Orthopaedic trauma during COVID-19: Is patient care compromised during a pandemic?

The Coronavirus disease-2019 (COVID-19) placed unprecedented pressure on the healthcare system. Many institutions implemented a government-mandated restructured set of safety and administrative protocols to treat urgent orthopaedic trauma patients. The objective of this study was to compare two coho...

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Bibliographic Details
Published in:Journal of clinical orthopaedics and trauma 2021-07, Vol.18, p.181-186
Main Authors: Batko, Brian D., Hreha, Jeremy, Potter, James S., Guinand, Luis, Reilly, Mark C., Sirkin, Michael S., Vosbikian, Michael M., Adams, Mark R.
Format: Article
Language:English
Subjects:
Cepheid
Clinical outcomes
Orthopaedic trauma
Patient safety protocols
Surgical site infections
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Summary:The Coronavirus disease-2019 (COVID-19) placed unprecedented pressure on the healthcare system. Many institutions implemented a government-mandated restructured set of safety and administrative protocols to treat urgent orthopaedic trauma patients. The objective of this study was to compare two cohorts of patients, a COVID group and non-COVID control group, and to evaluate the effectiveness of safety measures outlined in the Rutgers Orthopaedic Trauma Patient Safety Protocol (ROTPSP). Secondary outcomes were to elucidate risk factors for complications associated with fractures and COVID-19. Patients treated for orthopaedic traumatic injuries were retrospectively identified between March and May 2020, and compared to a series of patients from the same time period in 2018. Main outcome measures included surgical site infections (SSI), length of stay (LOS), post-operative LOS (poLOS), presentation to OR time (PORT), and length of surgery. After review, 349 patients (201 non-COVID, 148 COVID) undergoing 426 surgeries were included. Average LOS (11.91 days vs. 9.27 days, p = 0.04), poLOS (9.68 days vs. 7.39 days, p = 0.03), and PORT (30.56 vs. 25.59 h, p 
ISSN:0976-5662
2213-3445
DOI:10.1016/j.jcot.2021.04.023