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The Impact of COVID-19 Pandemic on the Surgical Treatment of Orthopedic Trauma in a Tertiary Hospital in Portugal

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Resumo:Abstract Introduction: The impact of the COVID-19 pandemic on orthopedic trauma surgery is not well characterized in the literature. We provided an evaluation of such impact in a tertiary hospital in Portugal. Material and Methods: Retrospective analysis of the patients admitted for surgical treatment due to acute orthopedic trauma from March to December of 2019 and March to December of 2020. Results: A total of 794 patients in 2019 and 728 in 2020 were included. Although the mean time to surgery was shorter the hospital stay was longer in 2020. Infected patients had a longer hospital stay and longer time until surgery compared to non-infected. There was no significant difference between the mortality and need for treatment in the intensive care unit (ICU) in both years. There was a significant increase in the number of polytrauma patients treated in our institution in 2020 compared to 2019. Conclusion: Orthopedic trauma surgery was globally influenced by the pandemic. Safe and effective measures should be adopted in the treatment of trauma patients, to reduce the clinical and economic impact.
Autores principais:Ferreira,David
Outros Autores:Ramos,Filipe; Pinheiro,Joana; Brito,Joaquim; Martins,Samuel; Sarmento,Marco
Assunto:COVID-19 Orthopedic Procedures SARS-CoV-2 Trauma Centers
Ano:2022
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
Descrição
Resumo:Abstract Introduction: The impact of the COVID-19 pandemic on orthopedic trauma surgery is not well characterized in the literature. We provided an evaluation of such impact in a tertiary hospital in Portugal. Material and Methods: Retrospective analysis of the patients admitted for surgical treatment due to acute orthopedic trauma from March to December of 2019 and March to December of 2020. Results: A total of 794 patients in 2019 and 728 in 2020 were included. Although the mean time to surgery was shorter the hospital stay was longer in 2020. Infected patients had a longer hospital stay and longer time until surgery compared to non-infected. There was no significant difference between the mortality and need for treatment in the intensive care unit (ICU) in both years. There was a significant increase in the number of polytrauma patients treated in our institution in 2020 compared to 2019. Conclusion: Orthopedic trauma surgery was globally influenced by the pandemic. Safe and effective measures should be adopted in the treatment of trauma patients, to reduce the clinical and economic impact.