ABSTRACT
INTRODUCTION: To report our multidisciplinary approach to the orthopedic fracture with increasing COVID-19 diagnoses by comparing the cases within two months before and after COVID -19 pandemic in our hospital. METHODS: Fracture cases admitted to our emergency department and consulted to the orthopedic clinic were included in this study two months before pandemic (Group 1) and after the first (Group 2) two months. The number of cases, types of fractures, duration of hospitalization, waiting times for surgery and post-surgery discharge times were compared between the two groups. Approach to fracture, operating room usage and equipment selection were compiled after the pandemic. The number of cases with COVID-19 positive infection detected by PCR was recorded. Data were compared. RESULTS: The number of patients included in our study was 388. Patients were divided as Group 1 for two months before Pandemic and Group 2 for two months after. 292 (75.3%) patients were included in Group 1 and 96 (24.7%) patients were included in Group 2. Of the patients being operated, 102 (75%) were Group 1, 34 (25%) were Group 2. The duration of hospitalization was 9.54±4.28 days in Group 1 and 7.82±3.64 days in Group 2. The waiting time for surgery was 7.28±3.79 days in Group 1 and 7.23±4.37 days in Group 2. The discharge times were 3.02±1.75 days in Group 1 and 2.62±1.54 days in Group 2. There was no statistically significant difference between the groups in all evaluated parameters (p=0.14), (p=0.97) (p=0.42). DISCUSSION AND CONCLUSION: Our approach to fracture cases should be applied more rationally, optimally and rapidly within the principles of orthopedics. We must strictly follow the precautions to protect against COVID-19 infection.Alternate abstract: GÍRÍŞ ve AMAÇ: Hastanemizde COVID-19 pandemisinden önceki ve sonraki 2 ay içindeki vakaları karşılaştırarak artan COVID-19 tanıları ile ortopedik kırığa multidisipliner yaklaşımımızı bildirmek. YÖNTEM ve GEREÇLER: Pandemi öncesi (Grup 1) 2 ay ve sonrası ilk (Grup 2) 2 ay içinde acil servisimize başvuran ve ortopedi kiniğine konsülte edilen kırık vakaları çalışmaya dahil edildi. Vaka sayıları, kırık tipleri, yatış süreleri, ameliyat bekleme süreleri ve ameliyat sonrası taburcu süreleri her iki grup arasında karşılaştırıldı. Pandemi sonrası kırık hastalarına yaklaşım, ameliyathane kullanımı ve ekipman seçimi derlendi. PCR sonucu ile Covid-19 pozitif infeksiyonu tespit edilen vaka sayıları kaydedilerek, bu hastalara yaklaşım açısından bilgiler derlendi. BULGULAR: Çalışmamıza dahil edilen hasta sayısı 388'dir. Pandemi öncesi 1 ay Grup 1, sonrası 1 ay Grup 2 olarak ayrıldı. 292 (%75,3) hasta Grup 1, 96 (%24.7) hasta ise Grup 2’ye dahil edildi. Opere edilen hastaların 102 (%75)’i grup 1, 34 (%25)’si Grup 2 idi. Yatış süresi Grup 1’de 9.55±4.28, Grup 2’de 7.82±3,64 gün idi. Ameliyat bekleme süresi Grup 1’de 7.28±3.79, Grup 2’de ise 7.24±4.37 gün idi. Taburculuk süreleri ise Grup 1’de 3.02±1,75 gün, Grup 2’de ise 2.63±1.54gün idi. Tüm değerlendirilen paremetrelerdegruplar arasında istatiksel olarak anlamlı fark saptanmadı (p=0.14), (p=0.97) (p=0.42). TARTIŞMA ve SONUÇ: Kırık vakalarına yaklaşımımız ortopedi prensipleri içerisindedaha akılcı, optimal ve hızlı bir şekilde uygulanmalı;Covid-19 enfeksiyonundan korunmak için önlemleri titizlikle uygulamalıyız.
ABSTRACT
INTRODUCTION: The COVID-19 disease emerged in Wuhan province of China in November 2019 and spread across the world in a short time, resulting in a pandemic. The first case in Turkey was detected on March 11, 2020. The aim of the current study was to reveal the effects of COVID-19 on cranial nerves by monitoring people infected with the disease based on repeated examinations and surveys. MATERIAL AND METHOD: The data of 356 patients with a positive COVID-19 polymerase chain reaction (PCR) test who received treatment between June 2020 and August 2020 in our hospital were prospectively evaluated after the study was approved by the relevant ethics committee. RESULTS: Of the 356 patients included in the study, 47 under the age of 18 years were excluded due to their unreliable examination and anamnesis findings. In addition, seven patients that died while in hospital were excluded from the study due to the lack of examination and survey records during their hospitalization. The data of the remaining 302 patients were statistically analyzed. Symptoms of cranial nerve involvement were observed in 135 patients. CONCLUSION: The COVID-19 disease caused by the SARS-CoV2 virus commonly results in cranial nerve symptoms. The fact that these findings are more common and severe in COVID-19 than previous SARS and MERS outbreaks suggests that it has a more neurotrophic and more aggressive neuroinvasion. While the negative effects of the virus on sensory functions resulting from cranial nerve involvement are evident, motor functions are rarely affected.