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Clinical Characteristics and Learning Outcomes of Managing Orthopaedic Trauma Patients during the First Wave of Covid- 19 Pandemic: A Retrospective Cohort Analysis
West African Journal of Medicine. Vol ; 38(10):985-992, 2021.
Article in English | MEDLINE | ID: covidwho-1548496
ABSTRACT

Background:

Management of trauma and emergency orthopaedic conditions during the pandemic was reorganised across the United Kingdom including our hospital following the COVID-19 British Orthopaedic Association and National Health Service England guidelines.

Aims:

This retrospective, observational cohort study analyses the impact of the first wave of COVID-19 pandemic on trauma and emergency patient care at a district general hospital. A comparative analysis to assess patient characteristics and clinical outcomes during the initial phase of COVID-19 outbreak with a cohort of patients treated during a similar period in 2019 was undertaken.

Methods:

Patients who underwent trauma and emergency surgeries between 01 April to 31 May 2020 at a Northwest Mersey NHS Trust were studied and compared to a similar period in 2019. The outcome measures assessed were 30- and 60-day mortality, Time to Surgery, length of stay after surgery, systemic and orthopaedic complications including the subsequent need for surgery.

Results:

Overall, there was a decrease in the number of patients who underwent trauma or emergency surgery from 184 in 2019 to 116 in 2020. 30- and 60-day mortality slightly increased by 2.05% and 2.68%, respectively. Time to surgery and hospital length of stay were comparable between both cohorts.

Conclusion:

Continuity of services to patients with obligatory injuries was managed using enhanced personal protective equipment and infection control strategies including segregation of patients based on COVID-19 status. Lessons learnt during this period such as COVID-19 testing regime and care pathways have prepared us for the near future. Level of Study Retrospective Cohort study;Level III.
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Collection: Databases of international organizations Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: West African Journal of Medicine. Vol Year: 2021 Document Type: Article

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Collection: Databases of international organizations Database: MEDLINE Type of study: Cohort study / Observational study / Prognostic study Language: English Journal: West African Journal of Medicine. Vol Year: 2021 Document Type: Article