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. 2021 Apr 29:8:613663.
doi: 10.3389/fmed.2021.613663. eCollection 2021.

The Impact of Coronavirus Disease 2019 on the Disease Pattern of Oral and Maxillofacial Surgery Inpatients: A Comparative Study

Jingya Jane Pu  1 , Colman Patrick McGrath  2 , Yiu Yan Leung  1 , Wing Shan Choi  1 , Wei-Fa Yang  1 , Kar Yan Li  1 , Yu-Xiong Su  1
Affiliations

The Impact of Coronavirus Disease 2019 on the Disease Pattern of Oral and Maxillofacial Surgery Inpatients: A Comparative Study

Jingya Jane Pu et al. Front Med (Lausanne). .

Abstract

Objective: Oral and maxillofacial surgery (OMFS) is a high-risk specialty involving airway and aerosol-generating procedures, which is potentially of more risk in the era of coronavirus disease 2019 (COVID-19). We aimed to identify the impact of COVID-19 on the disease pattern of OMFS inpatients and surgeries under general anesthesia in a comparative study. Materials and Methods: We reviewed the admission and operating theater records of OMFS patients from Jan 1 to Aug 31 in 2020 and 2019. The total number of cases, presenting disease patterns, and proportion of essential and non-essential medical services were compared between 2020 and 2019. Results: There were 664 admissions and 356 general anesthesia surgical procedures included in this study. Both admission and surgery numbers were significantly reduced in 2020, compared with 2019 (p = 0.012 and 0.007, respectively). The proportion of malignancy cases increased significantly, whereas that of cleft lip and palate and temporomandibular disorder (TMD) decreased. There was a significant increase in the proportion of essential services compared with non-essential services in 2020 compared with 2019. Conclusion: Our results first reported the epidemiological data of the impact of COVID-19 on OMFS disease pattern in a comparative study. The change of disease pattern and caseload will have a long-term impact on OMFS patient care, education, and training during the pandemic. Our paper provides evidence for health policy makers to consider the relocation of medical resources and optimization of medical education and services.

Keywords: COVID-19; coronavirus; disease pattern; essential services; healthcare; oral and maxillofacial surgery; oral cancer; pandemic.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Cumulative confirmed/probable cases with hospitalization status (5).
Figure 2
Figure 2
Total number of admissions (A) and operating theater (OT) operations (B) from Jan 1 to Aug 31 in 2019 and 2020.
Figure 3
Figure 3
Percentage of different categories of admissions. *Groups with significant difference between 2019 and 2020 after Bonferroni adjustment.
Figure 4
Figure 4
Distribution of admissions and operating theater (OT) cases. (A) Admissions in 2019. (B) OT cases in 2019. (C) Admissions in 2020. (D) OT cases in 2020.
Figure 5
Figure 5
Percentage of different categories of operating theater (OT) cases. *Groups with significant difference between 2019 and 2020 after Bonferroni adjustment.
Figure 6
Figure 6
Proportion of essential medical services (A) and non-essential services (B).
See this image and copyright information in PMC

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