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COVID-19 among patients with orthopedic surgery: our experience from the Middle East

BACKGROUND: We report our experiences with COVID-19 in one of the largest referral orthopedic centers in the Middle East and aimed to describe the epidemiology and clinical characteristics of these patients. METHODS: During February 20 and April 20, 2020, patients who underwent orthopedic surgery an...

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Autores principales: Bagherifard, Abolfazl, Arasteh, Peyman, Salehpour, Mostafa, Zadeh, Hooman Shariat, Mazhar, Farid Najd, Ghandhari, Hasan, Bahaeddini, Mohammad Reza, Tabrizian, Pouria, Askari, Alireza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144277/
https://www.ncbi.nlm.nih.gov/pubmed/34034785
http://dx.doi.org/10.1186/s13018-021-02483-6
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author Bagherifard, Abolfazl
Arasteh, Peyman
Salehpour, Mostafa
Zadeh, Hooman Shariat
Mazhar, Farid Najd
Ghandhari, Hasan
Bahaeddini, Mohammad Reza
Tabrizian, Pouria
Askari, Alireza
author_facet Bagherifard, Abolfazl
Arasteh, Peyman
Salehpour, Mostafa
Zadeh, Hooman Shariat
Mazhar, Farid Najd
Ghandhari, Hasan
Bahaeddini, Mohammad Reza
Tabrizian, Pouria
Askari, Alireza
author_sort Bagherifard, Abolfazl
collection PubMed
description BACKGROUND: We report our experiences with COVID-19 in one of the largest referral orthopedic centers in the Middle East and aimed to describe the epidemiology and clinical characteristics of these patients. METHODS: During February 20 and April 20, 2020, patients who underwent orthopedic surgery and healthcare staff who were in contact with these patients were screened for COVID-19. To identify patients who were in the incubation period of COVID-19 during their hospital stay, all patients were tested again for COVID-19 4 weeks after discharge. RESULTS: Overall, 1244 patients underwent orthopedic surgery (1123 emergency and 121 elective) during the study period. Overall, 17 patients were diagnosed with COVID-19 during hospital admission and seven after discharge. Among the total 24 patients with COVID-19, 15 were (62.5%) males with a mean (SD) age of 47.0±1.6 years old. Emergency surgeries were performed in 20 (83.3%) patients, and elective surgery was done in the remaining 4 patients which included one case of posterior spinal fusion, spondylolisthesis, acromioclavicular joint dislocation, and one case of leg necrosis. A considerable number of infections occurred in patients with intertrochanteric fractures (n=7, 29.2%), followed by pelvic fractures (n=2, 8.3%), humerus fractures (n=2, 8.3%), and tibial plateau fractures (n=2, 8.3%). Fever (n=11, 45.8%) and cough (n=10, 37.5%) were the most common symptoms among patients. Laboratory examinations showed leukopenia in 2 patients (8.3%) and lymphopenia in 4 (16.7%) patients. One patient with a history of cancer died 2 weeks after discharge due to myocardial infarction. Among hospital staff, 26 individuals contracted COVID-19 during the study period, which included 13 (50%) males. Physicians were the most commonly infected group (n = 11), followed by operation room technicians (n = 5), nurses (n = 4), and paramedics (n = 4). CONCLUSIONS: Patients who undergo surgical treatment for orthopedic problems, particularly lower limb fractures with limited ambulation, are at a higher risk of acquiring COVID-19 infections, although they may not be at higher risks for death compared to the general population. Orthopedic surgeons in particular and other hospital staff who are in close contact with these patients must be adequately trained and given appropriate personal protective equipment during the COVID-19 outbreak.
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spelling pubmed-81442772021-05-25 COVID-19 among patients with orthopedic surgery: our experience from the Middle East Bagherifard, Abolfazl Arasteh, Peyman Salehpour, Mostafa Zadeh, Hooman Shariat Mazhar, Farid Najd Ghandhari, Hasan Bahaeddini, Mohammad Reza Tabrizian, Pouria Askari, Alireza J Orthop Surg Res Research Article BACKGROUND: We report our experiences with COVID-19 in one of the largest referral orthopedic centers in the Middle East and aimed to describe the epidemiology and clinical characteristics of these patients. METHODS: During February 20 and April 20, 2020, patients who underwent orthopedic surgery and healthcare staff who were in contact with these patients were screened for COVID-19. To identify patients who were in the incubation period of COVID-19 during their hospital stay, all patients were tested again for COVID-19 4 weeks after discharge. RESULTS: Overall, 1244 patients underwent orthopedic surgery (1123 emergency and 121 elective) during the study period. Overall, 17 patients were diagnosed with COVID-19 during hospital admission and seven after discharge. Among the total 24 patients with COVID-19, 15 were (62.5%) males with a mean (SD) age of 47.0±1.6 years old. Emergency surgeries were performed in 20 (83.3%) patients, and elective surgery was done in the remaining 4 patients which included one case of posterior spinal fusion, spondylolisthesis, acromioclavicular joint dislocation, and one case of leg necrosis. A considerable number of infections occurred in patients with intertrochanteric fractures (n=7, 29.2%), followed by pelvic fractures (n=2, 8.3%), humerus fractures (n=2, 8.3%), and tibial plateau fractures (n=2, 8.3%). Fever (n=11, 45.8%) and cough (n=10, 37.5%) were the most common symptoms among patients. Laboratory examinations showed leukopenia in 2 patients (8.3%) and lymphopenia in 4 (16.7%) patients. One patient with a history of cancer died 2 weeks after discharge due to myocardial infarction. Among hospital staff, 26 individuals contracted COVID-19 during the study period, which included 13 (50%) males. Physicians were the most commonly infected group (n = 11), followed by operation room technicians (n = 5), nurses (n = 4), and paramedics (n = 4). CONCLUSIONS: Patients who undergo surgical treatment for orthopedic problems, particularly lower limb fractures with limited ambulation, are at a higher risk of acquiring COVID-19 infections, although they may not be at higher risks for death compared to the general population. Orthopedic surgeons in particular and other hospital staff who are in close contact with these patients must be adequately trained and given appropriate personal protective equipment during the COVID-19 outbreak. BioMed Central 2021-05-25 /pmc/articles/PMC8144277/ /pubmed/34034785 http://dx.doi.org/10.1186/s13018-021-02483-6 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Bagherifard, Abolfazl
Arasteh, Peyman
Salehpour, Mostafa
Zadeh, Hooman Shariat
Mazhar, Farid Najd
Ghandhari, Hasan
Bahaeddini, Mohammad Reza
Tabrizian, Pouria
Askari, Alireza
COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title_full COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title_fullStr COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title_full_unstemmed COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title_short COVID-19 among patients with orthopedic surgery: our experience from the Middle East
title_sort covid-19 among patients with orthopedic surgery: our experience from the middle east
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8144277/
https://www.ncbi.nlm.nih.gov/pubmed/34034785
http://dx.doi.org/10.1186/s13018-021-02483-6
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