The Saudi Spine Society guidelines on spinal surgery during the COVID-19 pandemic

Alturkistany, Ahmed; Abduljabbar, Fahad H.; Alhelal, Fahad; Dajim, Nayef Bin; Khalifah, SalahAddeen O.; Konbaz, Faisal; Aleissa, Sami; Al‐Habib, Amro; Kattan, Maan; Alqahtani, Yahya; Alatassi, Raheef

doi:10.1186/s13018-020-01732-4

Cited by 15 publications

(16 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In consideration of the rapid spread of epidemic, health care staff are at added risk of exposure and infection during the practice of treatment [13]. For the purpose of limiting the quantity of the people and reducing the chance of contacting, physical therapy should be provided only to immediate post-operative patients and some of the other proper patients should be replaced by home exercise programs [21]. The treatment strategy should be changed timely, and appropriate methods should be adopted to minimize the adverse effect of the epidemic in orthopedic diseases' treatment.…”

Section: Discussionmentioning

confidence: 99%

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

Zeng

Weng

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

Background Coronavirus disease 2019 (COVID-19) has broken out and spread rapidly nationwide at the beginning of 2020, which has brought huge impacts to people and work. The current situation of prevention and control is severe and urges guidance for clinicians, especially for medical systems. In the hope of providing a reference and recommendation for the prevention and control of the COVID-19, we carried out research to improve the quality of patient care and prevention during this epidemic. Methods All of the staff were trained rapidly to master personal protection in our department. We reviewed the patients’ discharged records who underwent surgery in our department during January 1 to March 1, 2019, and January 1 to March 1, 2020. The management of the surgery patients and flow charts were described and analyzed. Post-operation outcomes of the patients include duration, complications, surgical site infection (SSI), system infection, re-operation, and mortality. Both chi-squared test and Student’s t test were performed to determine the relationship between the two periods in terms of post-operation outcomes. Results Descriptive statistics analysis revealed that demographic of the patients between the two periods is similar. We had benefited from the strict flowcharts, smart robot, and protection equipment during the perioperative managements for orthopedic patients. With the help of the strict flow charts and smart equipment, post-operation outcomes of the patients revealed that the rates of the complications and re-operation had been reduced significantly (p < 0.05), while duration of operation, SSI, and system infection had no significant difference between two periods (p > 0.05). No patient and staff caught COVID-19 infection or mortality during the epidemic. Conclusions Our study indicated that medical quality and efficiency were affected little with the help of strategies described above during the epidemic, which could be a reference tool for medical staff in routine clinical practice for admission of patients around the world. What is more, the provided strategies, which may evolve over time, could be used as empirical guidance and reference for orthopedic peers to get through the pandemic and ensure the normal operation of the hospital.

show abstract

Section: Discussionmentioning

confidence: 99%

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

Zeng

Weng

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…In consideration of the rapid spread of epidemic, health care staff are at added risk of exposure and infection during the practice of treatment [20]. To reduce the number of people in the hospital, physio-therapy should be provided only to immediate postoperative patients [21]. The treatment strategy should be changed timely and appropriate methods should be adopted to minimize the adverse effect of the epidemic in orthopedics diseases' treatment.…”

Section: Discussionmentioning

confidence: 99%

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

Zeng¹,

Weng

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Coronavirus disease 2019 (COVID-19) broken out and spread rapidly nationwide at the beginning of 2020, which has brought huge impacts to people and work. The current situation of prevention and control is severe and urgent guidance for clinicians, especially for the medical systems. In the hope of providing a reference and recommendation for the prevention and control of the COVID-19, we carried out research to improve the quality of patients care and prevention during this epidemic.Methods: All of the involved health care personnel were rapidly trained to use personal protection equipment in our department. The managements of the surgery patients and association of two periods were described and analyzed. We reviewed and compared the patients’ discharged records in our database who underwent surgery in the Department of Bone & Joint Surgery at Peking University Shenzhen Hospital, who were discharged between January 1st to March 1st in 2019 and January 1st to March 1st in 2020. Both chi-squared test and Student’s t-test were performed to determine the relationship between the two periods.Results: Analysis revealed that gender, class and duration of surgery, and anaesthetization had no significantly differences between two periods (p＞0.05). However, age and blood loss had significant relationship of the two periods (p＜0.05).Conclusions: The results of the study imply that we have been benefited from the strict flow charts in management of perioperative for orthopedic patients, which could be a valid tool in routine clinical practice and a consultation for clinicians during pandemic of the COVID-19.

show abstract

“…Based on the WHO recommendations for the clinical management of COVID-19, the Novel Coronavirus Pneumonia Protocol (7th Edition) issued in China, and our treatment experience in the First Affiliated Hospital, College of Medicine, Zhejiang University, for all patients with chronic wound, we recommend the application of APPs that used to personal health status identification [ 34 ], such as the implementation of the Green Health Code in China, which plays an important role in the identification of the epidemiological history of patients who require multiple trips to hospitals or other place, along with the full integration of telemedicine and nosocomial infection control during the COVID epidemic to reduce patient risk of infection [ 35 ]. First, patients are advised to seek medical help on the Internet; then, doctors learn the patient’s epidemiological history, symptomatic signs, and other information online; triage the patient; and, on the basis of stabilization, if possible, advise the patient to self-treatment, guided therapy, or nearest treatment, to reduce the risk of exposure during transportation [ 36 ]. When patients have to go to the hospital, the information obtained is used to classify patients into low-risk and middle-to-high-risk patients which applies to implement dual-channel triage, and meanwhile control the waiting spacing, and reconfirm the patient’s medical history and other information at the triage desk, to reduce the risk of infection in outpatients.…”

Section: Discussionmentioning

confidence: 99%

“…Chaperones in the ward should also avoid excesses, and educate the patients and their relatives on infection prevention and control. In the case of surgical patients [ 36 – 38 ], our recommendation is to avoid surgery during a pandemic as much as possible and, in the case of limited duration surgery, to avoid the risk of aerosol transmission of the virus by selecting a negative pressure operating room or at least an operating room with independent ventilation. Furthermore, avoid invasive airway manipulation as much as possible, e.g., nerve block anesthesia for anesthetic measures, thus reduce the risk of respiratory tract infection.…”

Section: Discussionmentioning

confidence: 99%

Exposure risk of patients with chronic infectious wounds during the COVID-19 outbreak and its countermeasures

2020

View full text Add to dashboard Cite

Background A large number of cases of pneumonia caused by novel β-coronavirus emerged in Hubei Province, China, at the end of 2019 and demonstrated great potential for transmission. At present, known independent risk factors include age, diabetes, and other chronic diseases, which may be similar to the patients with chronic wound; thus, we try to explore the clinical characteristics, prognostic factors, and management recommendation of patients with chronic infective wounds during the COVID-19 epidemic period. Methods In this single-center, retrospective observational study, we included all cases with chronic infective wounds that came to our hospital between the full outbreak of the COVID-19 in China (January 23, 2020) and the latest date prior to posting (20 April 2020). Demographic data, comorbidities, laboratory and imaging findings, consultation history, and clinical outcomes (lesion cured, uncontrolled, amputated, etc. as of May 10, 2020) were collected for all individuals. Patients were subdivided into gangrene, traumatic infection, and other types of soft tissue infection wound (including bedsores, gout ruptures, stab wounds, and so on) according to the causes of wound, and their disease-related information were compared group by group. Results Among the total 81 patients with chronic infective wounds, 60% were male, with a mean age of 60.8 years (SD 18.6), including 38 (47%) patients with traumatic infection, 29 (36%) gangrene cases, and 14 (17%) other soft tissue infection wounds. Common comorbidities are hypertension (32%), diabetes (32%), cardiovascular disease (24%), and kidney injury (12%), and the patients with gangrenes have the most comorbidities. As of May 10, 2020, there were 78 patients discharged, and their average stay time is 15.8 days (SD 14.2), while people still at the hospital is 39.7 days (SD 8.7) much longer than the discharged and also has more comorbidities. But there is no significant difference in the hospitalization time of three types of wounds. And fortunately, none of all the patients were infected by coronavirus. Conclusion The majority of patients with chronic wounds are severely ill with high risk of infection and poor prognosis; therefore, management of patients with chronic wounds should be improved.

show abstract

The Saudi Spine Society guidelines on spinal surgery during the COVID-19 pandemic

Cited by 15 publications

References 6 publications

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

The strategies of perioperative management in orthopedic department during the pandemic of COVID-19

Exposure risk of patients with chronic infectious wounds during the COVID-19 outbreak and its countermeasures

Contact Info

Product

Resources

About