Skip to main content
Top
Published in: HSS Journal ® 1/2020

01-11-2020 | SARS-CoV-2 | Response to COVID-19/Original Article

Clinical Experience with COVID-19 at a Specialty Orthopedic Hospital Converted to a Pandemic Overflow Field Hospital

Authors: Andy O. Miller, MD, Milan Kapadia, BS, Meghan A. Kirksey, MD, PhD, Milan Sandhu, BS, Deanna Jannat-Khah, DrPH, Trang Bui, MD, MPH, K. Keely Boyle, MD, Alexandra Krez, BA, Linda Russell, MD, Jennifer O’Neill, DNP, APN, NEA-BC, Emily M. Stein, MD, MS, Michael W. Henry, MD, Vinicius C. Antao, MD, PhD, Douglas E. Padgett, MD

Published in: HSS Journal ® | Special Issue 1/2020

Login to get access

Abstract

Background

COVID-19, the illness caused by the novel coronavirus, SARS-CoV-2, has sickened millions and killed hundreds of thousands as of June 2020. New York City was affected gravely. Our hospital, a specialty orthopedic hospital unaccustomed to large volumes of patients with life-threatening respiratory infections, underwent rapid adaptation to care for COVID-19 patients in response to emergency surge conditions at neighboring hospitals.

Purposes

We sought to determine the attributes, pharmacologic and other treatments, and clinical course in the cohort of patients with COVID-19 who were admitted to our hospital at the height of the pandemic in April 2020 in New York City.

Methods

We conducted a retrospective observational cohort study of all patients admitted between April 1 and April 21, 2020, who had a diagnosis of COVID-19. Data were gathered from the electronic health record and by manual chart abstraction.

Results

Of the 148 patients admitted with COVID-19 (mean age, 62 years), ten patients died. There were no deaths among non-critically ill patients transferred from other hospitals, while 26% of those with critical illness died. A subset of COVID-19 patients was admitted for orthopedic and medical conditions other than COVID-19, and some of these patients required intensive care and ventilatory support.

Conclusion

Professional and organizational flexibility during pandemic conditions allowed a specialty orthopedic hospital to provide excellent care in a global public health emergency.
Appendix
Available only for authorised users
Literature
9.
go back to reference Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G. Characteristics and early prognosis of COVID-19 infection in fracture patients. J Bone Jt Surg Am. 2020;102(9):750–758.CrossRef Mi B, Chen L, Xiong Y, Xue H, Zhou W, Liu G. Characteristics and early prognosis of COVID-19 infection in fracture patients. J Bone Jt Surg Am. 2020;102(9):750–758.CrossRef
Metadata
Title
Clinical Experience with COVID-19 at a Specialty Orthopedic Hospital Converted to a Pandemic Overflow Field Hospital
Authors
Andy O. Miller, MD
Milan Kapadia, BS
Meghan A. Kirksey, MD, PhD
Milan Sandhu, BS
Deanna Jannat-Khah, DrPH
Trang Bui, MD, MPH
K. Keely Boyle, MD
Alexandra Krez, BA
Linda Russell, MD
Jennifer O’Neill, DNP, APN, NEA-BC
Emily M. Stein, MD, MS
Michael W. Henry, MD
Vinicius C. Antao, MD, PhD
Douglas E. Padgett, MD
Publication date
01-11-2020
Publisher
Springer US
Published in
HSS Journal ® / Issue Special Issue 1/2020
Print ISSN: 1556-3316
Electronic ISSN: 1556-3324
DOI
https://doi.org/10.1007/s11420-020-09779-z

Other articles of this Special Issue 1/2020

HSS Journal ® 1/2020 Go to the issue