30-day outcome after orthopaedic surgery in patients assessed as negative for COVID-19 at the time of surgery during the peak of the pandemic

Bone & Joint Open
Andrew PriceCOVID-19 NOC Surgical Team

Abstract

The aim of this study is to report the 30 day COVID-19 related morbidity and mortality of patients assessed as SARS-CoV-2 negative who underwent emergency or urgent orthopaedic surgery in the NHS during the peak of the COVID-19 pandemic. A retrospective, single centre, observational cohort study of all patients undergoing surgery between 17 March 2020 and 3May 2020 was performed. Outcomes were stratified by British Orthopaedic Association COVID-19 Patient Risk Assessment Tool. Patients who were SARS-CoV-2 positive at the time of surgery were excluded. Overall, 96 patients assessed as negative for SARS-CoV-2 at the time of surgery underwent 100 emergency or urgent orthopaedic procedures during the study period. Within 30 days of surgery 9.4% of patients (n = 9) were found to be SARS-CoV-2 positive by nasopharyngeal swab. The overall 30 day mortality rate across the whole cohort of patients during this period was 3% (n = 3). Of those testing positive for SARS-CoV-2 66% (n = 6) developed significant COVID-19 related complications and there was a 33% 30-day mortality rate (n = 3). Overall, the 30-day mortality in patients classified as BOA low or medium risk (n = 69) was 0%, whereas in those classified as high or very high risk (n ...Continue Reading

References

Apr 10, 1999·The Orthopedic Clinics of North America·O H BradyC P Duncan
Apr 27, 2011·International Journal of Rheumatic Diseases·Paul DieppeStefan Lohmander
Mar 20, 2020·BMJ : British Medical Journal·Gareth Iacobucci
Apr 1, 2020·Global Health Research and Policy·Hengbo ZhuPing Niu
May 16, 2020·The Bone & Joint Journal·Sam OussedikFares S Haddad

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