Article ; Online: Safety evaluation of a strategy to restart elective orthopaedic surgery during the de-escalation phase of the COVID-19 pandemic.
Bone & joint open
2020 Volume 1, Issue 8, Page(s) 450–456
Abstract: ... orthopaedic surgery on 'green' (non-COVID-19) sites during the COVID-19 pandemic.: Methods: A strategy ... infrastructure, patient selection, isolation, screening, and testing, elective orthopaedic surgery is safe during ... protocols. Surgery was performed at green sites (two local private hospitals) under the COVID-19 NHS ...
| Abstract | Aims: To evaluate safety outcomes and patient satisfaction of the re-introduction of elective orthopaedic surgery on 'green' (non-COVID-19) sites during the COVID-19 pandemic. Methods: A strategy consisting of phased relaxation of clinical comorbidity criteria was developed. Patients from the orthopaedic waiting list were selected according to these criteria and observed recommended preoperative isolation protocols. Surgery was performed at green sites (two local private hospitals) under the COVID-19 NHS contract. The first 100 consecutive patients that met the Phase 1 criteria and underwent surgery were included. In hospital and postoperative complications with specific enquiry as to development of COVID-19 symptoms or need and outcome for COVID-19 testing at 14 days and six weeks was recorded. Patient satisfaction was surveyed at 14 days postoperatively. Results: There were 54 females and 46 males (mean age 44 years, mean body mass index (BMI) 25.6 kg/m Conclusion: In an environment with appropriate infrastructure, patient selection, isolation, screening, and testing, elective orthopaedic surgery is safe during the COVID-19 pandemic, and associated with high patient satisfaction. Further follow-up is required to establish that safety is maintained as the clinical restrictions are eased with the phased approach described.Cite this article: |
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| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-08-01 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 2633-1462 |
| ISSN (online) | 2633-1462 |
| DOI | 10.1302/2633-1462.18.BJO-2020-0105.R1 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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