The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

Abstract

Background: Coronavirus disease 2019 (COVID-19) broken out and spread rapidly nationwide at the beginning of 2020, which has brought huge impacts to people and work. The current situation of prevention and control is severe and urgent guidance for clinicians, especially for the medical systems. In the hope of providing a reference and recommendation for the prevention and control of the COVID-19, we carried out research to improve the quality of patients care and prevention during this epidemic.Methods: All of the involved health care personnel were rapidly trained to use personal protection equipment in our department. The managements of the surgery patients and association of two periods were described and analyzed. We reviewed and compared the patients’ discharged records in our database who underwent surgery in the Department of Bone & Joint Surgery at Peking University Shenzhen Hospital, who were discharged between January 1st to March 1st in 2019 and January 1st to March 1st in 2020. Both chi-squared test and Student’s t-test were performed to determine the relationship between the two periods.Results: Analysis revealed that gender, class and duration of surgery, and anaesthetization had no significantly differences between two periods (p＞0.05). However, age and blood loss had significant relationship of the two periods (p＜0.05).Conclusions: The results of the study imply that we have been benefited from the strict flow charts in management of perioperative for orthopedic patients, which could be a valid tool in routine clinical practice and a consultation for clinicians during pandemic of the COVID-19.

Short‐Term Outcomes of Enhanced Recovery after Surgery (ERAS) for Ankle Fracture Patients: A Single‐Center Retrospective Cohort Study

“…37,38 Satisfied Clinical Outcomes in the ERAS Group The ERAS protocol is not only a collection of evidence-based perioperative interventions, but also an innovative MDT, which might satisfy patients by improving the medical quality and efficacy. Implementation of the ERAS protocol will benefit patients in releasing pain or stress, 39,40 reducing hospital cost, 41 and shortening LOS, 41,42 which is in line with the results of the present study. Notably, the demographic characteristics and medical procedures might affect the clinical and economic implications.…”