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Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre
STUDY DESIGN: Case Series. OBJECTIVE: Sudden ‘lockdown’ to contain spread of SarsCoV-2 infection had far-reaching consequences on the Spine Unit of our tertiary care hospital, situated in a hilly-region of Northern India. We intend to share our experience of providing care for acute spinal disorders...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8753589/ https://www.ncbi.nlm.nih.gov/pubmed/35022387 http://dx.doi.org/10.1038/s41394-021-00471-w |
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author | Sarkar, Bhaskar Dubey, Siddharth Goyal, Nikhil Yadav, Gagandeep Nongdamba, Hawaibam Mittal, Samarth Ifthekar, Syed Ahuja, Kaustubh Kandwal, Pankaj Azam, Quamar |
author_facet | Sarkar, Bhaskar Dubey, Siddharth Goyal, Nikhil Yadav, Gagandeep Nongdamba, Hawaibam Mittal, Samarth Ifthekar, Syed Ahuja, Kaustubh Kandwal, Pankaj Azam, Quamar |
author_sort | Sarkar, Bhaskar |
collection | PubMed |
description | STUDY DESIGN: Case Series. OBJECTIVE: Sudden ‘lockdown’ to contain spread of SarsCoV-2 infection had far-reaching consequences on the Spine Unit of our tertiary care hospital, situated in a hilly-region of Northern India. We intend to share our experience of providing care for acute spinal disorders from 23rd March, 2020, when nationwide lockdown and closure of elective services started in our country, to till 12th May, 2020, and to formulate few recommendations at the end. SETTING: Northern India. METHODS: Between 23rd March, 2020 and 12th May, 2020, data of all patients with spinal conditions presenting to Emergency Department for acute care services were collected prospectively. Existing protocols were modified in line with changing national and institute policies for functionality of the spine unit, challenges faced and steps taken were noted. RESULTS: All elective cases were postponed for an indefinite period at the starting of ‘Lockdown’. A total of 24 patients were received in ED during study period and 14 (58%) were managed operatively. The majority (79%) were with traumatic spine injury, and fall from height was most common mechanism of injury in traumatic spine patients (84%). There was higher incidence of surgical site infections (14%) among operated patients, compared to our previous average. We had modified routine policies to tackle challenges faced and till date of writing this article, none of the members of spine team or patients treated by us tested positive for SARSCoV-2. CONCLUSION: To continue providing care for acute spinal conditions and maintaining academic activities of spine unit during ‘lockdown’ needs innovative policies in line with national protocols. |
format | Online Article Text |
id | pubmed-8753589 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-87535892022-01-12 Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre Sarkar, Bhaskar Dubey, Siddharth Goyal, Nikhil Yadav, Gagandeep Nongdamba, Hawaibam Mittal, Samarth Ifthekar, Syed Ahuja, Kaustubh Kandwal, Pankaj Azam, Quamar Spinal Cord Ser Cases Article STUDY DESIGN: Case Series. OBJECTIVE: Sudden ‘lockdown’ to contain spread of SarsCoV-2 infection had far-reaching consequences on the Spine Unit of our tertiary care hospital, situated in a hilly-region of Northern India. We intend to share our experience of providing care for acute spinal disorders from 23rd March, 2020, when nationwide lockdown and closure of elective services started in our country, to till 12th May, 2020, and to formulate few recommendations at the end. SETTING: Northern India. METHODS: Between 23rd March, 2020 and 12th May, 2020, data of all patients with spinal conditions presenting to Emergency Department for acute care services were collected prospectively. Existing protocols were modified in line with changing national and institute policies for functionality of the spine unit, challenges faced and steps taken were noted. RESULTS: All elective cases were postponed for an indefinite period at the starting of ‘Lockdown’. A total of 24 patients were received in ED during study period and 14 (58%) were managed operatively. The majority (79%) were with traumatic spine injury, and fall from height was most common mechanism of injury in traumatic spine patients (84%). There was higher incidence of surgical site infections (14%) among operated patients, compared to our previous average. We had modified routine policies to tackle challenges faced and till date of writing this article, none of the members of spine team or patients treated by us tested positive for SARSCoV-2. CONCLUSION: To continue providing care for acute spinal conditions and maintaining academic activities of spine unit during ‘lockdown’ needs innovative policies in line with national protocols. Nature Publishing Group UK 2022-01-12 /pmc/articles/PMC8753589/ /pubmed/35022387 http://dx.doi.org/10.1038/s41394-021-00471-w Text en © The Author(s), under exclusive licence to International Spinal Cord Society 2022 |
spellingShingle | Article Sarkar, Bhaskar Dubey, Siddharth Goyal, Nikhil Yadav, Gagandeep Nongdamba, Hawaibam Mittal, Samarth Ifthekar, Syed Ahuja, Kaustubh Kandwal, Pankaj Azam, Quamar Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title | Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title_full | Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title_fullStr | Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title_full_unstemmed | Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title_short | Acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
title_sort | acute spine care services during covid-19 pandemic and ‘lockdown’: case series and our perspective from a level 1 trauma centre |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8753589/ https://www.ncbi.nlm.nih.gov/pubmed/35022387 http://dx.doi.org/10.1038/s41394-021-00471-w |
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