Patient outcomes after humeral fracture surgery during the COVID-19 outbreak in Spain
Autor: | Kushal Lakhani, Jorge H. Nuñez, Josep Maria Doménech i Massons, Lledó Batalla, Montserrat García-Portabella, Martin Plomer |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
shoulder Radiography coronavirus Fracture Fixation Internal 0302 clinical medicine Orthopedics and Sports Medicine Fixation (histology) Aged 80 and over 030222 orthopedics Hip fracture Cross Infection Shoulder Fracture General Medicine Middle Aged Occupational Diseases medicine.anatomical_structure Shoulder Fractures Female Coronavirus Infections Adult medicine.medical_specialty Infectious Disease Transmission Patient-to-Professional Operative Time Pneumonia Viral Article 03 medical and health sciences Betacoronavirus humerus medicine Humans Humerus Pandemics Personal Protective Equipment Aged Retrospective Studies Surgical team business.industry SARS-CoV-2 pandemic Outbreak COVID-19 Retrospective cohort study 030229 sport sciences Length of Stay medicine.disease Surgery Spain fracture business |
Zdroj: | Journal of Shoulder and Elbow Surgery |
ISSN: | 1532-6500 1058-2746 |
Popis: | Background The global spread of the 2019 novel coronavirus (COVID-19) has profoundly affected the way we conduct our health care practices. The goal of this paper is to report the outcomes of 11 patients who underwent humeral fracture surgery in the first few weeks of the COVID-19 outbreak in Spain. Methods This was a retrospective case series of 11 patients who underwent humeral fracture surgery during the first weeks of the COVID-19 outbreak in Spain, between March 10 and April 25, 2020. The clinical outcomes of these operative patients were monitored up to May 12, 2020, the final date of follow-up, a minimum of 15 days after all patients were discharged from the hospital. COVID-19 infection, mortality, demographic, clinical, and laboratory data were analyzed. Results Thirty-six humeral fractures were recorded between March 10 and April 25, 2020. During this period, humeral fracture fixation was the third most common surgery for fracture in our institution after hip fracture and ankle fracture surgery. Eleven patients underwent surgery (30.5%), of whom 7 were women (63.3%). The mean age was 64.8 years (standard deviation, 13.5). Nine operated cases had a proximal humerus fracture and 2 had a humeral shaft fracture. One of the 11 patients was positive for SARS-CoV-2 on the basis of the quantitative reverse transcription polymerase chain reaction of throat swab samples. The overall median surgical time was 101.2 minutes (standard deviation, 28.4). The overall median hospital length stay for the patient discharged was 2.2 days (range, 1-4 days). No COVID-19 nosocomial intrahospital infection occurred, and no patient reported COVID-19 infection during the 15 days after hospital discharge. No intrahospital mortality was recorded. Furthermore, no COVID-19 infection was reported in the shoulder surgeons who performed the surgeries. Conclusions Although humeral fractures were not the most frequent fractures during this outbreak, some required surgery. With good preoperative management that included reverse transcription polymerase chain reaction for COVID-19 and chest radiographs, protective measurements for the surgical team, and rapid discharge of the patients, we were able to operate on 11 humeral fractures with no COVID-19 nosocomial intrahospital infection in the patients or in the shoulder surgeons who performed the surgeries. |
Databáze: | OpenAIRE |
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