The COVID-19 pandemic has caused all countries to limit their activities to reduce transmission. In the orthopedic and traumatology services, the COVID-19 pandemic has limited the number of non-emergency surgeries, rescheduling activities, limiting hospitalization, etc. This study aimed to quantify the change in the number of visits, trauma cases, surgeries, and telemedicine in orthopedic and traumatology services. The search was carried out on the PubMed, Research Gate, MedRxiv, Elsevier, Link Springer, and Medline databases. The inclusion criteria of the articles used were observational studies. The assessment of the articles’ validity was carried out using a checklist made by the Joanna Briggs Institute. The data being synthesized is limited to quantitative data only. From the 19 articles meeting inclusion criteria, it was found that there was a decrease in the number of visits by 22.4%-86.1%. In additions, there is a decrease in the number of trauma cases by 21.1%-91.2%, lower limb trauma by 20%-77.7 %, upper limb trauma by 6%-78.8%, surgeries by 21.7%-88.8%, elective surgeries by 50%-100%, a change in the number of trauma cases and hip fractures, and an increase in the number of telemedicine application by 9.28%-21.87% in COVID-19 pandemic periode (2020) compared to the pre-COVID-19 pandemic periode (2019 or less). The COVID-19 pandemics affecting the orthopedic and traumatology services decreased the number of visits, especially trauma cases, and surgical intervention
Aims This study was conducted to determine the clinical characteristics and risk factors of reduced ejection fraction (EF) in coronary artery disease (CAD) patients undergoing percutaneous coronary intervention (PCI). Methods and Results Analytical observational study with a cross-sectional study design was conducted. All patients diagnosed with CAD and had a history of PCI at Sanglah Hospital from December 2020 – June 2021 were enrolled. Univariate analysis was performed to demonstrate the baseline characteristics of the patients. Chi-Square analysis was performed to determine the association between variables. Kruskal-Wallis analysis was performed to determine the differences in clinical characteristics between groups of patients based on the EF. There were 196 patients included in this study. Most of the patients were male (n = 135, 68.9%), with median age of 59 (22-81). The median of the EF was 59.2% (22-81). The most common comorbid found in the patients was hypertension (n = 108, 55.1%). Chi-Square analysis showed a significant association between hyperuricemia (p = 0.019; PR = 1.815; 95%CI= 1.163-2.831), arrhythmias (p = 0.002; PR = 2.271; 95%CI=1.491-3.459), and cardiomegaly (p = 0.011; PR = 1.722; 95%CI=1.151-2.577) with the reduced EF. In logistic regression analysis, arrhythmia (p = 0.009; PR = 4.191; 95%CI=1.426-12.320) was significantly associated with reduced EF. Kruskal-Wallis analysis showed a significant difference in white blood cell (p = 0.021), neutrophil (p = 0.027), and serum glutamic pyruvic transaminase (p = 0.013) in patients based on the EF. Conclusion The comorbidity of CAD had a significant association with the reduced EF. Early intervention against this factor can improve the quality of management in the patient.
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