Abstract
Objective: To assess the outcomes of emergent Orthopaedic procedures on clinically Covid-19 negative patients operated without PPE. Design: Retrospective observational study. Methods: Inclusion criteria:Clinically Covid-19 negative emergent/ urgent and expedited patients. Methods: Standard protective devices were used in the operation room (OR). No structural or workflow changes were implemented.Development of Influenza-Like Symptoms (ILI) during three weeks post-operative period were assessed. Results: 100 consecutive surgeries were evaluated, including 41 fractures, 19 spine surgeries, and 40 other procedures. No patient developed ILI while 13/87 doctors tested COVID RTPCR positive. Contact tracing tracked their infections to non-OR sources. All recovered with isolation and symptomatic treatment. No OR Nurse (0/26) or ancillary staff (0/30) developed ILI. Conclusions: In clinically Covid19 negative patients undergoing emergent Orthopedic surgery, global PPE protection and OR restructuring is possibly unwarranted. Meticulous clinical history and examination can help conserve key resources in future pandemics of similar nature.
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