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首页> 外文期刊>Medical Journal of Shree Birendra Hospital >Impact of COVID-19 on Orthopaedic Surgery: Comparison Between Before and During COVID-19 Pandemic
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Impact of COVID-19 on Orthopaedic Surgery: Comparison Between Before and During COVID-19 Pandemic

机译：Covid-19对骨科手术的影响：Covid-19大流行前后的比较

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Orthopaedic surgical activity has been significantly affected by COVID-19 pandemic. The decision to perform operative interventions is based on balancing risk to benefit to the patient and health care workers. Though different guidelines have been published, there is a lack of reliable data on orthopaedic surgical activities. Our study aimed to evaluate the impact of the COVID-19 pandemic on Orthopaedic surgeries comparing with the previous year. Methods: This was an epidemiological retrospective comparative study conducted at Shree Birendra Hospital, Nepal after taking ethical approval from the Institutional Review Committee of NAIHS. Data of the first four month of orthopaedic surgeries after National lockdown (from March 24 to July 23, 2020) and the same four month period of the previous year (The year 2019) were retrieved. The demographic profiles and operations categories (trauma, elective and infections) were compared between two periods using SPSS 21. Result: Out of total of 651 patients enrolled, 169 patients operated during the pandemic compared with 482 patients before the pandemic. There was a 65% reduction in total surgical procedures, 94% reduction in elective cases and trauma cases were reduced by 29% (P < 0.05). Implant removal (107, 42.8%) constituted the highest elective cases in the year 2019. Conclusions: The orthopaedic surgical procedures were decreased in frequency during COVID-19 because of a decrease in elective cases. The total trauma patients remained more equable during pandemic despite strict lock-down. Health care facilities should consider this during post pandemic recovery.
机译：Covid-19流行病的骨科手术活动受到显着影响。执行操作干预的决定是基于平衡风险，以利用患者和医疗保健工作者。虽然已发表了不同的指导方针，但缺乏关于整形外科手术活动的可靠数据。我们的研究旨在评估与去年比较的Covid-19大流行对骨科手术的影响。方法：这是在尼泊尔制度审查委员会采取道德批准后，在尼泊尔在尼泊尔进行了流行病学回顾性比较研究。国家锁定后前四个月的矫形手术的数据（从3月24日至7月23日，2020年3月23日）和上一年的同一四个月（2019年）被取消了。使用SPSS 21比较了人口统计学概况和操作类别（创伤，选修和感染）。结果：出于招收651名患者的651名患者，比较大流行前的482名患者。总手术手术减少65％，选择病例减少94％，创伤病例减少了29％（P <0.05）。植入物去除（107,42.8％）构成了2019年的最高选修案例。结论：由于选择病例减少，在Covid-19期间，骨科手术手术的频率下降。尽管严格锁定，但在大流行期间，创伤患者仍然变得更加公平。在大流行复苏后医疗保健设施应考虑这一点。

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