A seven week observational analysis of clinical activities in a North Italian orthopaedic hospital during the second wave of SARS-CoV-2 pandemic: far from usual volumes, but different from the first wave

Zagra, Luigi; Faraldi, Martina; Andreata, Mauro; Ottaiano, Immacolata; Basile, Giuseppe; Lombardi, Giovanni

doi:10.1007/s00264-021-05064-8

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The authors suggest that the paucity of resources such as personal protective equipment during the first wave and the attempt to spare resources for the care of COVID patients led to the reduction in JRs early on in the pandemic while better preparation during the second wave helped to minimise the disruptions. Another report from a single orthopaedic hospital in Milan (Itlay) shows a larger decrease of hospital admissions and elective surgeries during the second wave than what we observed in southern Sweden [21]. This decrease may be explained by the strict lockdown and the significantly higher rate of COVID infections observed in Italy from September to December 2020.…”

Section: Discussioncontrasting

confidence: 41%

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

et al. 2021

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Purpose To investigate the impact of COVID-19 in Sweden on rates of knee and hip surgeries. Methods We used healthcare data for the population of the southernmost region in Sweden (1.4 million inhabitants). We did an interrupted time-series analysis to estimate changes in rates and trends of joint replacements (JR), arthroscopies, and fracture surgeries for knee or hip in April–December 2020 compared to pre-COVID-19 levels adjusting for seasonal variations. Results We found a drop of 54% (95% CI 42%; 68%) and 42% (95% CI 32%; 52%), respectively, in the rate of JRs and arthroscopies in April 2020 when compared to the counterfactual scenario. This was followed by an increase that brought the rates of JRs and arthroscopies back to their predicted levels also during the beginning of the second wave (November–December 2020). Acute fracture surgeries were largely unaffected, i.e. did not show any decrease as observed for the other surgeries. Conclusions In southern Sweden, we observed a marked decrease in elective knee and hip surgeries following the first wave of Covid-19. The rates remained close to normal during the beginning of the second wave suggesting that important elective surgeries for patients with end-stage osteoarthritis can still be offered despite an ongoing pandemic provided adequate routines and hospital resources.

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Section: Discussioncontrasting

confidence: 41%

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

et al. 2021

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“…During these new epidemic waves, elective surgical activity was heavily reduced but not completely abolished [ 10 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care—A Single-Center Study

Vicenti

Bizzoca

Pesare

et al. 2022

JCM

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Purpose: In orthopedics and traumatology, as a direct consequence of the COVID-19 first wave, there was a massive reorganization and a stop to all elective activities, which were postponed. In this study, we aimed to analyze the impact of the COVID-19 pandemic on orthopedic surgery in Apulia during the second wave, from March to June 2021 (when Apulia was under social distancing restrictions), and during the third wave, from September to December 2021 (when Apulia was under no restrictions). We compared these months to the same periods in 2019 for an evaluation of the surgical decrease during the pandemic period. Methods: We performed a retrospective analysis of major orthopedic procedures, day-surgery procedures and urgent procedures (trauma and non-traumatic amputation) performed during the second and third waves of the pandemic in our clinic, and we compared these data with the same procedures performed in the corresponding periods of 2019, before the pandemic. Results: Surgical activity was significantly decreased during both periods; the only increase in surgical activity in 2021 compared to 2019 was in total hip, knee and shoulder arthroplasty, with a surge of +7.69% registered in the period September–December 2021. Conclusions: Longer waiting lists and limited healthcare resources were the big challenges for the orthopedic community, and they still represent a substantial issue to confront today.

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A seven week observational analysis of clinical activities in a North Italian orthopaedic hospital during the second wave of SARS-CoV-2 pandemic: far from usual volumes, but different from the first wave

Cited by 2 publications

References 11 publications

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

The impact of first and second wave of COVID-19 on knee and hip surgeries in Sweden

Second and Third Pandemic Waves in Apulia: How COVID-19 Affected Orthopedic and Trauma Care—A Single-Center Study

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