Young men in sports are at highest risk of acromioclavicular joint injuries: a prospective cohort study

et al. 2020

J Orthop Surg Res

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.

Section: Practical Flow Chartsmentioning

confidence: 99%

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

Zeng

et al. 2020

J Orthop Surg Res

“…Simpli cation of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. Orthopedic is not a front-line subject but fracture is a common injury and most of the patients are in trouble when diagnosed during the epidemic [8,9]. The regular diagnosis and treatment of patients were greatly affected and elective surgical activity of the hospital was rapidly reduced.…”

Section: Practical Ow Chartsmentioning

confidence: 99%

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

Zeng¹,

et al. 2020

Preprint

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.

“…Simpli cation of the diagnostic and staging pathway has to be prioritized in order to reduce hospital visits and consequently the risk of contagion. Orthopedic is not a front-line subject but fracture is a common injury and most of the patients are in trouble when diagnosed during the epidemic [9,10]. The regular diagnosis and treatment of patients were greatly affected and elective surgical activity of the hospital was rapidly reduced.…”

Section: Practical Ow Chartsmentioning

confidence: 99%

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

Zeng¹,

et al. 2020

Preprint

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 urge 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 patients 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 1st to March 1st in 2019 and January 1st to March 1st in 2020. The managements of the surgery patients and flow charts were described and analyzed. Post-operation outcomes of the patients including 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 term of post-operation outcomes.Results: Descriptive statistics analysis revealed that demographic of the patients between the two periods is similar. We had been benefited from the strict flow charts, smart robot and protection equipment in management of perioperative 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 significantly 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’s 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.