ArticleJournal of spine surgery (Hong Kong)2025
No delay in surgery for thoracic and lumbar vertebral fractures during the COVID-19 pandemic: a retrospective cohort study from a single centre.
Article in Journal of spine surgery (Hong Kong), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The coronavirus disease 2019 (COVID-19) pandemic was an unprecedented phenomenon that affected the functioning of healthcare systems globally. At our institution (Changi General Hospital), a specialised workflow was established for emergency spinal surgeries to take place safely during the COVID-19 pandemic. This study aims to determine if time from admission to surgery for thoracic and lumbar vertebrae fractures was affected by the COVID-19 pandemic. Methods: This was a retrospective cohort study. All patients admitted via the emergency department with thoracic or lumbar Arbeitsgemeinschaft für Osteosynthesefragen (AO) type A fractures and underwent single stage instrumentation from August 2015 to August 2022 at our institution were included in this study. The COVID-19 period was defined as the months from February 2020 to August 2022. The variables of interest included age, gender, date of admission, date of surgery and time from admission to surgery. For categorical variables, analyses were conducted using Chi-squared tests or Fisher's exact tests. After conducting a normality test using the Kolmogorov-Smirnov test, we performed Mann-Whitney Results: From February 2020 to August 2022, 38 patients were identified. From August 2015 to January 2020, 102 patients were identified. The median number of days from admission to surgery was 6 [interquartile range (IQR), 3, 8] for the pre-COVID-19 period and 6 (IQR, 3, 9) for the COVID-19 period (P=0.38). During the COVID-19 period, more surgeries took place over the weekend (42.1% Conclusions: The median time from admission to surgery was not affected by the pandemic. However, there was a significant increase in the proportion of weekend surgeries being performed during the COVID-19 period.
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