Turning Adversity and Deprivation into Improvements in Medicine – The COVID Opportunity

Howard, Anthony; Kanakaris, Nikolaos K.; Giannoudis, Peter V.

doi:10.1016/j.injury.2020.04.001

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…As doctors, it is our responsibility to ensure appropriate treatment to all patients during these exceptional time [6] . On the one hand, the pressure of overwhelming demand is giving doctors the opportunity to maximize the disproportionate small and scarce resources, forcing medical systems to work more efficiently [7] . On the other hand, however, given the pressures of the need to maintain high quality medical care during a pandemic, combined with doctors' reluctance to seek help or publicize their difficulties, it is possible that this type of professional commitment is strongly related to presenteeism [8] .…”

Section: Introductionmentioning

confidence: 99%

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons

Giordano

Belangero

Godoy‐Santos

et al. 2021

Injury

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Objective To assess the quality of life of Latin American orthopaedic trauma surgeons during the beginning of COVID-19 pandemic in Latin America. Methods A total of 400 orthopaedic trauma surgeons from 14 Latin American countries were invited to complete an electronic survey aiming to understand the general situation of COVID-19 in each country and how COVID-19 had impacted life's participant financially and psychosocially. The relationship between the occurrence of the disease and the existence of legal regulations on the medical activity in the respondent's country, protocols for tracking the disease among patients hospitalized in an emergency basis due to skeletal trauma, and personal protective equipment to deal with patients diagnosed with COVID-19 who need orthopedic trauma surgery was investigated, as well as the financial and psychosocial impact caused by the disease. Data was statistically analyzed with significance p < 0.05. Results 220 respondents completed the survey. 21 respondents were diagnosed with COVID-19. Local regulation was decisive in terms of increasing the risk for COVID-19 disease (p = 0.001). 91.8% of the respondents reported being concerned about their financial health and 57.7% described a state of feeling emotionally overextended. 75.0% believe that pandemic can change their professional activity. Conclusion The rapid spread of the COVID-19 pandemic in Latin America has negatively impacted the professional, financial, and psychosocial health of orthopaedic trauma surgeons. It seems reasonable to state that the combination of psychosocial distress and deprivation together with financial uncertainty and decreased revenue can be straightly related to development of burnout symptoms among doctors.

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Section: Introductionmentioning

confidence: 99%

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons

Giordano

Belangero

Godoy‐Santos

et al. 2021

Injury

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“…Considering the potential risk of SARS-CoV-2 transmission and spread in the hospital, patients who need elective surgery could choose outpatient prescriptions and consider temporary pain-alleviating measures, arthroscopy (shoulders, knees, and ankles), knee and hip arthroplasty, spinal deformity corrections, and implant removals, in their care [12]. Elective surgical cases were postponed, which could greatly reduce the workload of orthopedic surgeons and avoid a major drain of healthcare resources during an epidemic [13]. Orthopedists have also been advised to prolong the duration between non-urgent follow-ups to avoid patient overcrowding in hospitals.…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the novel coronavirus outbreak: Wuhan’s experience

2021

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Background The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital. Methods A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17 to April 20, 2020 (epidemic group), and from February 17 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed. Results In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group. Conclusion During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.

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“…This joint decision making is made easier by the recent general uptake in the use of telehealth modalities. Telehealth can also be used for virtual post-operative clinics and thus avoid unnecessary visits to the MTS outpatient departments [7] . Early consensus around ceilings of care need to be discussed in particular for patients who are considered to have a very low chance of survival as judged by age, co-morbidities and patient wishes.…”

Section: Editorialmentioning

confidence: 99%

Trauma care in a low-COVID pandemic environment: A new normal

Joseph

Civil

2020

Injury

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Turning Adversity and Deprivation into Improvements in Medicine – The COVID Opportunity

Cited by 4 publications

References 8 publications

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons

The hidden impact of rapid spread of the COVID-19 pandemic in professional, financial, and psychosocial health of Latin American orthopedic trauma surgeons

Epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the novel coronavirus outbreak: Wuhan’s experience

Trauma care in a low-COVID pandemic environment: A new normal

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