ArticleInternational orthopaedics2020
A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 31 citations in OpenAlex.
- Retrospective Analysis of Nosocomial SARS-CoV-2 Infections in Orthopedic and Traumatological Inpatients.Healthcare (Basel, Switzerland) · 2023Article
- Preoperative triage to detect SARS-CoV-2 infection in surgical patients: lessons learned for resuming surgery.Surgery today · 2023Article
- Changes in trends of orthopedic services due to the COVID-19 pandemic: A review.World journal of orthopedics · 2022Review
- Impact of the first COVID-19 shutdown on traumatological patient volumes in Switzerland.Surgery in practice and science · 2022Article
- Effects of COVID-19 pandemic curfew on orthopedic trauma in a tertiary care hospital in Turkey.Acta orthopaedica et traumatologica turcica · 2021Article
- Epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the novel coronavirus outbreak: Wuhan's experience.European journal of medical research · 2021Article
- Qualitative Interdisciplinary Learning Reviews of Non-COVID-19 Patients' Journeys During the COVID-19 Pandemic.Cureus · 2021Article
- Impact of screening COVID-19 on orthopedic trauma patients at the emergency department: A consecutive series from a level I trauma center.Journal of the Chinese Medical Association : JCMA · 2021Observational
- Influence of coronavirus disease 2019 pandemic state of emergency in orthopaedic fracture surgical treatment.International orthopaedics · 2021Article
- The orthopaedic experience of COVID-19: A literature review.Journal of perioperative practice · 2021Review
- Clinical Pathway for Emergency Brain Surgery during COVID-19 Pandemic and Its Impact on Clinical Outcomes.Journal of Korean medical science · 2021Article
- Nosocomial infection with SARS-CoV-2 and main outcomes after surgery within an orthopaedic surgery department in a tertiary trauma centre in Spain.International orthopaedics · 2020Article
- Perioperative management of patients with suspected or confirmed COVID-19: review and recommendations for perioperative management from a retrospective cohort study.British journal of anaesthesia · 2020Review
- Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology.International orthopaedics · 2020Article
- Safety evaluation of a strategy to restart elective orthopaedic surgery during the de-escalation phase of the COVID-19 pandemic.Bone & joint open · 2020Article
- Reaching a new 'normal' after COVID pandemic and orthopaedic implications.International orthopaedics · 2020Article
- Pandemic preparedness of dentists against coronavirus disease: A Saudi Arabian experience.PloS one · 2020Article
- [Quantitative and qualitative analysis of the influence of confinement by COVID-19 in fracture patients entered in a traumatology service at a third level hospital].Revista espanola de cirugia ortopedica y traumatologiaArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCoronavirus disease 2019 (COVID-19) has become a worldwide pandemic. The toughest issue traumatic orthopaedic surgeons are faced with is how to maintain a balance between adequate COVID-19 screening and timely surgery. In this study, we described our experience with pre-operative COVID-19 screening in patients with traumatic fractures. Furthermore, we analysed the clinical results of fracture patients undergoing confined or emergency surgery during the COVID-19 outbreak.
methodsThis was a case series study. Patients with traumatic fractures who were admitted to our hospital for surgery were enrolled in this study during the COVID-19 outbreak from March to April 2020. All patients were enrolled and managed using the standardized clinical pathway we designed for preoperative COVID-19 screening. Clinical, laboratory and outcome data were analysed.
resultsThe average surgery waiting time from injury to surgery was 8.7 ± 3.4 days. The average waiting time from admission to surgery was 5.3 ± 2.8 days. These average waiting times were increased by 4.1 days and 2.0 days, respectively, compared with 2019 data. Cardiovascular complications, venous thromboembolism and pneumonia occurred in one, two and one patient, respectively. Three and two patients developed pre-operative and postoperative fevers, respectively.
conclusionsWe introduced a novel clinical pathway for pre-operatively screening of COVID-19 in traumatic orthopaedic patients. The delay in surgery caused by COVID-19 screening was minimized to a point at which reasonable and acceptable clinical outcomes were achieved. Doctors should pay more attention to perioperative complications, such as cardiovascular complications, venous thromboembolism, pneumonia and fever.
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