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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...

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Autores principales: Sarkar, Bhaskar, Dubey, Siddharth, Goyal, Nikhil, Yadav, Gagandeep, Nongdamba, Hawaibam, Mittal, Samarth, Ifthekar, Syed, Ahuja, Kaustubh, Kandwal, Pankaj, Azam, Quamar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
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.
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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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