Abstract
BackgroundCoronavirus disease 2019 (COVID-19) has broken out and spread rapidly nationwide at the beginning of 2020, which has brought huge impacts to people and work. The current situation of prevention and control is severe and urges guidance for clinicians, especially for medical systems. In the hope of providing a reference and recommendation for the prevention and control of the COVID-19, we carried out research to improve the quality of patient care and prevention during this epidemic.MethodsAll of the staff were trained rapidly to master personal protection in our department. We reviewed the patients’ discharged records who underwent surgery in our department during January 1 to March 1, 2019, and January 1 to March 1, 2020. The management of the surgery patients and flow charts were described and analyzed. Post-operation outcomes of the patients include duration, complications, surgical site infection (SSI), system infection, re-operation, and mortality. Both chi-squared test and Student’s t test were performed to determine the relationship between the two periods in terms of post-operation outcomes.ResultsDescriptive statistics analysis revealed that demographic of the patients between the two periods is similar. We had benefited from the strict flowcharts, smart robot, and protection equipment during the perioperative managements for orthopedic patients. With the help of the strict flow charts and smart equipment, post-operation outcomes of the patients revealed that the rates of the complications and re-operation had been reduced significantly (p < 0.05), while duration of operation, SSI, and system infection had no significant difference between two periods (p > 0.05). No patient and staff caught COVID-19 infection or mortality during the epidemic.ConclusionsOur study indicated that medical quality and efficiency were affected little with the help of strategies described above during the epidemic, which could be a reference tool for medical staff in routine clinical practice for admission of patients around the world. What is more, the provided strategies, which may evolve over time, could be used as empirical guidance and reference for orthopedic peers to get through the pandemic and ensure the normal operation of the hospital.
Highlights
Since December 2019, an unexplained type of coronavirus has appeared rapidly in Wuhan followed by bronchitis and pneumonia [1, 2]
We reviewed many variables noted in the literature, and a set of recommendations and flow charts were created based on a review of the communications for surgeons with knowledge of safety procedures
With the help of the strict work flow and smart equipment, the rates of adverse outcomes including complications and re-operation had been reduced significantly compared to the former year (p < 0.05), and patients who underwent surgery may have benefited from the work flow during the pandemic
Summary
Since December 2019, an unexplained type of coronavirus has appeared rapidly in Wuhan followed by bronchitis and pneumonia [1, 2]. It has been proven that the pathogen was coronavirus disease 2019 (COVID-19), which seriously threatens surgical staff and patients, and challenged the medical community to an unprecedented degree [3]. COVID-19 can induce mild to severe respiratory diseases, and inflammation, high fever, cough, acute respiratory tract infection, and dysfunction of internal organs which may result in death [4]. The current situation of prevention and control is grim. Coronavirus disease 2019 (COVID-19) has broken out and spread rapidly nationwide at the beginning of 2020, which has brought huge impacts to people and work. The current situation of prevention and control is severe and urges guidance for clinicians, especially for medical systems. In the hope of providing a reference and recommendation for the prevention and control of the COVID-19, we carried out research to improve the quality of patient care and prevention during this epidemic
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