Evidence map›Paper›PMID 32766396›Full record

ArticleThe archives of bone and joint surgery2020

Fracture Surgery in Known COVID-19 Infected Patients: What Are the Challenges?

Mehrdad Sadighi, Seyed Mohammad Javad Mortazavi, Adel Ebrahimpour, Alireza Manafi-Rasi, Mohammad H Ebrahimzadeh, Meisam Jafari KafiAbadi, Seyyed Saeed Khabiri, Saber Barazandeh Rad, Monireh Yaghoubi, Mohammadreza Chehrassan

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In one paragraph

Article in The archives of bone and joint surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Fracture management during COVID-19 pandemic: A systematic review.Journal of clinical orthopaedics and trauma · 2020
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mehrdad SadighiDepartment of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Mohammad Javad MortazaviJoint Reconstruction Research Center (JRRC), Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran.
Adel EbrahimpourDepartment of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Alireza Manafi-RasiDepartment of Orthopedic Surgery, Imam Hossein Hospital,Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad H EbrahimzadehOrthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Meisam Jafari KafiAbadiDepartment of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyyed Saeed KhabiriDepartment of Orthopedic Surgery, Kermanshah University of Medical Sciences, Kermanshah Iran.
Saber Barazandeh RadDepartment of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Monireh YaghoubiDepartment of Orthopedic Surgery, Kermanshah University of Medical Sciences, Kermanshah Iran.
Mohammadreza ChehrassanDepartment of Orthopedic Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracture patients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting during the surgical treatment of fracture patients with concomitant COVID-19 infection.

methodsDemographic and fracture related data of 13 fracture patients with concomitant COVID-19 infection who were treated with surgery was collected from three trauma centers in Tehran and Kermanshah cities from 21, February 2020 to April 3, 2020.

resultsAll patients were male with mean age of 38.6±19.5 years. Eight patients had high energy fracture and seven patients had multiple fractures and trauma. Wrist and hand were the common sites of fracture following hip and pelvis. The mean interval time period between the diagnosis of COVID-19 infection and surgery was 2.3±1.5 days. Before surgery, all patients except one had been admitted to the corona dedicated wards, while two patients were admitted to the intensive care unit (ICU). One of the ICU admitted patients died. All the 12 alive patients remained in home isolation after discharge.

conclusionFracture surgery in COVID-19 patients has many challenges such as lack of medical resources, delay of surgery, medial staff fear, and patient isolation. However, a multidisciplinary approach using all potential hospital resources would lead to successful operation and acceptable outcome.

Indexed as

COVID-19oronavirusOrthopedicracturerauma

Identifiers

PMID32766396
PMCPMC7358239

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.