%), 6썡(15.0%)씠 넂븯쑝硫 4썡(8.1%), 11썡(5.8%)씠 궙븯떎. COVID-19 씠쟾 솚옄뱾 7썡(19.4%), 6썡(15.0%)씠 넂븯쑝硫 COVID-19 씠썑 솚옄뱾 6썡, 7썡, 9썡(媛곴컖 16.9%)씠 넂븯떎. COVID-19 臾닿븯寃 4썡, 11썡 媛옣 궙 鍮꾩쑉쓣 蹂댁쑝硫 궇씠 異κ퀬 湲몄씠 誘몃걚윭슫 떆湲곕낫떎 뿬由꾩뿉 二쇰줈 옄쟾嫄 愿젴 넀긽씠 諛쒖깮븯뒗 寃껋쑝濡 솗씤릺뿀떎.

誘멸뎅뿉꽌 옄쟾嫄 愿젴 넀긽쑝濡 쓳湲됱떎뿉 궡썝븳 솚옄뱾뿉 븳 뿰援ъ뿉꽌 쓷엳 諛쒖깮븯뒗 옄쟾嫄 愿젴 넀긽 遺쐞뒗 癒몃━, 긽吏, 뼹援댁씠씪怨 蹂닿퀬븳 諛 엳떎8. 옄쟾嫄 愿젴 넀긽 썑쓽 怨⑥젅 솚옄뱾뿉 븳 뿰援ъ뿉 뵲瑜대㈃ 쟾泥 怨⑥젅 以 긽吏 怨⑥젅씠 86.5%瑜 李⑥븯硫 궓꽦 30, 뿬꽦 50뿉꽌 鍮덈쾲븯寃 諛쒖깮븳떎怨 蹂닿퀬븯떎9,10. 援궡 뿰援ъ뿉꽌뒗 긽吏 넀긽(59%)씠 쓷엳 諛쒖깮뻽쑝硫 洹 以묒뿉꽌 쟾셿遺 넀긽(21.3%)씠 媛옣 겙 鍮꾩쨷쓣 李⑥븳떎怨 蹂닿퀬븯떎6. 蹂 뿰援 뿭떆 COVID-19 쟾썑濡 긽吏 넀긽(32.2%)씠 媛옣 留롮 鍮꾩쑉쓣 李⑥븯쑝硫 COVID-19 씠쟾怨 鍮꾧탳븯뿬 COVID-19 씠썑 븯吏 넀긽 솚옄媛 12紐(3.3%) 利앷븯떎. 쟾泥 옄쟾嫄 愿젴 넀긽 솚옄뱾쓽 꽭遺 넀긽 遺쐞뒗 臾대쫷 넀긽(10.8%)씠 媛옣 留롮븯쑝硫 COVID-19 씠쟾 솚옄뱾 뼱源 넀긽(11.1%)씠 留롮븯쑝굹 COVID-19 씠썑 臾대쫷 넀긽(12.1%)씠 留롮븯떎. 쟾泥 궗怨좎쓽 留롮 鍮꾩쑉쓣 李⑥븯怨 엳뒗 긽吏 넀긽뿉 븳 蹂댄샇援 李⑹슜肉 븘땲씪 븯吏 蹂댄샇援 李⑹슜쓽 以묒슂꽦뿉 븳 솉蹂닿 옄쟾嫄 愿젴 넀긽쓽 鍮꾩쑉쓣 궙異 닔 엳뒗 諛⑹븞씠 맆 寃껋씠떎.

옄쟾嫄 愿젴 넀긽 솚옄뱾쓽 遺遺꾩 諛뺤긽(81.8%)씠硫 COVID-19 씠쟾뿉 鍮꾪빐 COVID-19 씠썑 諛뺤긽 솚옄뒗 27紐 利앷븯怨 怨⑥젅 솚옄뒗 17紐 媛먯냼븯떎. 怨⑥젅 솚옄 73紐 以 40紐(54.8%) 긽吏 怨⑥젅濡 吏꾨떒諛쏆 솚옄떎. 옄쟾嫄 愿젴 넀긽쑝濡 엯썝븳 솚옄뱾 쟾泥 솚옄 以 94紐(18.1%)씠硫 COVID-19 씠쟾뿉 鍮꾪빐 COVID-19 씠썑 엯썝 솚옄닔뒗 16紐(29.1%) 媛먯냼븯떎. 옄쟾嫄 愿젴 넀긽쓽 꽭遺 넀긽 遺쐞蹂 엯썝쑉 怨좉젅 넀긽씠 媛옣 넂 鍮꾩쑉쓣 蹂댁쑝硫 援궡 뿰援ъ뿉꽌 怨좉젅 넀긽 쟾泥 옄쟾嫄 愿젴 넀긽 以 4%濡 蹂닿퀬븳 諛 엳떎6. 蹂 뿰援ъ뿉꽌룄 17紐(3.3%)쑝濡 鍮꾩듂븳 鍮꾩쑉쓣 蹂댁쑝硫 17紐낆쓽 怨좉젅 넀긽 솚옄 以 13紐(76.5%) 엯썝 썑 닔닠쟻 移섎즺瑜 諛쏆븯떎. 怨좉젅 넀긽쑝濡 엯썝븳 솚옄 13紐낆쓽 룊洹 뿰졊 59꽭쑝硫 洹 以 5紐낆 70꽭 씠긽씠뿀떎. 씪諛섏쟻쑝濡 옄쟾嫄 二쇳뻾 以 궗怨좉 諛쒖깮븯硫 諛섏궗쟻쑝濡 諛붾떏뿉 넀쓣 吏싰린 븣臾몄뿉 긽吏 넀긽씠 쓷엳 諛쒖깮븯吏留, 끂뀈痢듭쓽 寃쎌슦 諛섏궗 떊寃쎌씠 븯릺뼱 옄쟾嫄 愿젴 넀긽 떆 넀쓣 諛붾떏뿉 吏싳 紐삵븳 梨 꽆뼱吏硫댁꽌 紐몄뿉 異⑷꺽쓣 諛쏆븘 怨좉젅 넀긽씠 諛쒖깮븳 寃껋쑝濡 蹂댁씤떎. 끂뀈痢듭쓽 怨좉젅 怨⑥젅 移섎챸쟻씤 寃곌낵瑜 珥덈옒븯硫 1뀈 씠궡 궗留앸쪧 빟 25%씪怨 蹂닿퀬맂 諛 엳떎11,12. 럹떖뿉 怨좎젙릺룄濡 留뚮뱾뼱吏 겢由 뒋利덈뒗 냽룄媛먯쓣 利먭린뒗 옄쟾嫄 씠슜옄뱾씠 留롮씠 궗슜븯뒗뜲, 겢由 뒋利덈 李⑹슜븳 梨꾨줈 옄쟾嫄 二쇳뻾쓣 븯떎 洹좏삎쓣 엪怨 꽆뼱吏뒗 寃쎌슦 겢由 뒋利덈 鍮쇱 紐삵븯硫 異⑷꺽쓣 삩紐몄쑝濡 諛쏄쾶 릺硫 씠븣 怨좉젅 넀긽쓽 쐞뿕씠 넂븘吏꾨떎. 옄쟾嫄 二쇳뻾 떆 겢由 뒋利덈뒗 뵾븯怨 슱뎮遺덊뎮븳 湲몃낫떎 옒 젙鍮꾨맂 옄쟾嫄 룄濡쒕 씠슜븯硫, 냽룄瑜 궙異붿뼱 궗怨좎뿉 삁諛⑺븷 닔 엳뒗 냽룄濡 二쇳뻾븯뒗 寃껋씠 怨좉젅 넀긽쑝濡 씤븳 엯썝 諛 궗留앸쪧쓣 궙異 닔 엳뒗 諛⑹븞씠떎.

蹂 뿰援ъ쓽 븳怨꾩젏 泥レ㎏, 몴蹂몄닔媛 519紐낆쑝濡 留롮 븡쑝硫 븳 怨녹쓽 醫낇빀蹂묒썝뿉 궡썝븳 옄쟾嫄 愿젴 넀긽 솚옄瑜 긽쑝濡 吏꾪뻾븯뿬 몴蹂 쟾泥대 몴븯湲 遺議깊븯떎뒗 젏씠떎. 삉븳, COVID-19 씠쟾怨 씠썑쓽 옄쟾嫄 愿젴 넀긽 蹂솕媛 넻怨꾩쟻씤 쓽誘몃 蹂댁씠吏 븡뒗떎뒗 寃껋씠떎. 몮吏, 쓽臾닿린濡앹뿉 옄쟾嫄 愿젴 넀긽 솚옄媛 넀긽 떦떆 蹂댄샇옣鍮꾨 李⑹슜뻽뒗吏 湲곕줉릺뼱 엳吏 븡븘 蹂댄샇옣鍮꾩 옄쟾嫄 愿젴 넀긽 젙룄쓽 뿰愿꽦쓣 솗씤븷 닔 뾾뿀떎. 뀑吏, 솚옄쓽 吏꾨떒紐낆쑝濡 넀긽 젙룄瑜 遺꾨쪟븯쑝誘濡 以묒쬆룄瑜 遺꾨쪟븯뒗 뜲 븳怨꾧 엳뿀떎. 꽬吏, COVID-19 씠썑 옄쟾嫄 愿젴 넀긽쓽 蹂솕瑜 遺꾩꽍븯뒗 뜲 엳뼱꽌 솚寃, 湲고썑, 踰뺢퇋 벑 떎瑜 슂씤뿉 븳 遺꾩꽍씠 씠猷⑥뼱吏吏 븡븯떎뒗 젏씠떎. 옄쟾嫄 룄濡 솗異, 옄쟾嫄 솢꽦솕 젙梨, 怨듦났 옄쟾嫄 뿬냼 利앷 벑 떎뼇븳 슂씤씠 옄쟾嫄 愿젴 넀긽쓽 蹂솕瑜 쑀諛쒗븷 닔 엳쑝굹 蹂 뿰援щ뒗 씠윭븳 슂씤뿉 븳 遺꾩꽍씠 씠猷⑥뼱吏吏 븡븘 옄쟾嫄 愿젴 넀긽 솚옄쓽 蹂솕 썝씤쓣 COVID-19濡 빐꽍븯湲곗뿉뒗 臾대━媛 엳떎.

蹂 뿰援щ뒗 븵뿉꽌 뼵湲됲븳 븳怨꾩젏뱾씠 엳吏留 援궡뿉꽌 COVID-19 씠쟾怨 씠썑쓽 옄쟾嫄 愿젴 넀긽 솚옄뿉 빐 泥섏쓬쑝濡 遺꾩꽍쓣 떆룄븳 뿰援 蹂닿퀬씪뒗 젏뿉 쓽쓽媛 엳떎. 蹂 뿰援ъ쓽 븳怨꾩젏쓣 諛뷀깢쑝濡 異뷀썑 蹂댄샇옣鍮 李⑹슜 諛 옄쟾嫄 愿젴 넀긽 삁諛⑷탳쑁씠 COVID-19 씠쟾怨 씠썑쓽 옄쟾嫄 愿젴 넀긽 삁諛⑹뿉 뼹留덈굹 슚怨쇱쟻씤吏뿉 븳 썑냽 뿰援ш 븘슂븷 寃껋씠떎. 삉븳 떎湲곌 뿰援щ 넻빐 蹂대떎 留롮 옄쟾嫄 愿젴 넀긽 솚옄瑜 솗蹂댄븯뿬 COVID-19 옄쟾嫄 愿젴 넀긽쓽 뿰愿꽦뿉 븳 異붽 뿰援ш 븘슂븷 寃껋씠떎. 蹂 뿰援ъ뿉꽌 궗吏 넀긽씠 媛옣 쓷븯寃 諛쒖깮뻽뒗뜲 긽吏 븯吏 蹂댄샇옣鍮 李⑹슜씠 옄쟾嫄 愿젴 넀긽쓽 以묒쬆룄뿉 쁺뼢쓣 誘몄튂뒗吏뿉 븳 뿰援щ룄 븘슂븯寃좊떎.

蹂몄썝 쓳湲됱떎쓣 넻빐 궡썝븳 珥 519紐낆쓽 옄쟾嫄 愿젴 넀긽 솚옄뱾쓣 遺꾩꽍븳 寃곌낵 뿰졊媛 COVID-19 씠쟾뿉뒗 二쇰줈 10쑝굹 COVID-19 씠썑濡 40, 50 以묐뀈痢듭쓽 鍮꾩쑉씠 利앷븯쑝誘濡 以묐뀈痢 옄쟾嫄 씤援ъ뿉 븳 옄쟾嫄 愿젴 넀긽 삁諛 援먯쑁怨 蹂댄샇援 李⑹슜 벑 쟻洹뱀쟻 솉蹂닿 븘슂븯떎. 蹂 뿰援 寃곌낵뒗 뼢썑 COVID-19 씠썑 利앷븯뒗 옄쟾嫄 愿젴 넀긽뿉 빐 뙆븙븯怨, 넀긽 삁諛⑷낵 梨 닔由쎌쓣 쐞븳 湲곗큹 옄猷뚮줈 쑀슜븯寃 씠슜븷 닔 엳쓣 寃껋쑝濡 깮媛곹븳떎.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Author Contributions

Conceptualization: JGK. Data curation: SHC. Formal analysis: DYN. Writing–original draft: BSK. Writing–review & editing: JGK.

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