30-day mortality following trauma and orthopaedic surgery during the peak of the COVID-19 pandemic: a multicentre regional analysis of 484 patients

Bone & Joint Open
Paul N KarayiannisOwen Diamond

Abstract

Now that we are in the deceleration phase of the COVID-19 pandemic, the focus has shifted to how to safely reinstate elective operating. Regional and speciality specific data is important to guide this decision-making process. This study aimed to review 30-day mortality for all patients undergoing orthopaedic surgery during the peak of the pandemic within our region. This multicentre study reviewed data on all patients undergoing trauma and orthopaedic surgery in a region from 18 March 2020 to 27 April 2020. Information was collated from regional databases. Patients were COVID-19-positive if they had positive laboratory testing and/or imaging consistent with the infection. 30-day mortality was assessed for all patients. Secondly, 30-day mortality in fracture neck of femur patients was compared to the same time period in 2019. Overall, 496 operations were carried out in 484 patients. The overall 30-day mortality was 1.9%. Seven out of nine deceased patients underwent surgery for a fractured neck of femur. In all, 27 patients contracted COVID-19 in the peri-operative period; of these, four patients died within 30 days (14.8%). In addition, 21 of the 27 patients in this group had a fractured neck of femur, 22 were over the age of ...Continue Reading

References

Jan 30, 2015·The Bone & Joint Journal·B D ChattertonP J Roberts
Sep 19, 2018·Scientific Reports·Thomas KlestilBarbara Nussbaumer-Streit
Mar 17, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Jing YangYongning Zhou
May 15, 2020·Journal of Experimental Orthopaedics·Caroline MoutonJacques Menetrey
May 16, 2020·The Bone & Joint Journal·Sam OussedikFares S Haddad
Jul 31, 2020·Bone & Joint Research·A Hamish R W SimpsonJürgen G Haas

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Citations

Dec 29, 2020·Bone & Joint Open·Fares S Haddad
Mar 9, 2021·Indian Journal of Orthopaedics·Prasoon KumarRajesh Kumar Rajnish
Apr 28, 2021·Journal of Clinical Orthopaedics and Trauma·Chiranjit DeSujit Agarwal
Jun 3, 2021·The Journal of Trauma and Acute Care Surgery·Elinore J KaufmanNiels D Martin

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Methods Mentioned

BETA
PCR

Software Mentioned

SPSS
COVIDsurg

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