COVID-19 Collateral Damage: Management of Periprosthetic Joint Infection in Malaysia

Khan, Mohammed Harris Anwarali; Kow, Ren Yi; Ramalingam, Sasidaran; Ho, Jade Pei Yuik; Raj, Jeffrey Jaya; Annamalai, Kunalan Ganthel; Low, Chooi Leng

doi:10.7759/cureus.18820

Cited by 9 publications

(15 citation statements)

References 14 publications

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Section: Introductionmentioning

confidence: 99%

“…After the outbreak of coronavirus disease 2019 (COVID- 19), not many countries were capable of handling this novel virus (severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)) [23][24][25]. On March 12, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic when the number of infected cases exceeded 110,000 in 114 countries [23][24][25]. Shortly after the declaration of the COVID-19 pandemic, various countries subsequently introduced lockdown measures at different times to stymie the spread of infections [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

“…On March 12, 2020, the World Health Organization (WHO) declared COVID-19 a pandemic when the number of infected cases exceeded 110,000 in 114 countries [23][24][25]. Shortly after the declaration of the COVID-19 pandemic, various countries subsequently introduced lockdown measures at different times to stymie the spread of infections [23][24][25]. In Malaysia, the first lockdown in the form of movement control order (MCO) was introduced on March 18, 2020, in an attempt to reduce the number of infected cases due to limited knowledge of this novel virus and the absence of a definitive cure at that time [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of Geriatric Hip Fractures in a Tertiary Referral Center in Malaysia During the COVID-19 Pandemic

Anwarali Khan,

Kow,

Ramalingam

et al. 2023

Cureus

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IntroductionWith the advancing age of the population, there are an increasing number of patients with geriatric hip fractures. Despite the advancement of surgical knowledge and improvement of implant designs to treat geriatric hip fractures, mortality and morbidity remain high among these frail patients. In conjunction with the COVID-19 pandemic, the collateral damage dealt to these patients remains unknown as scarce resources are funneled to deal with the pandemic. This study is geared to investigate the surgical outcomes of patients with geriatric hip fractures who were admitted during the initial phase of the COVID-19 pandemic. MethodsThis retrospective study was carried out at Hospital Kuala Lumpur, the largest public hospital in the capital of Malaysia, from March 1, 2020, to March 1, 2021. All patients of age 60 years and above were screened for suitability. Only patients who had undergone surgical intervention during the study period were included in this study. Patients' demographic data, mechanism of injury, waiting time for surgery, type of surgery, complications and ambulatory status were obtained from the medical records. Univariate analysis was performed to determine the factors associated with complications as well as the post-operative ambulatory status of the patients. ResultsA total of 52 patients were included in this study, with a median age of 72 years. The majority of the patients were Chinese (n=21, 40.4%). This was followed by Malay and Indian (n=14, 26.9% each) and other ethnicity (n=3, 5.8%). More than three-quarters of the patients had a trivial injury such as a fall due to a miss-step (n=16, 30.8%) and slip (n=16, 30.8%) and a fall due to dizziness (n=8, 15.4%). Only 12 patients (23.1%) sustained hip fractures due to trauma. The median time to surgery for these patients was 5 days (interquartile range: 4 days). Most of these patients underwent total hip replacement (n=30, 57.7%). This was followed by unipolar hemiarthroplasty (n=11, 21.2%), bipolar hemiarthroplasty (n=10, 19.2%) and internal fixation (n=1, 1.9%). Among these patients, six of them had documented complications. There were periprosthetic joint infection (n=2, 3.8%), dislocation (n=2, 3.8%), hematoma formation (n=1, 1.9%) and seroma (n=1, 1.9%). Six months after the surgery, most of the patients were able to ambulate, albeit some patients required walking aid such as walking stick and walking frame. Univariate analysis showed that all the factors were not associated with the complications and the post-operative ambulatory status of the patients. ConclusionThe incidence of geriatric hip fractures remains high during the COVID-19 pandemic despite the movement control order (MCO) being enforced in Malaysia. With prompt surgical intervention, most of the patients can regain ambulatory status, albeit with a walking aid.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes of Geriatric Hip Fractures in a Tertiary Referral Center in Malaysia During the COVID-19 Pandemic

Anwarali Khan,

Kow,

Ramalingam

et al. 2023

Cureus

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“…Particularly this pandemic situation affected workers in the field of medicine and health. For example, surgeons had to perform surgical procedures for patients with confirmed coronavirus infection who needed immediate treatment ( 1 – 3 ).…”

Section: Introductionmentioning

confidence: 99%

Case Report: Complex Treatment Using Vibroacoustic Therapy in a Patient With Co-Infection and COVID-19

et al. 2022

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The present report highlights a case of successful treatment of a 59-year-old patient who experienced pain, swelling, hyperemia, the presence of a wound of the right knee joint, impaired function of the right lower limb, weakness, fatigue, and labored breathing. Sepsis was detected in the patient as a result of periprosthetic infection with concomitant severe COVID-19. The patient was admitted to the hospital for 59 days, with 57 days of treatment of the patient at the intensive care unit. A therapy of multiple organ failure involved complex treatment using antiviral and combined antibiotic therapy, taking into account the sensitivity of the pathogen to antibiotics; glucocorticoid therapy; anticoagulant therapy; the concept of non-invasive ventilation; and vibroacoustic pulmonary therapy as a method of physiotherapy as well. An integrated approach using a vibroacoustic device in the therapy of the patient with sepsis due to periprosthetic infection with concomitant coronavirus infection had a positive effect despite the lack of etiological treatment against the COVID-19.

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“…Since the start of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-induced coronavirus disease 2019 (COVID-19) pandemic, there has been a monumental toll on the healthcare system [ 1 ]. On top of a large number of patients who contracted COVID-19, there is also colossal collateral damage to the healthcare system whereby many patients suffering from non-COVID-19-related diseases have been receiving delayed or sub-standard treatment [ 1 , 2 ]. Thus far, with more than 4.45 million people diagnosed with COVID-19 in Malaysia, there have been 35,583 deaths (28,050 in-patient deaths and 7,533 brought-in-dead) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Infodemiology: Association Between Google Search and Vaccination in Malaysian Population

Kow¹,

Rafiai²,

Alwi³

et al. 2022

Cureus

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BackgroundIn light of the ongoing coronavirus disease 2019 (COVID-19) pandemic, vaccination is one of the most important defensive strategies in combating the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Vaccine hesitancy or anti-vaccination attitude has become a barrier to the nationwide vaccination program, potentially sabotaging the effectiveness of vaccination. Thus far, Google Trends (GT) has been used extensively for monitoring information-seeking behavior during the pandemic. We aimed to investigate the association between Google search, the vaccination rate, and the number of vaccinated and infected cases among the Malaysian population. Material and methodGT's customizable geographic and temporal filters were applied to include results for predetermined keywords from January 1, 2021, to December 31, 2021. Both Malay and English languages were used to reflect the multi-racial and multi-lingual community in Malaysia. The search volume index (SVI) derived was compared with the numbers of vaccinated and infected cases which were extracted from the open-access database (COVIDNOW in Malaysia) within the same period. Both analyses were performed independently by two authors to ensure accuracy of the data extraction process. A descriptive analysis was used to compare GT analyses and the number of daily vaccinations and positive COVID-19 cases. ResultsThe information-seeking behavior in the public fluctuated from time to time. The interest surged during the initiation of vaccination program and upon the outbreak of COVID-19 in Malaysia. The surge in interest prior to the peak of vaccination rate also indicated that the public tended to get information online prior to getting the vaccines. ConclusionThis observational study illustrates the ability of GT to monitor the interest of vaccination among the Malaysian population during the pandemic. By monitoring the dynamic changes in Google Trends, healthcare authorities can get a glimpse of public perceptions such as attitude towards COVID-19 vaccine, hence potentially identify and stymie any dangerous online anti-vaccination rhetoric swiftly.

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COVID-19 Collateral Damage: Management of Periprosthetic Joint Infection in Malaysia

Cited by 9 publications

References 14 publications

Outcomes of Geriatric Hip Fractures in a Tertiary Referral Center in Malaysia During the COVID-19 Pandemic

Outcomes of Geriatric Hip Fractures in a Tertiary Referral Center in Malaysia During the COVID-19 Pandemic

Case Report: Complex Treatment Using Vibroacoustic Therapy in a Patient With Co-Infection and COVID-19

COVID-19 Infodemiology: Association Between Google Search and Vaccination in Malaysian Population

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