Single vs Dual-site service reconfiguration during Covid-19 pandemic - A tertiary care centre experience in hip fractures and a Scoping review

Muhammad, Milan; Ayton, Sarah L; Hejmadi, Shruthi; Minhas, Jatinder S.; Morgan, N.; Peek, A.

doi:10.1016/j.jcot.2022.101890

Cited by 1 publication

(5 citation statements)

References 55 publications

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“…Where adequate infrastructural capacity exists, dual-site services are recommended to improve patient care. However, a more granular appreciation of logistical and clinical issues is critical to avoid errors that may result in suboptimal outcomes [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…During the pandemic, better clinical outcomes were seen in patients treated in a dual-site system compared with the traditional single-site model [ 11 , 27 ]. A dual-site system aims to deliver equal treatment at geographically separate sites to patients based on their COVID-19 infection status.…”

Section: Discussionmentioning

confidence: 99%

“…One of the most beneficial aspects of this arrangement is a reduction in nosocomial transmission. A prospective comparison of single vs dual-site service reconfiguration for hip fractures during the pandemic found greater nosocomial transmission for single-site services [ 11 ]. Another study found time to surgery to be longer at the ‘COVID’ sites compared with ‘COVID-free’ sites with no increase in mortality [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Another study found time to surgery to be longer at the ‘COVID’ sites compared with ‘COVID-free’ sites with no increase in mortality [ 27 ]. Overall, in a scoping review examining dual vs single-site services during the pandemic, a dual-site configuration was generally favoured where the hospital infrastructure allowed such an arrangement [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Early data from areas severely affected by the pandemic indicated that separate pathways for patients with and without the disease were the most critical element in providing a safe environment for patients and staff while maintaining hospital activity [ 10 ]. This was most effectively achieved by reorganising the surgical services on two sites with ‘COVID-19’ and ‘non-COVID-19’ hospitals using specialist teams [ 11 - 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Hip Fracture Surgery in Trinidad and Tobago During the COVID-19 Pandemic: An Analysis of Two Patients Treated in the Parallel Healthcare System

Mencia¹,

Moonsie²,

Cruz³

2022

Cureus

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The rapid spread of the deadly coronavirus disease 2019 (COVID-19) pandemic has fundamentally affected healthcare delivery globally. As governments struggled to preserve life, several approaches to healthcare delivery have emerged. Central to limiting viral transmission is the separation of patients based on their COVID-19 status. Studies have shown that a geographically separate dual-site service is preferable, contingent upon the local infrastructure and circumstances. Despite the restrictions on free movement, most studies indicate that low-energy hip fractures in elderly patients have remained relatively constant throughout the pandemic. Arguably these patients represent the most vulnerable subgroup in society and are susceptible to developing severe COVID-19 respiratory disease.In keeping with global recommendations, the government of Trinidad and Tobago devised a parallel healthcare system to limit the spread of disease. All regional health authorities under the Ministry of Health were at liberty to implement the system in a manner best suited for their particular infrastructure leading to highly variable practices among institutions. This report describes the clinical course of two hip fracture patients treated within the parallel healthcare system at different regional health authorities. Analysis of these cases provides an understanding of the potential risks to patients entering the parallel healthcare system and an insight into preventative measures to improve clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%