Does elective orthopaedic surgery in pandemic era increase risk of developing COVID-19? A combined analysis of retrospective and prospective study at Cipto Mangunkusumo Hospital, Jakarta, Indonesia

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has severely affected the provision of health-care services in hospitals around the world, including bringing challenges to those who perform surgical procedures. Multidepartment data analysis will reflect the pandemic’s impact and challenges in managing surgical cases in various surgery departments. AIM: This study aims to assess the impact of COVID-19 lockdowns on surgical cases carried out in eight tertiary care center surgery departments. METHODS: Retrospective data from all patients in the eight surgery departments of Dr. Moewardi General Hospital, Surakarta, during the lockdown period due to COVID-19 were collected and compared to the period before the lockdown. Then, the data were analyzed regarding the effects of following the standard operating procedure for surgical services in the hospital during the lockdown period. RESULTS: All the surgery departments involved in the study showed a significant reduction in the number of patients treated during the lockdown period than before the lockdown, with a total number of cases across all departments of 2432, a decrease from 4503 before the lockdown. In surgical patient care, several special measures during the COVID-19 pandemic were carried out in outpatient, intraoperative, and inpatient services to reduce the virus spread to patients and health workers. CONCLUSION: The COVID-19 pandemic has severely affected the provision of health services in hospitals with a reduction in the number and types of patients in each surgery department, and the obligation to follow hospital protocols against COVID-19 has resulted in various treatments and services being delayed in all surgery departments.

“…The first case of COVID-19 in Indonesia was on March 2, 2020 [6]. As of March 14, 2021, positive confirmed cases in Indonesia reached 1,414,741 cases with 38,329 deaths.…”

Section: Discussionmentioning

confidence: 99%

“…Data from the Center for Disease Control and Prevention (CDC) are also a consideration for delaying planned operations. According to CDC data, about 25% of people who contracted COVID-19 did not show any symptoms [6], [8].…”

Section: Discussionmentioning

confidence: 99%

Surgery Department during Coronavirus Disease 2019 Virus Universitas Sebelas Maret to Sebelas Maret University

Putra

Yarso²,

Saadi³

et al. 2021

“…Likewise, various standard operating procedures were applied for patient screening until protocols in surgery or treatment of orthopedic patients with COVID-19. Kamal et al found that elective orthopedic surgery might not be associated with increased cases of COVID-19 cases [14].…”

Section: Discussionmentioning

confidence: 99%

A One-year COVID-19 Pandemic Effect on the Orthopaedic Field in Indonesia: A Cross-sectional Multi-center Study

Utomo

Haridhi²,

Yudistira³

2021

BACKGROUND: The World Health Organization announced the COVID-19 outbreak as a global pandemic on March 11, 2020. Despite the fact that orthopedists are not considered front-line staff in the fight against the pandemic, the pandemic has had an enormous impact on orthopedics daily practice. A few studies have looked at the pandemic effect on the orthopedics field, but none have looked at the impact of a 1-year pandemic, especially in Indonesia. MATERIALS AND METHODS: This cross-sectional multi-center study was conducted at seven tertiary referral hospitals in Indonesia. Through hospital medical records, data were collected for a year, starting from the month the Indonesian government announced the first case of COVID-19 (March 2020–February 2021) and compared to data from the year before COVID-19 as a control (March 2019–February 2020). In addition, the researchers analyzed the number of patients in the emergency room (ER), outpatient clinic, inpatient, and operating room. RESULTS: Overall, the number of orthopedic patients in the ER declined by 44% from 11.053 to 6.139 patients during the 1st year of the pandemic, with 28 patients reported as getting COVID-19. The outpatient clinic decreased by 34%, from 10.9780 to 72.200 patients, with two confirmed cases. Furthermore, the inpatient unit decreased from 15.365 to 9.526 patients, a 38% decrease, with the highest recorded case confirmed at 78 patients. The last, with 73 confirmed, showed a 27% reduction in OR from 12.954 to 9.431 patients. CONCLUSION: In this study, analysis on the effect of the COVID-19 pandemic on the field of orthopedics in seven tertiary referral hospitals in Indonesia shows a significant decrease almost in all units. LEVEL EVIDENCE: III, Cross-sectional multi-center study.

“…Since the first confirmed case of COVID-19 in Indonesia in early March 2020, all aspects of medical services in Indonesia have been affected [8]. It is ranged from primary care service until surgery service [9], [10], [11]. There were several previous papers that reported the effect of the COVID-19 pandemic to THA/TKA surgical service from other countries [12], [13].…”

Section: Discussionmentioning

confidence: 99%

Effect of Coronavirus Disease-19 Pandemic to the Volume of Total Hip and Knee Arthroplasty Surgical Service: Experience from a Single Tertiary Orthopedic Hospital in Indonesia

Santoso

Persada

Anwar

et al. 2020

The difficult situation of the coronavirus disease (COVID)-19 pandemic may affect to hip and knee arthroplasty service. Retrospective study was performed to patients who received elective total hip/total knee arthroplasty (THA/TKA) from January to September 2020 at Prof. Dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia. There were a total of 64 THA and 227 TKA from January to September of 2020. There was an extreme decrease in the number of TKA surgery during April, May, and June in 2020. The effect of coronavirus disease-19 pandemic to the decrease of arthroplasty service was mainly in the first 3 months period.