Does elective orthopaedic surgery in pandemic era increase risk of developing COVID-19? A combined analysis of retrospective and prospective study at Cipto Mangunkusumo Hospital, Jakarta, Indonesia
| Autor: | K. M. A. Novriandi, Ismail Hadisoebroto Dilogo, Anissa Feby Canintika, Andra Hendriarto, Aryadi Kurniawan, I. W. A. M. Karda, Bambang Gunawan, G. Singh, Ahmad Jabir Rahyussalim, Ziad Alaztha, Yogi Prabowo, Mohammad Triadi Wijaya, Ifran Saleh, Ihsan Oesman, L. D. Liastuti, Muhammad Deryl Ivansyah, Adisa Yusuf Reksoprodjo, Wildan Latief, Singkat Dohar Apul Lumban Tobing, Mohamad Walid Kuncoro, Wahyu Widodo, A. H. R. Sitanggang, Errol U. Hutagalung, Muhammad Rizqi Adhi Primaputra, Achmad Fauzi Kamal, Andri Maruli Tua Lubis, Trimartani, Nadia Npps. Ifran |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Elective orthopaedic surgery
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry General surgery Mean age General Medicine 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Orthopedic surgery Pandemic medicine 030211 gastroenterology & hepatology General anaesthesia Surgery Elective surgery Prospective cohort study business |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2020.10.015 |
| Popis: | Background To date, no recommendations have been published on when and how to start again carrying out elective, non-urgent surgery on COVID-19-negative patients after the epidemic peak has been reached in a given country or region and the pressure on healthcare facilities, healthcare workers and resources has been released by so far that elective surgery procedures can be safely and ethically programmed again. This study aims to investigate whether elective orthopaedic surgery will increase the risk of developing COVID-19. Materials and methods This was a combined retrospective and prospective studies performed at a national tertiary hospital in Jakarta, Indonesia. Subjects were patients who underwent elective orthopaedic surgeries at our institution from April to May 2020. Those who were previously infected with COVID-19 from polymerase chain reaction (PCR) reverse transcriptase (RT) examination obtained via nasopharynx and oropharynx swab, as well as those who were reluctant to participate were excluded from the study. Results A total of 35 subjects (mean age 32.89 ± 17.42) were recruited. Fifteen (42.9%) subjects were male, and 20 subjects (57.1%) were female. Mean duration of surgery was 240 min with the longest and shortest duration of 690 and 40 min, respectively. General anaesthesia was performed in the majority of cases in 18 surgeries (51.4%) with local anaesthesia as the least in 2 surgeries (5.7%). Length of stay of our study was 6 days of average. None of the patients developed symptoms suggestive of COVID-19 infection. Conclusion We found that elective orthopaedic surgery may not be associated with increased cases of COVID-19 cases. However, our study was limited by short duration of follow-up. Further studies are required in order to investigate the affect of undergoing elective surgery and the number of COVID-19 cases. |
| Databáze: | OpenAIRE |
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