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International Orthopaedics

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Open Access 01-08-2020 | Pneumonia | Original Paper

A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures

Authors: Yutong Meng, Kunpeng Leng, Lei Shan, Meng Guo, Junlin Zhou, Qingxian Tian, Yong Hai

Published in: International Orthopaedics | Issue 8/2020

Abstract

Purpose

Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic. The toughest issue traumatic orthopaedic surgeons are faced with is how to maintain a balance between adequate COVID-19 screening and timely surgery. In this study, we described our experience with pre-operative COVID-19 screening in patients with traumatic fractures. Furthermore, we analysed the clinical results of fracture patients undergoing confined or emergency surgery during the COVID-19 outbreak.

Methods

This was a case series study. Patients with traumatic fractures who were admitted to our hospital for surgery were enrolled in this study during the COVID-19 outbreak from March to April 2020. All patients were enrolled and managed using the standardized clinical pathway we designed for preoperative COVID-19 screening. Clinical, laboratory and outcome data were analysed.

Results

The average surgery waiting time from injury to surgery was 8.7 ± 3.4 days. The average waiting time from admission to surgery was 5.3 ± 2.8 days. These average waiting times were increased by 4.1 days and 2.0 days, respectively, compared with 2019 data. Cardiovascular complications, venous thromboembolism and pneumonia occurred in one, two and one patient, respectively. Three and two patients developed pre-operative and postoperative fevers, respectively.

Conclusions

We introduced a novel clinical pathway for pre-operatively screening of COVID-19 in traumatic orthopaedic patients. The delay in surgery caused by COVID-19 screening was minimized to a point at which reasonable and acceptable clinical outcomes were achieved. Doctors should pay more attention to perioperative complications, such as cardiovascular complications, venous thromboembolism, pneumonia and fever.

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Title: A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures
Authors: Yutong Meng
Kunpeng Leng
Lei Shan
Meng Guo
Junlin Zhou
Qingxian Tian
Yong Hai
Publication date: 01-08-2020
Publisher: Springer Berlin Heidelberg
Keywords: Pneumonia
COVID-19
Published in: International Orthopaedics / Issue 8/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04645-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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