Evidence map›Paper›PMID 34506407›Full record

ArticleJNMA; journal of the Nepal Medical Association2020

Orthopaedics Practice in a Rural Hospital During the COVID-19 Pandemic: A Descriptive Cross-Sectional Study.

Mangal Rawal, Tufan Singh Kathayat, Poojan Kumar Rokaya, Abhishek Kumar Thakur, Smritee Mahat, Bishnu Dutta Acharya, Dhan Bahadur Karki, Sujata Ojha

Abstract read
In one paragraph

Article in JNMA; journal of the Nepal Medical Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

8 authors.

Mangal RawalDepartment of Orthopkathayaedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Tufan Singh KathayatDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Poojan Kumar RokayaDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Abhishek Kumar ThakurDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Smritee MahatDepartment of Pathology, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
Bishnu Dutta AcharyaDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Dhan Bahadur KarkiDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.
Sujata OjhaDepartment of Orthopedic and Trauma, Karnali Academy of Health Sciences, Jumla, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe coronavirus disease 2019  pandemic is one of the biggest public health challenges that we have faced, and has had a significant impact on the delivery of essential healthcare worldwide. Trauma and orthopaedic surgery was one of the most severely affected specialties as all non-emergency surgical cases were cancelled. With the possibility of future peak of corona virus, knowing the impact of Covid on orthopaedics would enable us to manage trauma patient in an effective manner and will help us to resume normal schedule of the trauma care.

methodsThis is a descriptive cross-sectional study. We studied the details of total number of patient at Orthopaedic and trauma outpatient, inpatient and operation theatre of Karnali Academy of Health Sciences from 14th March 2020 to 16 September 2020 as compared with the patient data from the same time period in 2019.

resultsThere were 2288 patients during the non-Covid period who visited to the orthopaedic outpatient in comparison to 1618 during Covid period. Only 5 implant removals were performed in comparison to 50 removals (90% reduction) in elective cases. But the number of surgical cases was almost similar (204 vs 207 respectively). Total number of hospital stay had significantly reduced in the non-COVID period (average 4 days vs 6 days).There were 181 in-patient admissions during the COVID period while 241 admission during the non-COVID period.

conclusionsThere is reduction in number of orthopaedic and trauma cases during COVID 19 with marked reduction in number of elective cases. Alternative methods of treatment like telemedicine and small scale health camps at peripheral districts should be conducted to treat non-urgent orthopaedic conditions during lockdown.

Indexed as

COVID-19Orthopedic ProceduresOrthopedicsCommunicable Disease ControlCross-Sectional StudiesHospitals, RuralHumansPandemicsSARS-CoV-2

Identifiers

PMID34506407
PMCPMC7775012

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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.