Evidence map›Paper›PMID 33835246›Full record

Observational studyInternational orthopaedics2021

Impact of COVID-19 on the practice of orthopaedics and trauma-an epidemiological study of the full pandemic year of a tertiary care centre of New Delhi.

Raju Vaishya, Abhishek Vaish, Ashok Kumar

Abstract readObservational Study
In one paragraph

Observational study in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Article
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  3. Review
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  5. Review
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  11. Has the time to reinstate elective orthopedic procedures come?Journal of clinical orthopaedics and trauma · 2021
    Article
  12. Article
  13. Article
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  15. Article
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

3 authors.

Raju VaishyaIndraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India. raju.vaishya@gmail.com.ORCID http://orcid.org/0000-0002-9577-9533
Abhishek VaishIndraprastha Apollo Hospitals, Sarita Vihar, New Delhi, 110076, India.
Ashok KumarOrthopaedic Operating Theatres, Indraprastha Apollo Hospitals, New Delhi, 110076, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn an observational study, we studied the impact of COVID-19 pandemic on our clinical practice of trauma and orthopaedics, in tertiary care hospital of New Delhi.

methodsWe collated the hospital data for 2019 and 2020 and analyzed and compared it extensively. We looked for the effects of the COVID-19 pandemic on several important clinical practice parameters like outpatient attendance, inpatients admissions, and surgery. The correlation of the number of surgeries done during the pandemic time was done with the number of positive cases in Delhi, monthwise. A trend of recovery was also observed.

resultsDuring the pandemic period, the attendance of outpatients fell by 71.93%, admissions by 59.35%, and surgery by 55.78%. Adult trauma surgery was the least affected (42.21%), followed by arthroscopic surgery (49.81%). Fragility hip fractures requiring bipolar hip arthroplasty were reduced by 34.15%. The maximum adverse impact of the pandemic was seen on arthroplasty surgery (hip > knee), followed by on the paediatric orthopaedic cases, and spinal surgery. We notice a "lazy V-shaped" recovery after the lockdown period.

conclusionCOVID-19 pandemic has had a severe impact on all aspects of orthopaedics and trauma's clinical practice in our setup. These adverse effects were maximally seen during the lockdown period, with a reduction of 90.77% in the outpatients, 84.63% in the admissions, and 86.67% in the surgery.

Indexed as

COVID-19OrthopedicsAdultChildCommunicable Disease ControlHumansIndiaPandemicsSARS-CoV-2Tertiary Care CentersCoronavirusCOVID-19 pandemicIndiaOrthopaedic surgeryTrauma

Identifiers

PMID33835246
PMCPMC8032552

What OpenQuestion holds

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Registered trials

None linked

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.