Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process

Williams, Alexander; Beamish, Andrew J.; Brown, C.; Robinson, Denise; Harper, Elizabeth Ryan; Mellor, Katie; Hopkins, Luke; Luton, Oliver; James, Osian; Harries, Rhiannon L; Thomas, Rhys; Egan, Richard; Lewis, Sophie; Abdelrahman, Tarig; Evans, Thomas Horace; Lewis, Wyn G.

doi:10.1002/bjs.11747

Cited by 40 publications

(30 citation statements)

References 10 publications

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“…In our hospital, suspected patients are examined in a separated CT room different from the other patients. Statements with consensus agreement from an international Delphi process supported a distinction of surgery between protocols involving patients with suspected COVID-19 and those perceived to be free of infection 17 . Patients are admitted to the ward only when the pneumonia has been excluded by the sputum culture and CT. Preoperative preparation includes blood work, medical evaluation, chest x-ray and an EKG are performed while waiting for the COVID-19 test result.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis to the Cause of Hand Injuries and Its Countermeasures During the COVID-19 Outbreak and Work Resumption Period

Jin

Zhou

Lü

2020

Preprint

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Abstract Background: Under the new circumstance of COVID-19 pandemic, a full cognition of hand injury patterns may help with the injury prevention of the factories and management of medical institutions.Methods: 38 patients were admitted to the orthopedics department with an emergent hand injury, were retrospectively collected from January 23th, 2020 to March 23,2020 . Information about demographics, type of injury, location of the injury, side of the lesion, mechanism of the injury, place where injuries occurred, surgical management and outcome was collected.Results: The number of total emergency visits of hand injury during the outbreak of COVID-19 decreased 37% from the same period of last year, and during the work resumption it had achieved an increase of 25.7%. Most of the injured patients during the stage of COVID-19 outbreak were women (60%) with a mean age of 56.7, while in the stage of work resumption were men (82.1%) with a mean age of 47.4. Most of the injury occurred at work (60.7%), and machine injury was the most frequent injury mechanism (67.9%). Fingers were the most common injured part. The majority of the injuries were classified to be minor or moderate (90%) in the outbreak, and major (42.9%) in the work resumption.Conclusion: We found an increased number of hand injuries, especially machine injury during the period of people returning to work after the outbreak of COVID-19. Medical institutions should be aware of the pattern of hand injuries during this special time in order to prepare services accordingly. Level of evidence: Level IV.

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Section: Discussionmentioning

confidence: 99%

Clinical Analysis to the Cause of Hand Injuries and Its Countermeasures During the COVID-19 Outbreak and Work Resumption Period

Jin

Zhou

Lü

2020

Preprint

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“…In our hospital, patients who are suspected of being infected are examined in a separated CT room, different than the one used for other patients. Statements with a consensus agreement from an international Delphi process supported a distinction of surgery between protocols involving patients with suspected COVID-19 and those perceived to be free from infection 17 . Patients are admitted to the ward only when pneumonia has been excluded by the sputum culture and CT. Preoperative preparation includes blood work, a medical evaluation, a chest x-ray, and an EKG -which are performed while waiting for the COVID-19 test results.…”

Section: Discussionmentioning

confidence: 99%

A clinical analysis of causes of hand injuries and their countermeasures during the COVID-19 outbreak and work resumption period

Jin

Zhou

Lü

2020

Preprint

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Background: In the new circumstances created by the COVID-19 pandemic, fuller knowledge of hand injury patterns may help with the injury prevention in factories and the management of related medical institutions. Methods: 95 patients were admitted to an orthopedics department with an emergent hand injury within half a year of the COVID-19 outbreak. Data was collected from January 23, 2020 to July 23, 2020. Information about demographics, types of injury, location of the injuries, side of the lesions, mechanism of the injuries, place where the injuries occurred, surgical management and outcomes was collected. Results: The number of total emergency visits due to hand injury during the COVID-19 outbreak decreased 37% from the same period of the previous year. During the resumption of work it saw an increase of 40%. In comparison with the corresponding period of the previous year, most of the injured patients during the COVID-19 outbreak stage were women (60%) with a mean age of 56.7, while during the work resumption stage they were men (82.4%) with a mean age of 44.8. Most of the injuries in the work resumption period occurred at work (64.7%), significantly more than in the same period in 2019 (37.3%), and machine injury was the most frequent injury mechanism (58.8%). Cutting injuries of different degrees comprised the majority of the total cases (82.4%), far more than simple fractures and dislocations. Fingers were the most commonly injured body part. The majority of the injuries were classified as minor or moderate (90%) during the outbreak, and major (40%) during the work resumption. The proportion of major injuries during the work resumption stage in this year (40%) was almost double that of the previous year (pre-pandemic) (21.8%). Conclusion: The resumption of work following the COVID-19 outbreak is a time of high risk for hand injuries. The overall number of patients with hand injuries admitted into our department has decreased compared to the corresponding period of last year. However, workplace injuries, especially machine injury increased greatly during the six months after the outbreak of COVID-19. The proportion of major injuries increased by a large margin. Emergency and surgical service provides should be aware of the pattern of hand injuries during this atypical time in order to prepare and plan services accordingly.

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“…International professional bodies have been quick to disseminate initial guidance documents during the COVID-19 pandemic [3][4][5]. In the absence of firm evidence [6], and with insufficient time to consult their memberships, guidance has been based predominantly on experiential reports and has been developed by expert committees within these professional bodies; limited in participant number, yet farreaching in influence [7]. Such leadership, while helpful in aligning early OR practice, is not comprehensive, and cannot hope to integrate the perspectives of the wider medical community.…”

Section: Introductionmentioning

confidence: 99%

International surgical guidance for COVID-19: Validation using an international Delphi process - Cross-sectional study

Brown²,

Abdelrahman³

et al. 2020

International Journal of Surgery

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Surgery during the COVID-19 pandemic: operating room suggestions from an international Delphi process

Abstract: Word count = 205

Cited by 40 publications

References 10 publications

Clinical Analysis to the Cause of Hand Injuries and Its Countermeasures During the COVID-19 Outbreak and Work Resumption Period

Clinical Analysis to the Cause of Hand Injuries and Its Countermeasures During the COVID-19 Outbreak and Work Resumption Period

A clinical analysis of causes of hand injuries and their countermeasures during the COVID-19 outbreak and work resumption period

International surgical guidance for COVID-19: Validation using an international Delphi process - Cross-sectional study

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