Novel Coronavirus COVID-19

Vannabouathong, Christopher; Devji, Tahira; Ekhtiari, Seper; Chang, Yaping; Phillips, Stephanie; Zhu, Meng; Chagla, Zain; Main, Cheryl; Bhandari, Mohit

doi:10.2106/jbjs.20.00396

Cited by 110 publications

(61 citation statements)

References 44 publications

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“…The novel coronavirus, SARS-CoV-2, and its associated disease, COVID-19, have interrupted modern life and the delivery of non-urgent healthcare in unprecedented ways [31,32,36,37]. While the sentinel international case was reported in December 2019, it quickly disseminated, and COVID-19 was declared a pandemic by the World Health Organization (WHO) on March 11, 2020 [36,41]. At that time, the incidence of reported cases in the USA was increasing rapidly, and recommendations were made by the American College of Surgeons (ACS) [5] and the Centers for Disease Control and Prevention (CDC) [11] that elective procedures be postponed.…”

Section: Introductionmentioning

confidence: 99%

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty

Wilson

Schwartz

Grissom

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: COVID-19 has caused unprecedented delays in elective orthopedic surgery. Understanding patients' perceptions of the disruptions in care and their willingness to reengage the healthcare system are crucial to planning the resumption of elective care. Questions/ Purposes: The purpose of this study was to elicit patient perceptions about delays in total joint arthroplasty during the COVID-19 pandemic. Methods: We identified a consecutive series of patients who experienced COVID-19-driven delays to scheduled total hip or knee arthroplasty at an urban, academic medical center in the Southeastern United States. A 20-item survey was administered via telephone. Answers were recorded and descriptive statistics were performed. A post hoc χ-square analysis compared characteristics and outlooks of patients who did and did not immediately desire surgery. Results: Of 111 patients (64% of those identified) who met inclusion criteria and completed the survey, 96% said they felt that they were treated fairly and 90% said that the surgical delay was in their best interest; 68% reported emotional distress from the delay, but 45% reported a desire to wait longer for the pandemic to subside. Lower jointfunction scores, higher pain levels, higher pain catastrophizing scores, and longer latency from personally deciding to pursue surgery were associated with the reported need for immediate surgery. Conclusion: Overall, patients reported that they understood the need for elective surgical delays during the COVID-19 pandemic. However, the psychological implications they reported were not negligible. Patient preference for immediate reengagement with the healthcare system was dichotomous, with many patients favoring precautionarily furthering the delay. Understanding these preferences will help optimize elective orthopedic care during unprecedented times.

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Section: Introductionmentioning

confidence: 99%

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty

Wilson

Schwartz

Grissom

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

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“…Definition of nosocomial infection with SARS-CoV-2 was based on current studies that have tried to investigate the length of the incubation period of COVID-19 [3,4]. Lauer et al estimated the median incubation period to be 5.1 days (CI 4.5-5.8) and underlined that after 14 days, it is highly unlike that further symptomatic infections would be undetected among high-risk individuals, as is the case of recent If screening test was not performed, patient was categorized as developing nosocomial infection with SARS-CoV-2 if the diagnosis was done after the fourth day of hospitalization, according Lauer et al investigations [4].…”

Section: Nosocomial Infection With Sars-cov-2mentioning

confidence: 99%

Nosocomial infection with SARS-CoV-2 and main outcomes after surgery within an orthopaedic surgery department in a tertiary trauma centre in Spain

Lakhani

Minguell

Guerra-Farfán

et al. 2020

International Orthopaedics (SICOT)

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Aims The purpose of the present study is to analyse clinical data of a series of cases who developed nosocomial infection with SARS-CoV-2 in an orthopaedic and traumatology department. Patients and methods In this non-interventional retrospective study, carried out at a tertiary hospital within the Spanish National Health System, all adult patients who were admitted in the Orthopaedic Surgery and Traumatology Department between March 9th and May 4th, 2020, were included. Clinical, biological and radiological data, as well as mortality rates, were collected from hospital medical records. Results A total of 293 periods of hospitalization were analysed in 288 patients. Mean age was 66.1 years old and 57.3% were females. Nineteen patients (6.48%) met the inclusion criteria to be categorized as a nosocomial infection with SARS-CoV-2. In a comparison between patients with and without nosocomial infection, age, mortality and hospital length of stay were statistically significant (p < 0.05). The median time from admission to diagnosis of SARS-CoV-2 infection in our cohort was 16 days (6-86 days). No statistically significant differences were found in sex, living situation, reason of admission or period of admission (even if we observed that most of the nosocomial infections (78.9%) occurred in March). Conclusion We have found a 6.48% of nosocomial infection with SARS-CoV-2, but with an important reduction of it after undergoing preventing protocols that included screening RT-PCR test for COVID-19. Age and hospital length stay were statistically significant risk factors for nosocomial infection with SARS-CoV-2. For the progressive restoration of the surgical activity, we recommend to correctly select the patients in elective surgery and to encourage fast-track programs and early discharge of patients with fractures.

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“…As additional cases appeared in the USA, various governmental responses resulted in changes to the healthcare system and public behavior. Elective surgery, including most knee arthroplasty, was suspended across much of the USA in March, either in compliance with various regulations or voluntarily by hospitals [24]. In mid-March the federal government announced "15 Days to Slow the Spread," a campaign that encouraged sick, exposed, or vulnerable populations to stay at home.…”

Section: Introductionmentioning

confidence: 99%

Public Interest in Knee Replacement Fell during the Onset of the COVID-19 Pandemic: A Google Trends Analysis

Landy

Chalmers

Utset-Ward

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: The COVID-19 pandemic significantly altered medical practice and public behavior in the USA. In spring of 2020, elective surgery including most joint replacement was suspended and much of the public asked to stay at home. As elective surgery resumes, it is unknown how the public will respond. Questions/Purposes: We sought to describe public interest in knee replacement during the onset of the COVID-19 pandemic. Methods: Google Trends was used to obtain the daily number of searches for "knee replacement," "coronavirus," and "knee pain" from December 19, 2019, to May 14, 2020. The number is on a term-specific scale weighted to the highest number of daily searches for that term. Seven-day weighted averages were used to smooth the data. Results: The number of daily searches for "knee replacement" was stable until around March 8, 2020, after which it decreased through late March, plateauing at less than half the number of searches. At the same time, searches for "coronavirus" spiked. By early May, searches for "knee replacement" had not meaningfully increased, though at the end of the search period the slope turned positive and coronavirus searches decreased. Searches for "knee pain" initially followed a similar pattern to "knee replacement," though the decline was not as steep, and by late April searches for "knee pain" had meaningfully increased. Conclusion: Public interest in knee replacement, assessed through internet search queries, decreased during the onset of the COVID-19 pandemic. While interest in pain has returned, the continued decreased level of interest in surgery may represent a fear of surgery among the general public in the setting of COVID-19. Surgeons may wish to focus outreach and education efforts on the safety and efficacy of knee replacement. Keywords COVID-19. arthroplasty. replacement. knee. public health. health services research HSSJ

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Novel Coronavirus COVID-19

Abstract: Globally 118 319 confirmed (4620 new) 4292 deaths (280 new) China 80 955 confirmed (31 new) 3162 deaths (22 new) Outside of China 37 364 confirmed (4589 new) 1130 deaths (258 new) 113 countries/territories/ areas (4 new)

Cited by 110 publications

References 44 publications

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty

Patient Perceptions of COVID-19-Related Surgical Delay: An Analysis of Patients Awaiting Total Hip and Knee Arthroplasty

Nosocomial infection with SARS-CoV-2 and main outcomes after surgery within an orthopaedic surgery department in a tertiary trauma centre in Spain

Public Interest in Knee Replacement Fell during the Onset of the COVID-19 Pandemic: A Google Trends Analysis

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