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Intervention Protocol of the Orthopedics and Traumatology Department of a High-Complexity University Hospital to Cope with the COVID-19 Pandemic / Protocolo de intervenção do Departamento de Ortopedia e Traumatologia de um hospital universitário de alta complexidade para enfrentamento da pandemia de COVID-19
Lima, Ewerton Borges de Souza; Belangero, Paulo Santoro; Falótico, Guilherme Guadagnini; Mansur, Nacime Salomão Barbachan; Luzo, Marcus Vinicius Malheiros; Reis, Fernando Baldy dos.
  • Lima, Ewerton Borges de Souza; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
  • Belangero, Paulo Santoro; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
  • Falótico, Guilherme Guadagnini; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
  • Mansur, Nacime Salomão Barbachan; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
  • Luzo, Marcus Vinicius Malheiros; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
  • Reis, Fernando Baldy dos; Universidade Federal de São Paulo. Escola Paulista de Medicina. Orthopedics and Traumatology Department. São Paulo. BR
Rev. bras. ortop ; 55(3): 269-277, May-June 2020. tab, graf
Article in English | LILACS | ID: biblio-1138034
ABSTRACT
Abstract Objective To describe the protocols implemented to adapt the orthopedic team to the COVID-19 pandemic; a secondary objective is to assess the behavior of hospital and departmental variables when implementing such measures. Methods The present is a retrospective study describing three protocols 1) reduction in the risk of infection for patients and healthcare workers; 2) adaptation of work, academic and scientific activities; and 3) adaptation of the orthopedic treatment during the pandemic. We analyzed hospital and departmental variables, including the number of patients seen in the emergency room and outpatient clinic, the number of hospitalized patients, suspected and confirmed cases in patients and orthopedic team members, changes in teaching activities from on-site attendance to videoconferencing, and number of surgeries. Period A, from March 3 to 16, was compared with period B, from March 17 to 30, 2020, which corresponded to the implementation of the protocols. Results There was a decrease in the number of outpatients and inpatients. One confirmed and two suspected cases were notified. Among the departmental members, there were 12 suspected and 6 confirmed cases. The weekly frequency of classes was maintained, while the clinical-scientific meetings decreased from ten to three. In addition, the number of surgeries was reduced. Conclusions The present study demonstrated the feasibility and efficiency of the rapid implementation of intervention protocols in the midst of the COVID-19 pandemic. The protocols focused on reducing the risk of infection for patients and healthcare professionals, adapting work, academic and scientific activities, and modifying the orthopedic treatment. With the application of the protocols, the healthcare, academic and scientific activities remained functional, prioritizing measures to confront the COVID-19 pandemic.
RESUMO
Resumo Objetivo Descrever os protocolos implementados para adequar a equipe ortopédica à pandemia de COVID-19 e, secundariamente, avaliar o comportamento de variáveis hospitalares e departamentais frente à implementação das medidas. Métodos Estudo retrospectivo com descrição de três protocolos 1) Redução do risco de contágio dos pacientes e profissionais de saúde; 2) Adaptação das atividades laborais, acadêmicas e científicas; e 3) Adaptação do tratamento ortopédico frente à pandemia. Foram analisadas variáveis hospitalares e departamentais como número de pacientes atendidos no pronto-socorro e ambulatórios, pacientes internados, casos suspeitos e confirmados nos pacientes e na equipe ortopédica, mudança das atividades de ensino do modo presencial para videoconferência, e número cirurgias. Foi comparado o período A, de 03 a 16 de março, com o período B, de 17 a 30 de março, que corresponde à implementação dos protocolos. Resultados Houve diminuição do número de pacientes atendidos e do número de pacientes internados. Foram notificados dois suspeitos e um confirmado. Dos integrantes do departamento, 12 foram suspeitos e 6 confirmados. Manteve-se a frequência semanal das aulas e as reuniões clinico-científicas diminuíram de dezpara três. Houve redução no volume de cirurgias. Conclusões O presente estudo demonstrou a viabilidade e a eficiência da rápida implementação de protocolos de intervenção em meio ao cenário de pandemia por COVID-19. Os protocolos focaram na redução do risco de contágio dos pacientes e profissionais de saúde, na adaptação das atividades laborais, acadêmicas e científicas, e na adaptação do tratamento ortopédico. Com sua aplicação, mantiveram-se as atividades assistencial, acadêmica e científica funcionantes, priorizando-se medidas de enfrentamento à COVID-19.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Orthopedics / Adaptation, Psychological / Occupational Health / Coronavirus Infections / Disease Transmission, Infectious / Severe Acute Respiratory Syndrome / Delivery of Health Care / Risk Reduction Behavior / Emergency Medical Services / Pandemics Type of study: Etiology study / Practice guideline / Observational study / Risk factors / Screening study Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Orthopedics / Adaptation, Psychological / Occupational Health / Coronavirus Infections / Disease Transmission, Infectious / Severe Acute Respiratory Syndrome / Delivery of Health Care / Risk Reduction Behavior / Emergency Medical Services / Pandemics Type of study: Etiology study / Practice guideline / Observational study / Risk factors / Screening study Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de São Paulo/BR