Elective orthopaedic surgery with a designated COVID-19-free pathway results in low perioperative viral transmission rates

Bone & Joint Open
Justin ChangFares S Haddad

Abstract

The safe resumption of elective orthopaedic surgery following the peak of the COVID-19 pandemic remains a significant challenge. A number of institutions have developed a COVID-free pathway for elective surgery patients in order to minimize the risk of viral transmission. The aim of this study is to identify the perioperative viral transmission rate in elective orthopaedic patients following the restart of elective surgery. This is a prospective study of 121 patients who underwent elective orthopaedic procedures through a COVID-free pathway. All patients underwent a 14-day period of self-isolation, had a negative COVID-19 test within 72 hours of surgery, and underwent surgery at a COVID-free site. Baseline patient characteristics were recorded including age, American Society of Anaesthesiologists (ASA) grade, body mass index (BMI), procedure, and admission type. Patients were contacted 14 days following discharge to determine if they had had a positive COVID-19 test (COVID-confirmed) or developed symptoms consistent with COVID-19 (COVID-19-presumed). The study included 74 females (61.2%) and 47 males (38.8%) with a mean age of 52.3 years ± 17.6 years (18 to 83 years). The ASA grade was grade I in 26 patients (21.5%), grade II i...Continue Reading

References

Jan 1, 2014·Central-European Journal of Immunology·Aleksandra M Dąbrowska, Robert Słotwiński
Jan 17, 2019·The Bone & Joint Journal·B KayaniF S Haddad
Apr 2, 2019·The Bone & Joint Journal·D ThewlisL B Solomon
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Feb 8, 2020·JAMA : the Journal of the American Medical Association·Dawei WangZhiyong Peng
Apr 3, 2020·The Laryngoscope·Luigi Angelo VairaGiacomo De Riu
May 15, 2020·Journal of Experimental Orthopaedics·Caroline MoutonJacques Menetrey
May 16, 2020·The Bone & Joint Journal·Sam OussedikFares S Haddad
Jun 5, 2020·Updates in Surgery·Khaled Al-OmarPaolo Miccoli

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