Abstract
BackgroundThe purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital.MethodsA retrospective and comparative study was performed to identify all inpatients at our clinic from February 17 to April 20, 2020 (epidemic group), and from February 17 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed.ResultsIn the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group.ConclusionDuring the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.
Highlights
The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital
Epidemiologic characteristics In the epidemic group, 82 orthopedic inpatients were enrolled in the present retrospective study, including 54 males (65.9%) and 28 females (34.1%) with an average age of 54.6 ± 20.2 years
Among the 57 patients with fractures, 49 cases (86.0%) were caused by low-energy injuries, including flat ground injuries, sprains, and low-altitude fall injuries, and eight cases (14.0%) were caused by high-energy injuries, including three cases of car accident injuries, three cases of high-altitude fall injuries, and two case of the bruise injury caused by heavy object
Summary
The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital. The scientific prevention and control of the COVID-19 epidemic has entered a new stage in Wuhan, and asymptomatic infection of the coronavirus has become the main source of nosocomial spread. Compared with their counterparts in the field of infectious diseases, orthopedic surgeons are not usually considered front-line staff in the fight against viral pandemics. The results of this work may provide a reliable and accurate basis for the development of orthopedic prevention and control strategies
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