Impact of COVID-19 Protocols on Primary and Revision Total Hip Arthroplasty

Sybert, Michael; Oakley, Christian T; Christensen, Thomas H.; Bosco, Joseph; Schwarzkopf, Ran; Slover, James

doi:10.1016/j.arth.2022.05.035

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…In a large institutional database study, there was no difference in superficial and deep surgical infection rates during COVID-19 19 . This was found, despite most hospitals implementing strict hygienic standards and mask mandates.…”

Section: Tja Quality Metrics and Outcomes During Covid-19mentioning

confidence: 93%

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The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Sniderman,

Abdeen

2023

JBJS Reviews

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» The COVID-19 global pandemic resulted in unprecedented disruptions in care including massive surgical cancelations, a shift to outpatient surgery, and novel medical risks posed by COVID-19 infection on patients undergoing joint replacement surgery.» Refined patient optimization pathways have facilitated safe, efficient outpatient total joint arthroplasty in patient populations that may not otherwise have been considered eligible.» Rapid innovations emerged to deliver care while minimizing the risk of disease transmission which included the widespread adoption of telemedicine and virtual patient engagement platforms.» The widespread adoption of virtual technology was similarly expanded to resident education and continuing medical activities, which has improved our ability to propagate knowledge and increase access to educational initiatives.» Novel challenges borne of the pandemic include profound personnel shortages and supply chain disruptions that continue to plague efficiencies and quality of care in arthroplasty and require creative, sustainable solutions.

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Section: Tja Quality Metrics and Outcomes During Covid-19mentioning

confidence: 93%

“…Patients who underwent primary or revision TJA during the COVID-19 pandemic were more likely to have a reduced length of stay and be discharged directly home 3,9,19 . The average length of stay (LOS) in 2021 and 2020 for TJA was significantly shorter than in prepandemic 2019 3,12 .…”

Section: Tja Quality Metrics and Outcomes During Covid-19mentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Sniderman,

Abdeen

2023

JBJS Reviews

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Addressing an increase in surgical site infections during the COVID-19 pandemic—Identifying opportunities during a chaotic time

Plummer

Zepeda

Reese

2023

American Journal of Infection Control

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The impact of COVID-19 prevention measures on surgical wound infection rates post-cardiac surgery

Bashir,

Holmes,

Suresh

et al. 2023

Monaldi Arch Chest Dis

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The COVID-19 pandemic had a huge impact on medical services. Several measures have been implemented to reduce the risk of viral transmission. In this paper, we assessed the impact of these measures on surgical wound infection rates in patients post-cardiac surgery. Hypothesis testing was used to compare post-cardiac operation infection rates between the year prior to the COVID-19 pandemic being declared and the first 13 months of the pandemic. The infection rates in 969 patients with operations between 01/03/2019 and 29/02/2020 were compared to those of 925 patients with cardiac surgery between 01/03/2020 and 31/03/2021. Infection rates for various operative urgencies and infection types were analysed. To compare infection rates, a two-tailed pooled z-test using the difference in infection proportions was performed. A 5% significance level was used and only categories with at least 10 patients in both the pre-covid and covid populations were tested. For leg infections, only operations involving coronary artery bypass grafting were included. To ensure that any differences in outcomes were not due to differences in patient demographics resulting in unequal operative risks, Euroscore II values, a measure of cardiac operative risk, were compared between the pre-covid and post-covid cohorts. The Mann-Whitney U-test was used to determine whether the distributions of Euroscore II values were likely to be drawn from the same population. A significance level of 5% was used. A total of 1901 patients (932 during the COVID-19 pandemic) were included in this study. Significant reduction in post-operative infections for all patients undergoing cardiac surgery from 4.3% of patients before COVID to 1.5% during the pandemic. During the pandemic, fewer elective and more urgent operations were performed. This study suggests a significant role of iatrogenic causes in wound infections prior to the pandemic. The implementation of COVID-19 prevention measures in healthcare providers can reduce surgical infection rates. As COVID-19-related restrictions have been eased, we suggest maintaining them in healthcare providers to reduce the incidence of surgical wound infections.

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Impact of COVID-19 Protocols on Primary and Revision Total Hip Arthroplasty

Cited by 3 publications

References 32 publications

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

The Impact of the COVID-19 Pandemic on the Practice of Hip and Knee Arthroplasty

Addressing an increase in surgical site infections during the COVID-19 pandemic—Identifying opportunities during a chaotic time

The impact of COVID-19 prevention measures on surgical wound infection rates post-cardiac surgery

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