The impact of COVID-19 on trauma and orthopaedic patients requiring surgery during the peak of the pandemic: a retrospective cohort study

Bone & Joint Open
Nicola D MackayJonathan Young

Abstract

COVID-19 represents one of the greatest global healthcare challenges in a generation. Orthopaedic departments within the UK have shifted care to manage trauma in ways that minimize exposure to COVID-19. As the incidence of COVID-19 decreases, we explore the impact and risk factors of COVID-19 on patient outcomes within our department. We retrospectively included all patients who underwent a trauma or urgent orthopaedic procedure from 23 March to 23 April 2020. Electronic records were reviewed for COVID-19 swab results and mortality, and patients were screened by telephone a minimum 14 days postoperatively for symptoms of COVID-19. A total of 214 patients had orthopaedic surgical procedures, with 166 included for analysis. Patients undergoing procedures under general or spinal anaesthesia had a higher risk of contracting perioperative COVID-19 compared to regional/local anaesthesia (p = 0.0058 and p = 0.0007, respectively). In all, 15 patients (9%) had a perioperative diagnosis of COVID-19, 14 of whom had fragility fractures; six died within 30 days of their procedure (40%, 30-day mortality). For proximal femoral fractures, our 30-day mortality was 18.2%, compared to 7% in 2019. Based on our findings, patients undergoing procedu...Continue Reading

References

Dec 6, 2017·Orthopaedics & Traumatology, Surgery & Research : OTSR·P Merloz
Jul 19, 2018·Lancet·Natalie HarrisonDan Reisel
Mar 3, 2020·The Journal of Infection·Patrick J Lillie The Airborne Hcid Network
Apr 30, 2020·The Journal of Bone and Joint Surgery. American Volume·Francesco CatellaniGennaro Fiorentino
May 14, 2020·BMJ : British Medical Journal·Jessica WatsonJohn E Brush
Jul 8, 2020·The Bone & Joint Journal·Babar KayaniFares S Haddad
Nov 24, 2020·Bone & Joint Open·Ming Han Lincoln LiowAndrew Hwee Chye Tan

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Citations

Apr 1, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Lyndon W MasonUNKNOWN UK FAlCoN Audit Collaborative

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