The effect of COVID-19 on the trauma burden, theatre efficiency and training opportunities in a district general hospital: planning for a future outbreak

Bone & Joint Open
Monil KariaEdward Tayton

Abstract

The aim of this study is to determine the effects of the UK lockdown during the COVID-19 pandemic on the orthopaedic admissions, operations, training opportunities, and theatre efficiency in a large district general hospital. The number of patients referred to the orthopaedic team between 1 April 2020 and 30 April 2020 were collected. Other data collected included patient demographics, number of admissions, number and type of operations performed, and seniority of primary surgeon. Theatre time was collected consisting of anaesthetic time, surgical time, time to leave theatre, and turnaround time. Data were compared to the same period in 2019. There was a significant increase in median age of admitted patients during lockdown (70.5 (interquartile range (IQR) 46.25 to 84) vs 57 (IQR 27 to 79.75); p = 0.017) with a 26% decrease in referrals from 303 to 224 patients and 37% decrease in admissions from 177 to 112 patients, with a significantly higher proportion of hip fracture admissions (33% (n = 37) vs 19% (n = 34); p = 0.011). Paediatric admissions decreased by 72% from 32 to nine patients making up 8% of admissions during lockdown compared to 18.1% the preceding year (p = 0.002) with 66.7% reduction in paediatric operations, fro...Continue Reading

References

Jan 18, 2005·Injury·Kaye E Wilkins
Mar 31, 2015·The Bone & Joint Journal·D Kosuge, M Barry
Mar 1, 2017·BMJ Quality Improvement Reports·Daniel FletcherJames Berstock
Jan 25, 2020·The New England Journal of Medicine·Na ZhuUNKNOWN China Novel Coronavirus Investigating and Research Team

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Citations

Jun 3, 2021·International Journal of Environmental Research and Public Health·Alberto GrassiStefano Zaffagnini
Aug 5, 2021·Archives of Orthopaedic and Trauma Surgery·John DarlingAnand Pillai
Oct 26, 2021·Bone & Joint Open·Lucky JeyaseelanUNKNOWN London Major Trauma Collaborative

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