Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic
Purpose It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center i...
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Published in | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA Vol. 28; no. 7; pp. 2027 - 2035 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.07.2020
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Abstract | Purpose
It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center in Wuhan, China during the pandemic.
Methods
A systematic search of the PubMed, Cochrane, Web of Science, Google Scholar was performed for studies about COVID-19, fracture, trauma, orthopedic, healthcare workers, protection, telemedicine. The appropriate protective measures for orthopedic surgeons and patients were reviewed (on-site first aid, emergency room, operating room, isolation wards, general ward, etc.) during the entire diagnosis and treatment process of traumatic patients.
Results
Eighteen studies were included, and most studies (13/18) emphasized that orthopedic surgeons should pay attention to prevent cross-infection. Only four studies have reported in detail how orthopedic surgeons should be protected during surgery in the operating room. No detailed studies on multidisciplinary cooperation, strict protection, protection training, indications of emergency surgery, first aid on-site and protection in orthopedic wards were found.
Conclusion
Strict protection at every step in the patient pathway is important to reduce the risk of cross-infection. Lessons learnt from our experience provide some recommendations of protective measures during the entire diagnosis and treatment process of traumatic patients and help others to manage orthopedic patients with COVID-19, to reduce the risk of cross-infection between patients and to protect healthcare workers during work.
Level of evidence
IV. |
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AbstractList | It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center in Wuhan, China during the pandemic.
A systematic search of the PubMed, Cochrane, Web of Science, Google Scholar was performed for studies about COVID-19, fracture, trauma, orthopedic, healthcare workers, protection, telemedicine. The appropriate protective measures for orthopedic surgeons and patients were reviewed (on-site first aid, emergency room, operating room, isolation wards, general ward, etc.) during the entire diagnosis and treatment process of traumatic patients.
Eighteen studies were included, and most studies (13/18) emphasized that orthopedic surgeons should pay attention to prevent cross-infection. Only four studies have reported in detail how orthopedic surgeons should be protected during surgery in the operating room. No detailed studies on multidisciplinary cooperation, strict protection, protection training, indications of emergency surgery, first aid on-site and protection in orthopedic wards were found.
Strict protection at every step in the patient pathway is important to reduce the risk of cross-infection. Lessons learnt from our experience provide some recommendations of protective measures during the entire diagnosis and treatment process of traumatic patients and help others to manage orthopedic patients with COVID-19, to reduce the risk of cross-infection between patients and to protect healthcare workers during work.
IV. PurposeIt was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center in Wuhan, China during the pandemic.MethodsA systematic search of the PubMed, Cochrane, Web of Science, Google Scholar was performed for studies about COVID-19, fracture, trauma, orthopedic, healthcare workers, protection, telemedicine. The appropriate protective measures for orthopedic surgeons and patients were reviewed (on-site first aid, emergency room, operating room, isolation wards, general ward, etc.) during the entire diagnosis and treatment process of traumatic patients.ResultsEighteen studies were included, and most studies (13/18) emphasized that orthopedic surgeons should pay attention to prevent cross-infection. Only four studies have reported in detail how orthopedic surgeons should be protected during surgery in the operating room. No detailed studies on multidisciplinary cooperation, strict protection, protection training, indications of emergency surgery, first aid on-site and protection in orthopedic wards were found.ConclusionStrict protection at every step in the patient pathway is important to reduce the risk of cross-infection. Lessons learnt from our experience provide some recommendations of protective measures during the entire diagnosis and treatment process of traumatic patients and help others to manage orthopedic patients with COVID-19, to reduce the risk of cross-infection between patients and to protect healthcare workers during work.Level of evidenceIV. Purpose It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of protective measures for orthopedic surgeons. The secondary purpose was to report the protection experience of an orthopedic trauma center in Wuhan, China during the pandemic. Methods A systematic search of the PubMed, Cochrane, Web of Science, Google Scholar was performed for studies about COVID-19, fracture, trauma, orthopedic, healthcare workers, protection, telemedicine. The appropriate protective measures for orthopedic surgeons and patients were reviewed (on-site first aid, emergency room, operating room, isolation wards, general ward, etc.) during the entire diagnosis and treatment process of traumatic patients. Results Eighteen studies were included, and most studies (13/18) emphasized that orthopedic surgeons should pay attention to prevent cross-infection. Only four studies have reported in detail how orthopedic surgeons should be protected during surgery in the operating room. No detailed studies on multidisciplinary cooperation, strict protection, protection training, indications of emergency surgery, first aid on-site and protection in orthopedic wards were found. Conclusion Strict protection at every step in the patient pathway is important to reduce the risk of cross-infection. Lessons learnt from our experience provide some recommendations of protective measures during the entire diagnosis and treatment process of traumatic patients and help others to manage orthopedic patients with COVID-19, to reduce the risk of cross-infection between patients and to protect healthcare workers during work. Level of evidence IV. |
Author | Zhu, Fengzhao Zeng, Lian Hart, Alister Wang, Yulong Yao, Sheng Henckel, Johann Hirschmann, Michael T. Liu, Chaozong Shao, Zengwu Di Laura, Anna Guo, Xiaodong |
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Keywords | COVID-19 Cross-infection Orthopedic surgery Novel coronavirus disease 2019 novel coronavirus Fracture 2019-nCoV Traumatology Protection Treatment and diagnosis |
Language | English |
License | This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
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PublicationTitle | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
PublicationTitleAbbrev | Knee Surg Sports Traumatol Arthrosc |
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It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance... It was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of... PurposeIt was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of... PURPOSEIt was the primary purpose of the present systematic review to identify the optimal protection measures during COVID-19 pandemic and provide guidance of... |
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SubjectTerms | Air Filters Betacoronavirus China Clinical Laboratory Techniques Coronavirus Infections - diagnosis Coronavirus Infections - prevention & control Coronavirus Infections - transmission Coronaviruses COVID-19 COVID-19 Testing Cross Infection - prevention & control Cross-infection Diagnosis Elective Surgical Procedures Emergencies Emergency medical care Emergency medical services Emergency Service, Hospital First Aid Fractures, Bone - surgery Health care Health risks Humans Infections Infectious Disease Transmission, Patient-to-Professional - prevention & control Medical diagnosis Medical personnel Medicine Medicine & Public Health Operating Rooms Orthopedic Procedures - methods Orthopedic Surgeons Orthopedics Pandemics Pandemics - prevention & control Patients Personal Protective Equipment Pneumonia, Viral - diagnosis Pneumonia, Viral - prevention & control Pneumonia, Viral - transmission SARS-CoV-2 Search engines Sports Traumatology Surgeons Surgery Telemedicine Telemedicine - methods Telesurgery Transportation of Patients Trauma Trauma Centers |
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Title | Recommendations of protective measures for orthopedic surgeons during COVID-19 pandemic |
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