ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Management of orthopaedic and traumatology patients during the Coronavirus disease (COVID-19) pandemic in northern Italy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Assessment of health equity consideration in masking/PPE policies to contain COVID-19 using PROGRESS-plus framework: a systematic review.BMC public health · 2021Pooled it
- Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Guideline
- Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- Knee Surgery during the COVID-19 Lockdown-Experiences of a Level-One Trauma Center in Germany.BioMed research international · 2021Trial
- COVID-19 Lockdowns and Hospitalisations for Oro-Facial Trauma Among Adults in Australia and the United Kingdom.Healthcare (Basel, Switzerland) · 2025Article
- Locked down: Orthopaedic surgery in a regional health service during the COVID-19 pandemic.ANZ journal of surgery · 2025Article
- Article
- Three Years of COVID-19 on Orthopaedic Trauma; Are We Going Back to Normality?Medicina (Kaunas, Lithuania) · 2023Article
- Impact of the COVID-19 pandemic on early clinical outcome after total knee arthroplasty: a retrospective comparative analysis.Archives of orthopaedic and trauma surgery · 2023Article
- [The proximal femur fracture epidemic continued during the COVID-19 pandemic: Results of an observational study].Revue de chirurgie orthopedique et traumatologique · 2023Article
- Impact of COVID-19 Pandemic on Treatment and Outcome of Fragility Hip Fractures In Non-COVID Patients: Comparison Between the Lockdown Period, a Historical Series and the "Pandemic Normality" in a Single Institution.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care-A Single-Center Study.Journal of clinical medicine · 2022Article
- Managing Traumatic Brain Injury During the Coronavirus Disease 2019 Pandemic-A Case-Matched Controlled Analysis of Immediate Outcomes.World neurosurgery · 2022Article
- Impact of the SARS-CoV-2 pandemic on trauma care: a nationwide observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Article
- The Impact of the SARS-CoV-2 Pandemic on Healthcare Provision in Italy to non-COVID Patients: a Systematic Review.Mediterranean journal of hematology and infectious diseases · 2022Review
- Excess mortality after hip fracture during COVID-19 pandemic: More about disruption, less about virulence-Lesson from a trauma center.PloS one · 2022Article
- Variations of the quality of care during the COVID-19 pandemic affected the mortality rate of non-COVID-19 patients with hip fracture.PloS one · 2022Article
- Organization of a Hospital Ward Aimed at Admitting Patients with SARS-CoV-2: An Economic and Epidemiological Perspective.International journal of environmental research and public health · 2021Article
- Comparison of the first and second waves of the COVID-19 pandemic with a normal period in terms of orthopaedic trauma: Data from a level 1 trauma centre.Acta orthopaedica et traumatologica turcica · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis article aims to share northern Italy's experience in hospital re-organization and management of clinical pathways for traumatic and orthopaedic patients in the early stages of the COVID-19 pandemic.
methodsAuthors collected regional recommendations to re-organize the healthcare system during the initial weeks of the COVID-19 pandemic in March, 2020. The specific protocols implemented in an orthopaedic hospital, selected as a regional hub for minor trauma, are analyzed and described in this article.
resultsTwo referral centres were identified as the hubs for minor trauma to reduce the risk of overload in general hospitals. These two centres have specific features: an emergency room, specialized orthopaedic surgeons for joint diseases and trauma surgeons on-call 24/7. Patients with trauma without the need for a multi-disciplinary approach or needing non-deferrable elective orthopaedic surgery were moved to these hospitals. Authors report the internal protocols of one of these centres. All elective surgery was stopped, outpatient clinics limited to emergencies and specific pathways, ward and operating theatre dedicated to COVID-19-positive patients were implemented. An oropharyngeal swab was performed in the emergency room for all patients needing to be admitted, and patients were moved to a specific ward with single rooms to wait for the results. Specific courses were organized to demonstrate the correct use of personal protection equipment (PPE).
conclusionThe structure of the orthopaedic hubs, and the internal protocols proposed, could help to improve the quality of assistance for patients with musculoskeletal disorders and reduce the risk of overload in general hospitals during the COVID-19 pandemic.
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