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Response to the Coronavirus Disease 2019 Pandemic by the Spine Division at a Level-I Academic Referral Center.
DeKeyser, Graham J; Brodke, Darrel S; Saltzman, Charles L; Lawrence, Brandon D.
  • DeKeyser GJ; From the Orthopaedic Surgery Department, University of Utah, Salt Lake City, UT.
J Am Acad Orthop Surg ; 28(24): 1003-1008, 2020 Dec 15.
Article in English | MEDLINE | ID: covidwho-961787
ABSTRACT
Coronavirus disease 2019 (COVID-19) is a ubiquitous health concern and a global pandemic. In an effort to slow the disease spread and protect valuable healthcare resources, cessation of nonessential surgery, including many orthopaedic procedures, has become commonplace. This crisis has created a unique situation in the care of spine patients as we must balance the urgency of patient evaluation, surgical intervention, and continued training against the risk of disease exposure and resource management. The spine division of an orthopaedic surgery department has taken an active role in enacting protocol changes in anticipation of COVID-19. In the initial 4 weeks of the COVID-19 pandemic the spine division went from an average of 60.4 cases to 10 cases during the same timeframe. Clinic visits decreased from 417.4 to 322 with new patient visits decreasing from 28% to 20%. Three hundred eighteen of the 322 (98.7%) clinic visits were performed via telehealth. Although these changes have been forced upon us by necessity, we feel that our division and department will emerge in a more responsive, agile, and stronger state. As we look to the coming months and beyond, it will be important to continue to adapt to the changing landscape during unprecedented times.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedics / Spinal Diseases / Occupational Exposure / Patient Selection / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Am Acad Orthop Surg Journal subject: Orthopedics Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Orthopedics / Spinal Diseases / Occupational Exposure / Patient Selection / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study Limits: Humans Language: English Journal: J Am Acad Orthop Surg Journal subject: Orthopedics Year: 2020 Document Type: Article