ArticleInternational orthopaedics2020
Nosocomial infection with SARS-CoV-2 and main outcomes after surgery within an orthopaedic surgery department in a tertiary trauma centre in Spain.
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 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Venous thromboembolism and major adverse cardiovascular events in patients with hip fractures suffering from SARS-CoV-2 infection: a systematic review.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Pooled it
- Pooled it
- A Systematic Review and Meta-Analysis of Inpatient Mortality Associated With Nosocomial and Community COVID-19 Exposes the Vulnerability of Immunosuppressed Adults.Frontiers in immunology · 2021Pooled it
- Optimizing Textile Disinfection in Hospital-Associated Infections Using Gaseous Ozone.Pathogens (Basel, Switzerland) · 2025Article
- Article
- Retrospective Analysis of Nosocomial SARS-CoV-2 Infections in Orthopedic and Traumatological Inpatients.Healthcare (Basel, Switzerland) · 2023Article
- Patient and ward related risk factors in a multi-ward nosocomial outbreak of COVID-19: Outbreak investigation and matched case-control study.Antimicrobial resistance and infection control · 2023Article
- Hospital acquired COVID-19 infections amongst patients before the rollout of COVID-19 vaccinations, a scoping review.BMC infectious diseases · 2022Article
- Is elective surgery during the COVID-19 pandemic safe? A multi-center prospective study in a high incidence area.Acta orthopaedica et traumatologica turcica · 2022Observational
- COVID-19 pandemic and elective spinal surgery cancelations - what happens to the patients?The spine journal : official journal of the North American Spine Society · 2021Article
- Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2: the COVIDSurg mortality score.The British journal of surgery · 2021Article
- Healthcare-associated COVID-19 in England: A national data linkage study.The Journal of infection · 2021Article
- Advocacy for COVID-19 vaccination at perioperative consultations: an opportunity for protection.ANZ journal of surgery · 2021Article
- SARS-CoV-2 nosocomial infection acquired in a French university hospital during the 1st wave of the Covid-19 pandemic, a prospective study.Antimicrobial resistance and infection control · 2021Observational
- Effect of COVID-19 pandemic on hip preservation surgery-a prospective surveillance from the UK Non-Arthroplasty Hip Registry.Journal of hip preservation surgery · 2021Article
- Effect of COVID-19 Pandemic on Orthopedic Surgery in Three Centers from Romania.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe purpose of the present study is to analyse clinical data of a series of cases who developed nosocomial infection with SARS-CoV-2 in an orthopaedic and traumatology department. PATIENTS AND
methodsIn this non-interventional retrospective study, carried out at a tertiary hospital within the Spanish National Health System, all adult patients who were admitted in the Orthopaedic Surgery and Traumatology Department between March 9th and May 4th, 2020, were included. Clinical, biological and radiological data, as well as mortality rates, were collected from hospital medical records.
resultsA total of 293 periods of hospitalization were analysed in 288 patients. Mean age was 66.1 years old and 57.3% were females. Nineteen patients (6.48%) met the inclusion criteria to be categorized as a nosocomial infection with SARS-CoV-2. In a comparison between patients with and without nosocomial infection, age, mortality and hospital length of stay were statistically significant (p < 0.05). The median time from admission to diagnosis of SARS-CoV-2 infection in our cohort was 16 days (6-86 days). No statistically significant differences were found in sex, living situation, reason of admission or period of admission (even if we observed that most of the nosocomial infections (78.9%) occurred in March).
conclusionWe have found a 6.48% of nosocomial infection with SARS-CoV-2, but with an important reduction of it after undergoing preventing protocols that included screening RT-PCR test for COVID-19. Age and hospital length stay were statistically significant risk factors for nosocomial infection with SARS-CoV-2. For the progressive restoration of the surgical activity, we recommend to correctly select the patients in elective surgery and to encourage fast-track programs and early discharge of patients with fractures.
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