Impact of COVID-19 on Clinical Practices during Lockdown: A pan India Survey of Orthopaedic Surgeons
| Autor: | Karthikeyan P Iyengar, Hitesh Lal, R. Vaishya, Mohit Kumar Patralekh, Gaurav Kumar Upadhyaya, Vijay Kumar Jain |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) coronavirus pandemics 030230 surgery 03 medical and health sciences 0302 clinical medicine Pandemic Medicine Original Study Orthopedics and Sports Medicine Personal protective equipment Orthopedic surgery 030222 orthopedics orthopaedic procedures business.industry Attendance medicine.disease covid-19 Preparedness Emergency Medicine Anxiety Surgery Medical emergency medicine.symptom business Trauma surgery RD701-811 orthopaedics |
| Zdroj: | Malaysian Orthopaedic Journal, Vol 15, Iss 1, Pp 55-62 (2021) Malaysian Orthopaedic Journal |
| ISSN: | 2232-111X 1985-2533 |
| Popis: | INTRODUCTION: The social lockdown measures imposed to contain the COVID-19 pandemic, have had profound effects on the healthcare systems across the world and India has been no exception to it. The study was aimed to evaluate the impact of COVID-19 on orthopaedic practice in India during the lockdown period and assess the preparedness of orthopaedic surgeons for resuming clinical practice after the initial lockdown was lifted. MATERIALS AND METHODS: An online survey of 35 questions was conducted to evaluate impact on (i) general orthopaedic practice (ii) hospital protocols (iii) out-patient practice (iv) surgical practice (v) personal protective equipment (PPE) use and (vi) post-lockdown preparedness. RESULTS: A total number of 588 practising orthopaedic surgeons from India completed the survey. Majority (88.3%) found severe impact (>50%) on trauma surgery and nontrauma surgery with significant reduction in out -patient attendance compared to corresponding time in 2019. There were significant changes made in individual hospital protocols (91.7 %). Appropriate required PPE was available in majority of the hospitals (74.3%). No remodelling or upgrading of the existing operating theatre infrastructure was done by most surgeons (89.5%). CONCLUSION: This pan India survey of orthopaedic surgeons has indicated that COVID-19 has had a profound impact on their outpatient and surgical trauma and non-trauma practice, due to the lockdown and resulted in significant changes to hospital protocols. Preparedness to resume clinical and surgical practice was associated with anxiety in two-thirds of the respondents. Majority of the orthopaedic practitioners felt that they would continue to conduct pre-operative COVID-19 screening and use PPE even after the lockdown is over. |
| Databáze: | OpenAIRE |
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