The Early Effect of COVID-19 Restrictions on an Academic Orthopedic Surgery Department

Orthopedics
Brandon E EarpPhilip Blazar

Abstract

The SARS-CoV-2 (COVID-19) pandemic has had a global influence on health care. The authors examined the early effect of hospital- and state-mandated restrictions on an orthopedic surgery department and hypothesized that the volume of ambulatory clinic encounters, office and surgical procedures, and cases would dramatically decrease. A retrospective review was performed of all encounters in an orthopedic surgery department at a level I academic trauma center during a 4-week period, from March 16, 2020, to April 12, 2020. The results were compared with two control 4-week periods, February 17, 2020, to March 15, 2020, and March 16, 2019, to April 12, 2019. Weekly volume and work relative value units (RVUs) of clinic encounters, office and surgical procedures, and cases were assessed. The type of ambulatory visit also was recorded. Comparisons of mean weekly volume and RVUs between the study and control periods were performed with Student's t test. Surgical cases were categorized into fracture or dislocation, acute soft tissue or nerve injury, infection, oncology, and elective or nonurgent. After implementation of hospital- and state-mandated restrictions on elective health care, the volume of ambulatory orthopedic surgery clinic en...Continue Reading

References

Mar 4, 2020·JAMA : the Journal of the American Medical Association·Joseph L DielemanChristopher J L Murray
Apr 22, 2020·American Journal of Surgery·Adrian DiazTimothy M Pawlik

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Citations

Apr 20, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Naoko OnizukaJulie A Switzer
May 27, 2021·Orthopedics·Dafang ZhangBrandon E Earp
Jul 13, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kyra A BenaventBrandon E Earp

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