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
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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