Impact of the COVID-19 pandemic on orthopedic surgical practice: international study

Meraghni, Nadhir; Bouyoucef, Hichem; Benkaidali, Riad; Hamza, Amine

doi:10.21203/rs.3.rs-26258/v1

Cited by 4 publications

(3 citation statements)

References 17 publications

(33 reference statements)

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“…The Orthopedic surgeons had received relevant training on protective measures, and they were frequently washing hands and wearing masks; however, there was an overall shortage of personal protective equipment. The Orthopedic surgeons had experienced extreme stress, and anxiety while performing their duties during COVID-19 pandemic (Meraghni et al, 2020). Jahanzeb et al (2020) conducted a study on the orthopedic surgeon in Pakistan, and revealed interesting findings.…”

Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 pandemic on working lives and psychological health of orthopedic surgeons in Pakistan

Khan

2020

Journal of Human Behavior in the Social Environment

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COVID-19 pandemic is a global health crisis. It has affected the working lives and psychological health of orthopedic surgeons in Pakistan. However, there is a lack of research on this topic, therefore the current study has examined the effects of COVID-19 Pandemic on the working lives and psychological health of orthopedic surgeons in Pakistan. Using a cross-sectional survey research design, data were collected from 364 orthopedic surgeons in Pakistan. Missing data analysis were performed with Little's Test for Missing Data. Descriptive Statistics were used to report results on effects of COVID-19 pandemic. Chisquare test was used to determine association between COVID-19 pandemic and psychological health. Findings revealed that majority of orthopedic surgeons were not directly involved in the care of COVID-19 patients, however, those who were involved had experienced a high level of stress, fear, and anxiety. It was because the orthopedic surgeons had no proper personal protection equipment, and government response toward COVID-19 was not satisfactory. Moreover, work-life balance of orthopedic surgeons was also disturbed. The COVID-19 pandemic is major health crisis. It has severely affected the working lives and psychological health of the orthopedic surgeons in Pakistan. The Orthopedic surgeons can cope with the psychological effects of COVID-19 through developing resilience and self-control. Moreover, they can avail social support from family, and engage in two-way communication and teambuilding activities in hospitals.

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Section: Discussionmentioning

confidence: 99%

Effects of COVID-19 pandemic on working lives and psychological health of orthopedic surgeons in Pakistan

Khan

2020

Journal of Human Behavior in the Social Environment

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“… 9 The pandemic has had a massive effect on the delivery of orthopaedic and trauma care services across the globe. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 Non-urgent, elective surgeries have been deferred, and there has been an increased emphasis on non-operative management of fractures.…”

Section: Introductionmentioning

confidence: 99%

Bioaerosols in orthopedic surgical procedures and implications for clinical practice in the times of COVID-19: A systematic review and meta-analysis

Sharma

John

Patel

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Introduction Orthopedic surgical procedures (OSPs) are known to generate bioaerosols, which could result in transmission of infectious diseases. Hence, this review was undertaken to analyse the available evidence on bioaerosols in OSPs, and their significance in COVID-19 transmission. Methods A systematic review was conducted by searching the PubMed, EMBASE, Scopus, Cochrane Library, medRxiv, bioRxiv and Lancet preprint databases for studies on bioaerosols in OSPs. Random-effects metanalysis was conducted to determine pooled estimates of key bioaerosol characteristics. Risk of bias was assessed by the RoB-SPEO tool; overall strength of evidence was assessed by the GRADE approach. Results 17 studies were included in the systematic review, and 6 in different sets of meta-analyses. The pooled estimate of particle density was 390.74 μg/m 3 , Total Particle Count, 6.08 × 10 6 /m 3 , and Microbial Air Contamination, 8.08 CFU/m 3 . Small sized particles (

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“…The SARS-CoV-2 virus has caused an unprecedented, catastrophic pandemic, which has adversely affected healthcare systems globally (1). As a result, the number of surgical procedures in hospitals has decreased substantially, owing in part to the potential risk of viral transmission through aerosols (2,3). Orthopaedic surgical procedures (OSP) are considered as aerosol generating procedures (AGP), chiefly due to the use of high-speed drilling and cutting tools, electrocautery and wound lavage systems (4,5).…”

Section: Introductionmentioning

confidence: 99%

Bioaersols in orthopedic surgical procedures and implications for clinical practice in the times of COVID-19 pandemic: a protocol for systematic review and meta-analysis

Sharma

John

Neradi

et al. 2020

Preprint

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Background Orthopedic surgical procedures involve a number of aerosol generating procedures; these include electrocautery, power instruments for bone cutting, burring and drilling, and tools for wound lavage. This assumes a great significance in the context of the current COVD-19 pandemic, as there are chances of aerosol-borne disease transmission in orthopedic surgical procedures. Hence, this systematic review and meta-analysis will be undertaken to assimilate and analyse the available evidence on bioaerosols in orthopedic surgical procedures and their significance with respect to SARS-CoV-2 virus transmission. Objectives To determine the characteristics (amount and/or density, size, infectivity, and spread etc.) of bioaerosols found in orthopaedic operating rooms (ORs) and to determine the characteristics of aerosols generated by different orthopaedic power tools and devices. Methods A systematic review and meta-analysis will be conducted. The PRISMA guidelines will be strictly followed. The primary search will be conducted on the PubMed, EMBASE, Scopus, Cochrane Library, medRxiv, bioRxix and Lancet preprint databases, using a well-defined search strategy. Any original research study (including cohort, case-control, case series, cadaveric studies and studies, animal models, laboratory based experimental studies) looking at aerosol generation in orthopedic surgical procedures, or aerosol generation by orthopaedic power tools and devices will included. Outcome measures will include characteristics (amount and/or density, size, infectivity, and spread etc.) of bioaerosols found in orthopaedic operating rooms (ORs) and those generated by various orthopaedics power tools and devices. Metanalysis using the random-effects model will be conducted to determined pooled estimates of the outcome variables. Heterogeneity will be assessed by the I2 test. Risk of bias will be assessed by the Risk of Bias in Studies estimating Prevalence of Exposure to Occupational risk factors (RoB-SPEO) tool. The overall strength of evidence will be assessed by the GRADE approach.

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Impact of the COVID-19 pandemic on orthopedic surgical practice: international study

Cited by 4 publications

References 17 publications

Effects of COVID-19 pandemic on working lives and psychological health of orthopedic surgeons in Pakistan

Effects of COVID-19 pandemic on working lives and psychological health of orthopedic surgeons in Pakistan

Bioaerosols in orthopedic surgical procedures and implications for clinical practice in the times of COVID-19: A systematic review and meta-analysis

Bioaersols in orthopedic surgical procedures and implications for clinical practice in the times of COVID-19 pandemic: a protocol for systematic review and meta-analysis

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