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The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul

BACKGROUND: With the rapid and effective change created by the COVID-19 pandemic in all medical practice, we aimed to evaluate the impact of the first 100 days of the COVID-19 pandemic on the operations performed in a reference university hospital in the field of orthopedics and traumatology. Compar...

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Autores principales: Özşahin, Mahmut Kürşat, Değer, Göker Utku, Aydın, Nuri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443172/
https://www.ncbi.nlm.nih.gov/pubmed/34967425
http://dx.doi.org/10.14744/tjtes.2021.23796
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author Özşahin, Mahmut Kürşat
Değer, Göker Utku
Aydın, Nuri
author_facet Özşahin, Mahmut Kürşat
Değer, Göker Utku
Aydın, Nuri
author_sort Özşahin, Mahmut Kürşat
collection PubMed
description BACKGROUND: With the rapid and effective change created by the COVID-19 pandemic in all medical practice, we aimed to evaluate the impact of the first 100 days of the COVID-19 pandemic on the operations performed in a reference university hospital in the field of orthopedics and traumatology. Compare the results with the same period of the previous year and aim to evaluate importance of restrictions. METHODS: The operations performed in orthopedics and traumatology clinic between March 18, 2020 (the day we stopped the elective surgeries), and July 1, 2020 (when the normalization process began), were collected from the electronic archive to compare with the same period of 2019. RESULTS: Comparing the same periods of the year, it was seen that 102 surgeries were performed in the 2020 COVID-19 period compared to 380 operations performed in 2019. Although most of the operations performed during the COVID-19 period were traumas, the comparison revealed that trauma cases decreased by 25% from 73 to 58 (p<0.001). Among trauma patients operated in the restraint period, decrease in the pediatric group and the increase in patients over 65 years of age had seen statistically significant. Compared to the same period of the previous year, 50% increase seen in amputation cases related to diabetic foot (p<0.001). CONCLUSION: The postponement of elective cases due to the COVID-19 pandemic enabled us to manage trauma cases despite decreasing capacity utilization. In addition, it was observed that the transition of schools to online education and the implementation of curfews significantly reduced the number of trauma in the pediatric group. Separation of operating rooms and wards had a huge effect on protection of non-COVID patients. We hope that, in light of this study, we can guide health policies and help other colleagues to manage the possible new waves of the pandemic process or similar processes that may occur in the future.
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spelling pubmed-104431722023-08-23 The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul Özşahin, Mahmut Kürşat Değer, Göker Utku Aydın, Nuri Ulus Travma Acil Cerrahi Derg Original Article BACKGROUND: With the rapid and effective change created by the COVID-19 pandemic in all medical practice, we aimed to evaluate the impact of the first 100 days of the COVID-19 pandemic on the operations performed in a reference university hospital in the field of orthopedics and traumatology. Compare the results with the same period of the previous year and aim to evaluate importance of restrictions. METHODS: The operations performed in orthopedics and traumatology clinic between March 18, 2020 (the day we stopped the elective surgeries), and July 1, 2020 (when the normalization process began), were collected from the electronic archive to compare with the same period of 2019. RESULTS: Comparing the same periods of the year, it was seen that 102 surgeries were performed in the 2020 COVID-19 period compared to 380 operations performed in 2019. Although most of the operations performed during the COVID-19 period were traumas, the comparison revealed that trauma cases decreased by 25% from 73 to 58 (p<0.001). Among trauma patients operated in the restraint period, decrease in the pediatric group and the increase in patients over 65 years of age had seen statistically significant. Compared to the same period of the previous year, 50% increase seen in amputation cases related to diabetic foot (p<0.001). CONCLUSION: The postponement of elective cases due to the COVID-19 pandemic enabled us to manage trauma cases despite decreasing capacity utilization. In addition, it was observed that the transition of schools to online education and the implementation of curfews significantly reduced the number of trauma in the pediatric group. Separation of operating rooms and wards had a huge effect on protection of non-COVID patients. We hope that, in light of this study, we can guide health policies and help other colleagues to manage the possible new waves of the pandemic process or similar processes that may occur in the future. Kare Publishing 2022-01-03 /pmc/articles/PMC10443172/ /pubmed/34967425 http://dx.doi.org/10.14744/tjtes.2021.23796 Text en Copyright © 2022 Turkish Journal of Trauma and Emergency Surgery https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Özşahin, Mahmut Kürşat
Değer, Göker Utku
Aydın, Nuri
The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title_full The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title_fullStr The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title_full_unstemmed The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title_short The impact of COVID-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in Istanbul
title_sort impact of covid-19 pandemic in the first 100 days on orthopedic trauma surgery practice, the experience of a university hospital in istanbul
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443172/
https://www.ncbi.nlm.nih.gov/pubmed/34967425
http://dx.doi.org/10.14744/tjtes.2021.23796
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