The Impact of Covid-19 on the Orthopedic Care System in a Private Hospital

Abstract

Objective: To evaluate and compare the patient flow in the emergency department and the number of surgeries performed, as well as to determine the incidence of diseases due to the impact generated by the pandemic in April, May, June, and July 2020. Methods: This is a retrospective cross-sectional study that analyzed medical records using the TASY Phillips software. The 2019 information was compiled and served as a basis accomplish our comparative analyses. The ICD-10 was used to determine the different conditions considering the highest incidence of them. Results: there was a reduction in attendance of 49.3%; the reduction in the number of surgeries was 34.39%; among the main diagnoses in decreasing order were: Pain in the Lumbar Spine (18.76%), Joint Pain (14.82%), Neck Pain (7.7%), Ankle Sprain (4.2%) and Pain in the Limb (3.54%). Conclusion: There was a decrease in the number of visits and the overall incidence of surgeries in our service. Level of Evidence II, Retrospective Study.

Covid-19: Spine Surgery and Doctor Training at a Hospital in Brazil

“…3 With the emergence of these distancing measures, only essential activities of society were maintained, such as urgent and emergency health services, and patient demand for hospitals decreased, in addition to a change in the epidemiological profile of diseases. 4 In the context of specialized orthopedic spine care, there has been a reduction in the number of surgeries performed during the pandemic and a relatively greater decrease in elective surgeries scheduled by SUS in Brazil. 5 This study aims to identify the change in the epidemiological profile of patients undergoing surgical procedures at a specialized referral service for spinal surgery in the state of São Paulo (Hospital das Clínicas Orthopedics and Traumatology Institute at FMUSP) and to assess the impact on the training of spine residents at the service, during the period from March 2019 to February 2020 (pre-pandemic) and March 2020 to February 2021 (during the pandemic).…”

A ocorrência de infecção por COVID-19 em pacientes assintomáticos na testagem pré-operatória

“…A doença do coronavírus (COVID-19) tornou-se responsável pelo colapso dos serviços públicos e privados nos sistemas de saúde [1][2][3][4] . Devido ao seu grande potencial de transmissão, contágio e letalidade no mundo, a Organização Mundial em Saúde (OMS) declarou o surto uma Emergência de Saúde Pública de Interesse Internacional (ESPII) e, posteriormente, em março de 2020, foi caracterizado como uma pandemaia 5 .…”

“…A COVID-19 é uma infecção respiratória aguda altamente transmissível e com grande potencial de gerar gravidades 4 que tem espectro de apresentação clínica amplo, desde pacientes assintomáticos até pacientes com doença crítica 6 .…”

“…Diante da situação sem precedentes, em março de 2020, autoridades governamentais optaram por priorizar os atendimentos da grande demanda de pacientes infectados pelo novo coronavírus e suspenderam as consultas e procedimentos eletivos por períodos indeterminados conforme a situação epidemiológica de cada país 2,4 .…”