Orthopedic healthcare in the time of COVID-19: Experience of the orthopedic surgery department at Mustapha Bacha Hospital, Algeria

Meraghni, Nadhir; Benkaidali, Riad; Derradji, Mohamed; Kara, Zoubir

doi:10.1016/j.amsu.2020.05.025

Cited by 5 publications

(5 citation statements)

References 15 publications

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“…It is worth noting that the reduction in the number of trauma outpatients and trauma procedures may also be caused by restrictions on social life (especially restrictions on sports activities). Many studies have also pointed to limitations in the education of both medical students and young doctors (residents) [ 2 – 4 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on orthopaedic and traumatological care in Prague, the capital of the Czech Republic

et al. 2022

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The coronavirus disease (COVID-19) has significantly affected society, especially healthcare systems worldwide. The aim of this retrospective study is to evaluate the impact of the COVID-19 pandemic on orthopaedic and trauma healthcare at the largest university hospital in the Czech Republic. The evaluated periods were in accordance with three waves of the disease and three respective lockdowns. To correlate the results, we evaluated the number of patients (inpatients and outpatients) treated in the same period in the last 3 years before the pandemic. The number of orthopaedic outpatients during the lockdown period decreased by 54.12% (p = 0.002), 42.88% (p <0.001), and 34.53% (p = 0.03) in the first, second, and third lockdowns, respectively. The number of elective surgeries decreased by 69.01% (p <0.001), 87.57% (p <0.001), and 74.89% (p = 0.007) and the number of acute surgeries decreased by 33.15% (p = 0.002), 37.46% (p <0.001), and 27.24% (p = 0.034) in the first, second, and third lockdowns, respectively. This study showed a significant reduction in the healthcare of orthopaedic and trauma patients owing to the COVID-19 pandemic and emphasised the shortcomings of the healthcare system. In our study, there was a reduction in both outpatient (reduction of care by 24–54%) and inpatient care. The elective surgeries were reduced by 69–87% during different lockdown periods compared with the reference period. Based on the results of this study, we can formulate organisational measures to mitigate the impact of the pandemic on orthopaedic healthcare. Organisational procedures created based on acquired data and experience should maximise the bed capacity of the workplace and work efficiency with regard to the safety of medical staff.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on orthopaedic and traumatological care in Prague, the capital of the Czech Republic

et al. 2022

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“…The risk of COVID-19 infection has necessitated the worldwide reduction in the size of surgical teams in the operating room ( Lancaster et al 2020 , Meraghni et al 2020 ). This facilitated distancing during surgeries, reduced the likelihood of transmission and allowed scarce PPE to be used elsewhere.…”

Section: Surgical Protocol Changesmentioning

confidence: 99%

“…Telephone consultations were cheaper than video conferences but failed to provide a solution to the loss of physical examination ( Gilbert et al 2020 , Meraghni et al 2020 ). This can present a significant challenge in a speciality like orthopaedics where observing the patient can be critical in diagnosis.…”

Section: Telemedicinementioning

confidence: 99%

The orthopaedic experience of COVID-19: A literature review

Al-Kulabi

Mansour

Thahir

2021

Journal of Perioperative Practice

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This literature review aims to provide an account of the changes to orthopaedics in the era of COVID-19. Herein, the authors explored the use of telemedicine in orthopaedics as well as changes in surgical protocols, screening methods, work priorities and orthopaedic education. There was increased utilisation of telemedicine in orthopaedic training and outpatient cases as a means to provide continuity in education and care. The need to implement social distancing measures, coupled with the reduced availability of staff, has dictated that the practice of orthopaedics shifts to focus on acute care whilst redistributing resources to front-line specialities. This was facilitated by the cancellation of electives and the reduction of outpatient clinics. Thus, it is demonstrated that major changes have been implemented in many aspects of orthopaedic practice in order to address the challenges of the COVID-19 pandemic.

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“…Reports indicate that COVID 19 cases are increasing every day (4) with the number of confirmed cases exceeding 230 million and almost five million people losing their lives to this devastating disease (5). The first confirmed case of COVID-19 in Algeria was reported on February 25, 2020 (6). According to the Algeria Press Service, as of September 07, 2022, the total number of confirmed cases stands at 270489 and that of deaths remain unchanged at 6879 cases, while the number of cured patients has increased to 182127 cases (7).…”

Section: Introductionmentioning

confidence: 99%

The management of COVID 19 by plant extracts, essential oils and phytoconstituents: A review

Elkolli

2022

ACTA PERIOD TECHN

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Coronavirus disease (COVID-19) is caused by severe acute respiratory syndrome virus 2 (SARSCoV- 2), it is a virus belonging to the family Coronaviridae which includes zoonotic viruses infecting mammals and birds. This disease emerged in December 2019 in Wuhan, China, and quickly developed into a global pandemic with high mortality rates. The magnitude of the pandemic has involved a global collaborative scientific response to develop effective preventive and therapeutic means using both traditional and advanced techniques. However, to date specific therapies for COVID-19 are not well established and only a few vaccines are approved for emergency use. Herbal remedies, especially essential oils (EOs) can boost immunity which plays a decisive role in the initiation and progression of the disease in the preliminary stage of a COVID-19 infection. The low cost and availability of medicinal plants as well as the almost non-existent side effects encourages their widespread use during the pandemic, hence a great need to identify plant extracts for anti-COVID 19 use. Although the majority of studies are done in silico, with little in vivo or in vitro study, we can have an idea for further later experiments.

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Orthopedic healthcare in the time of COVID-19: Experience of the orthopedic surgery department at Mustapha Bacha Hospital, Algeria

Cited by 5 publications

References 15 publications

Impact of the COVID-19 pandemic on orthopaedic and traumatological care in Prague, the capital of the Czech Republic

Impact of the COVID-19 pandemic on orthopaedic and traumatological care in Prague, the capital of the Czech Republic

The orthopaedic experience of COVID-19: A literature review

The management of COVID 19 by plant extracts, essential oils and phytoconstituents: A review

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