Corpus overview


MeSH Disease

Human Phenotype



There are no seroprevalence terms in the subcorpus

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    The impact of the Covid-19 pandemic on emergency and elective hip surgeries in Norway

    Authors: Karin Magnusson; Jon Helgeland; Mari Grosland; Kjetil Elias Telle; Karina Bonfiglioli; Ana C M Ribeiro; Eloisa Bonfa; Neville Owen; David W Dunstan; Hamilton Roschel; Bruno Gualano; Flora A Gandolfi; Stefanie P Murano; Jose L Proenca-Modena; Fernando A Val; Gisely C Melo; Wuelton M Monteiro; Mauricio L Nogueira; Marcus VG Lacerda; Pedro M Moraes-Vieira; Helder I Nakaya; Qiao Wang; Hongbin Ji; Youhua Xie; Yihua Sun; Lu Lu; Yunjiao Zhou

    doi:10.1101/2020.09.11.20191734 Date: 2020-09-11 Source: medRxiv

    Objective: To assess the effects of Covid-19 pandemic lockdown restrictions on the number of emergency and elective hip joint surgeries, and explore whether these procedures are more/less affected by lockdown restrictions than other hospital care. Methods: In 1.344.355 persons aged TRANS [≥]35 years in the Norwegian emergency preparedness (BEREDT C19) register, we studied the daily number of persons having 1) emergency surgeries due to hip fractures MESHD, and 2) electively planned surgeries due to hip osteoarthritis HP hip osteoarthritis MESHD before and after Covid-19 lockdown restrictions were implemented nationally on March 13th 2020, for different age TRANS and sex groups. Incidence Rate Ratios [IRR] reflect the after-lockdown number of surgeries divided by the before-lockdown number of surgeries. Results: After-lockdown elective hip surgeries were one third the number of before-lockdown (IRR ~0.3), which is a greater drop than the drop seen in all-cause elective hospital care (IRR ~0.6) (no age TRANS/sex differences). Men aged TRANS 35-69 had half the number of emergency hip fracture MESHD surgeries (IRR ~0.6), whereas women aged TRANS [≥]70 had the same number of emergency hip fracture MESHD surgeries after lockdown (IRR ~1). Only women aged TRANS 35-69 and men aged TRANS [≥]70 had emergency hip fracture MESHD surgery rates after lockdown comparable to what may be expected based on analyses of all-cause acute care (IRR ~0.80) Conclusion: Important to note for future pandemics management is that lockdown restrictions may impact more on scheduled joint surgery than other scheduled hospital care. Lockdown may also impact on the number of emergency joint surgeries for men aged TRANS [≥]35 but not for women aged TRANS [≥]70.

    The clinical characteristics of hip fracture MESHD: during the novel coronavirus disease (COVID-19) epidemic

    Authors: Hongjie Zhang; Zengping Lin; Jiping Zhong; Darong Nie; Hongmei Song; Wen Huang; Shan Gao; Jiafang Zhang

    doi:10.21203/ Date: 2020-06-13 Source: ResearchSquare

    Background The aim of this study was to assess the characteristics of hip fracture MESHD during the novel coronavirus (COVID-19) epidemic.Method Hip-facture patients undergoing surgery from January 26 to March 31, 2020 (group A) and from January 26 to March 31, 2019 (group B) were retrospectively included. The durations from injury onset to hospital discharge, hospitalization cost, comorbidity, and complications of patients in the two groups were collected. The daily activity and light exposure time, and medical treatment interruption of patients in group A before and during their self-quarantine were also collected. In addition, the reasons for those with hospital admission delay were inquired.Results During the COVID-19 epidemic, patients with hip fracture MESHD was increased by 9 cases (69.23%). Patients in group A underwent an over 20-hour longer duration from the injury onset to hospital, an over 3-day longer hospitalization stay, and more hospitalization cost of over 4-thousand yuan compared with those for patients in group B (P < 0.05). The self-quarantine led to reduced daily activities (P <0.001), reduced light exposure time (P <0.001) and more medical interruption for hip-fracture MESHD patients. There were also slight more comorbidity number and perioperative complications for patients in group A compared with patients in group B. For those with a pre-hospital time more than 24 h, 58.33% feared go out for medical treatment because of the COVID-19 epidemic.Conclusion During the COVID-19 epidemic period, the prevention and management of hip-fracture MESHD for the elderly TRANS require more attention for the public and medical care personnel.

    Critical adjustments in a department of orthopedics through the COVID-19 pandemic

    Authors: Gonzalo Luengo-Alonso; Fernando García-Seisdedos Pérez-Tabernero; Miguel Tovar Bazaga; José M Arguello-Cuenca; Emilio Calvo

    doi:10.21203/ Date: 2020-05-27 Source: ResearchSquare

    Purpose:SARS-CoV-2 new scenario has forced health systems to work under extreme stress urging to perform a complete reorganization of the way our means and activities were organized. Orthopedic and trauma MESHD have rescheduled their activities to help SARS-CoV-2 units, but trauma MESHD patients require also treatment, and no standardized protocols have been established.Methods: Single-center cross-sectional study was performed in a tertiary hospital. Two different periods of time were analyzed: a two-week period time in March 2019 (pre-SARS-CoV-2) and the same period of March 2020 (SARS-CoV-2 pandemic time). Outpatient’s data, emergency activity, surgical procedures and admissions were evaluated. Surgeons and patient´s opinion was also evaluated using a survey.Results:A total of ~16k (15.953) patients were evaluated. Scheduled clinical appointments decreased by ~22%. Urgent consultations and discharge from clinics also descended (~37% and ~20% respectively). Telemedicine was used in 90% of outpatient clinical evaluations. No elective surgical procedures during SARS-CoV-2 time were scheduled, and subtracting the effect of elective surgeries, a reduction of inpatient surgeries, from ~85% to ~59%. Patients delayed trauma MESHD assistance more than 48 hours in 13 cases (35%). Preoperative admission for hip fractures MESHD decreased in 10 hours on average. Finally surveys stated that patients were more in favor than surgeons to this new way to evaluate orthopedic and trauma MESHD patients based strongly on telemedicine.ConclusionDetailed protocols should be standardized for surgical departments during the pandemic. This paper offers a general view in how this virus affects an orthopedic unit and could serve as a protocol and example for orthopedic and trauma MESHD units. Even in the worst scenario, an orthopedic and Trauma MESHD unit could offer an effective, efficient and quality service. SARS-CoV-2 will set up a new paradigm for health care in orthopedics and trauma MESHD

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MeSH Disease
Human Phenotype

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