The effect of the COVID-19 pandemic on orthopedic surgeries in a tertiary referral center

Kamaci, Saygın; Göker, Barlas; Çağlar, Ömür; Atilla, Bülent; Tokgözoğlu, A. Mazhar

doi:10.52312/jdrs.2021.78446

Cited by 7 publications

(5 citation statements)

References 16 publications

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“…On the other hand, the increase in the number of orthopedic emergency surgeries that was reported in our study may be due to an increase in the number of reported falls from heights, stairs, ladders, etc. [26,27]. In addition, the reduction in the number of emergency hernia repair surgeries reported is in line with previous studies [28].…”

Section: Discussionsupporting

confidence: 90%

Does the COVID-19 Pandemic Affect Morbidity and Mortality Rates of Emergency General Surgery? A Retrospective Study from a Single-Center Tertiary Greek Hospital

et al. 2021

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Background and Objectives: The outbreak of the COVID-19 pandemic had a major impact on all aspects of health care. Few up-to-date studies have actually assessed the impact of COVID-19 on emergency surgeries. The aim of this study was to provide an overview of the impact of the pandemic relating to the emergency surgery performed, as well as morbidity and mortality rates during the first year of the pandemic (March 2020–February 2021) and during the control period. In this period, the first propaedeutic surgery department and the third surgery department of the University General Hospital of Thessaloniki “AHEPA” in Greece provided continuous emergency general surgery services. Material and Methods: The study is in a retrospective cohort and included patients who were admitted to the Emergency Department and underwent emergency general surgery during the control period (n = 456), March 2019–February 2020 and during the first year of the pandemic (n = 223), March 2020–February 2021. Gender, age, type of surgical operation (morbidity), ICU need, the patient’s outcome, and days of hospitalization were compared. Results: A total of 679 emergency surgeries were included. Statistically significant differences emerged between the two time periods in the total number of emergency surgeries performed (p < 0.001). The most common type of surgery in the control period was associated with soft tissue infection while, during the pandemic period, the most common type of surgery was associated with the hepatobiliary system. In addition, the mortality rates nearly doubled during the pandemic period (2.2% vs. 4%). Finally, the mean age of our sample was 50.6 ± 17.5 and the majority of the participants in both time periods were males. Conclusions: The COVID-19 pandemic changed significantly the total number of emergency general surgeries performed. Mortality rates doubled and morbidity rates were affected between the control and pandemic periods. Finally, age, gender, length of hospitalization, intensive care unit hospitalization, and laparoscopy use in patients undergoing emergency surgery during the pandemic were stable.

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Section: Discussionsupporting

confidence: 90%

Does the COVID-19 Pandemic Affect Morbidity and Mortality Rates of Emergency General Surgery? A Retrospective Study from a Single-Center Tertiary Greek Hospital

et al. 2021

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“…12 Several studies demonstrated that sport-related injuries decreased considerably during the pandemic. 7,18,19 As the Government limits any outdoor activities, this policy implies pediatric trauma admission as well. 17 Additionally, patients' fears of contracting COVID-19 may plague them, leading them to seek telemedicine consultations over ER visits to limit in-person contact.…”

Section: Discussionmentioning

confidence: 99%

“…Only emergency or urgent surgeries were performed to avoid a negative impact on patient outcomes. 7 Additionally, orthopedic professional societies developed guidelines and protocols for determining which surgeries should be prioritized and which should be delayed. 8,9 Regarding the emergency time due to the outbreak, many surgeons transferred to various units, including emergency rooms, specialized COVID-19 units, and critical care units.…”

Section: Introductionmentioning

confidence: 99%

Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis

Susatyo,

Al Rhaazi,

Rahman

et al. 2023

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Background: This study examines the adverse effects of COVID-19 pandemic on pediatric orthopedics globally, including decreased patient admissions. The adverse effects of pandemic on pediatric orthopedic patients and surgeries have not been determined. This study aims to conduct a comprehensive systematic review and meta-analysis to investigate the specific impact of COVID-19 pandemic on pediatric orthopedic admissions and surgical cases.Methods: A thorough examination of published literature was performed by searching databases such as PubMed, ScienceDirect, and Cochrane Library, using PRISMA guidelines, and limiting the search to articles published up to January 2022. The primary focus of this review was to inspect the ratio of admission and surgical cases, expressed as a risk ratio (RR) with a 95% confidence level. The study also evaluated any variation among outcomes using the I2 test and examined potential bias using the Egger test. The study findings were calculated using Review Manager 5.4.Results: Fifteen studies were reviewed, revealing a 70% decrease in pediatric orthopedic admissions during the pandemic but no significant difference in admissions between the pandemic and pre-pandemic eras (RR 1.08, 95% CI 0.76-1.54, p=0.66). Furthermore, in the perspective of the pediatric orthopedic surgical case, the pooled analysis also did not show any significant difference between both periods (RR 1.05, 95% CI 0.95 to 1.17, p=0.35). Egger's test result showed no evidence of small-study effects (p = 0.22).Conclusion: This study found that the number of children admitted for orthopedic surgeries and other orthopedic treatments was not greatly impacted during the COVID-19 pandemic.

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“…A worrisome decline in the volume of orthopaedic and trauma specialists has been well-documented over the past few decades [ 16 , 17 , 18 , 19 ]. Compounding the existing workforce shortages, the disturbances to global healthcare systems due to the COVID-19 pandemic caused further negative disruptions to orthopaedic and trauma care and education [ 20 , 21 , 22 , 23 ]. These realities have further re-echoed the established potential of leveraging computer-based technologies to enhance the efficiency of orthopaedic training and practice.…”

Section: Introductionmentioning

confidence: 99%

Application of Virtual Reality Systems in Bone Trauma Procedures

et al. 2023

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Background and Objectives: Bone fractures contribute significantly to the global disease and disability burden and are associated with a high and escalating incidence and tremendous economic consequences. The increasingly challenging climate of orthopaedic training and practice re-echoes the established potential of leveraging computer-based reality technologies to support patient-specific simulations for procedural teaching and surgical precision. Unfortunately, despite the recognised potential of virtual reality technologies in orthopaedic surgery, its adoption and integration, particularly in fracture procedures, have lagged behind other surgical specialities. We aimed to review the available virtual reality systems adapted for orthopaedic trauma procedures. Materials and Methods: We performed an extensive literature search in Medline (PubMed), Science Direct, SpringerLink, and Google Scholar and presented a narrative synthesis of the state of the art on virtual reality systems for bone trauma procedures. Results: We categorised existing simulation modalities into those for fracture fixation techniques, drilling procedures, and prosthetic design and implantation and described the important technical features, as well as their clinical validity and applications. Conclusions: Over the past decade, an increasing number of high- and low-fidelity virtual reality systems for bone trauma procedures have been introduced, demonstrating important benefits with regard to improving procedural teaching and learning, preoperative planning and rehearsal, intraoperative precision and efficiency, and postoperative outcomes. However, further technical developments in line with industry benchmarks and metrics are needed in addition to more standardised and rigorous clinical validation.

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The effect of the COVID-19 pandemic on orthopedic surgeries in a tertiary referral center

Cited by 7 publications

References 16 publications

Does the COVID-19 Pandemic Affect Morbidity and Mortality Rates of Emergency General Surgery? A Retrospective Study from a Single-Center Tertiary Greek Hospital

Does the COVID-19 Pandemic Affect Morbidity and Mortality Rates of Emergency General Surgery? A Retrospective Study from a Single-Center Tertiary Greek Hospital

Examining The Impact of The COVID-19 Pandemic On Pediatric Orthopedic Cases: A Systematic Review and Meta-Analysis

Application of Virtual Reality Systems in Bone Trauma Procedures

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