Foot and ankle service adaptation in response to COVID-19 and beyond

Feeley, Iain; McAleese, Timothy; Clesham, Kevin; Moloney, Darren Patrick; Crozier‐Shaw, Geoff; Hughes, Andrew; Bayer, Thomas A.

doi:10.1016/j.amsu.2020.04.023

Cited by 16 publications

(8 citation statements)

References 21 publications

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“…Follow up of these patients is crucial to understand the ongoing effect this will have on their long term function. Multiple authors from America, Italy, Ireland and Singapore have published their adaptive responses to the COVID-19 pandemic, however the results of such adaptations are not yet know [ [19] , [20] , [21] , [22] ].…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 on foot and ankle surgery in a major trauma centre

et al. 2021

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Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 on foot and ankle surgery in a major trauma centre

et al. 2021

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“…Los diagnósticos más habituales no variaron con los de la práctica común, el miembro superior fue el segmento más afectado y las fracturas de muñeca fueron las más frecuentes. 16 Sí llama la atención la cantidad de fracturas supracondíleas registradas que casi igualaron en número a las fracturas de muñeca (23 vs. 24). Es posible que este aumento en la relación con respecto a las estadísticas habituales históricamente publicadas se deba a que otros centros absorbieron parcialmente los casos menores (p.…”

Section: Discussionunclassified

“…En nuestro medio, no fue posible debido a la falta de infraestructura necesaria para realizarlo. 1,2,6,7,10,11,[16][17][18][19] Rev Asoc Argent Ortop Traumatol 2021; 86 (1): 122-129 • ISSN 1852-7434 (en línea) conclusIones En situaciones de emergencia sanitaria, es necesario adaptar, de manera rápida y eficaz, los Servicios, con el fin de colaborar brindando atención, sin aumentar la tensión sobre el sistema sanitario, preservando, de igual manera, al paciente y al personal.…”

Section: Discussionunclassified

Traumatología infantil y COVID-19. Experiencias en pandemia desde Córdoba, Argentina

Maraude

Luna

Zecchini

2021

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: La enfermedad por coronavirus se expandió rápidamente, esto llevó a un aumento de la demanda de los servicios sanitarios, por lo cual fue necesario adaptarse de manera acorde. Nuestro objetivo es proporcionar una visión general del impacto en la atención y de nuestra experiencia, identificar aspectos positivos y aquellos por mejorar para futuras planificaciones. Materiales y Métodos: Se registraron el número de consultas diarias, la edad, el sexo, la presencia de traumatismo, el lugar de la lesión, el motivo de consulta, el diagnóstico y el tratamiento. Se comparó la cantidad de atenciones con las flexibilizaciones y con igual período de 2019. Resultados: Se realizaron 120 consultas, 33 procedimientos quirúrgicos, 185 atenciones por guardia, 160 con traumatismo. El lugar más frecuente de traumatismo fue el domicilio (56,25%). El 30% eran fracturas de muñeca y el 28,8%, supracondíleas. Las consultas aumentaron con las flexibilizaciones del confinamiento. Conclusiones: Es fundamental adaptarse rápido teniendo en cuenta que las fracturas comunes seguirán ocurriendo, pese al confinamiento al igual que las infecciones osteoarticulares. No descuidar tampoco la enfermedad crónica impostergable. Nivel de Evidencia: III

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“… 5 Throughout Irish fracture clinics, the doctor–patient interaction period has narrowed by a factor of 65% during the COVID-19 period. 11 Clinic attendances within our trauma unit reduced from a mean of 68 to fewer than 10 patients in the 4 weeks following the introduction of national measures, in an effort to “flatten the curve.” 12 Increasing the volume of virtual referrals within our institution has served as an effective, pragmatic tool in reducing the exposure risk for both patients and staff.…”

Section: Discussionmentioning

confidence: 99%

Upscaling Virtual Fracture Clinic Use Is a Safe, Effective Measure in the Delivery of Trauma Care

Hughes

Feeley

Crowley

et al. 2020

Journal of Orthopaedic Trauma

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Summary: The Virtual Fracture Clinic (VFC) has proved beneficial in reducing footfall within the hospital setting, improving the cost of running a trauma service, while satisfying the majority of referred patients. The mandatory upscaling of telemedicine use, specifically the enhancement of the VFC, amidst the COVID-19 pandemic, was analyzed. The remit of the VFC within our hospital was expanded so as to include all referred ambulatory trauma. Outcomes of our VFC review over the 6-week period following the introduction of the national Irish COVID-19–related restrictions were gathered. These outcomes were analyzed and compared with the corresponding 6-week period from 2019. A 77.2% increase in the VFC referral volume was observed throughout the COVID-19–related period. Patients were directly discharged in 55.2% of cases in 2020, as opposed to 47.8% in 2019 ( P = 0.044); referred directly for physiotherapy in 32.9% of cases in 2020, as opposed to 28.9% in 2019 ( P = 0.173); and referred to a fracture clinic in 11.9% of cases in 2020, as opposed to 23.7% in 2019 ( P < 0.001). Also, 3.0% of patients returned to the clinic after discharge in 2020, compared with 4.4% in 2019 ( P = 0.237); 4.5% of patients were referred for surgery in 2020, as opposed to 2.2% in 2019 ( P = 0.105). The VFC proved to be an efficient tool in managing ambulatory trauma throughout the pandemic. Upscaling the VFC to include all ambulatory trauma is a safe, effective method in reducing clinic attendances and hospital footfall, whilst ensuring that high care standards are maintained. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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Foot and ankle service adaptation in response to COVID-19 and beyond

Cited by 16 publications

References 21 publications

The impact of COVID-19 on foot and ankle surgery in a major trauma centre

The impact of COVID-19 on foot and ankle surgery in a major trauma centre

Traumatología infantil y COVID-19. Experiencias en pandemia desde Córdoba, Argentina

Upscaling Virtual Fracture Clinic Use Is a Safe, Effective Measure in the Delivery of Trauma Care

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