Impact of Covid-19 pandemic on arthroplasty services and early experience after resuming surgeries at a 'non Covid' center
© 2021..
BACKGROUND: The aim of this study is to assess the impact of Covid-19 crisis on hip and knee joint replacement surgeries at a high volume tertiary care hospital in the Indian National Capital Region and to evaluate the early experience of resumption of arthroplasty services.
METHODS: Institutional records of the arthroplasty cases, operated between 1st March to 31 August of 2019 (Group A, pre-Covid) and 2020 (Group B, pandemic year) were compared retrospectively over numerous parameters including the complications within six weeks of surgery.
RESULTS: There was a significant drop (by 82.53 %) in the total number of arthroplasty surgeries in Group B (62) as compared with Group A (355). Average number of arthroplasties per month were 59.17 ± 12.93 and 10.67 ± 13.29 in Group A and Group B respectively (p < 0.001). There was a significant increase in postoperative complication rate 7/355 (1.97 %) in Group A vs 7/62 (11.29 %) in Group B during pandemic (p < 0.002), along with a higher 30-days mortality rate 2/355 (3.22 %) vs 2/62 (0.56 %). Pandemic year also saw an increased readmission rate (4.83 %) vs (0.56 %) and postoperative ICU transfer rate (1.61 %) vs (0.56 %) in comparison with pre-Covid year.
CONCLUSION: In the pandemic, arthroplasty services got severely affected at our center. With nearly six fold increase in complication rates, higher 30-days mortality and increased readmission rates, caution is advised in resuming arthroplasty surgeries without robust evaluation of cases. Whether undetected Covid-19 infection or poor pre-existing disease control due to lockdown can be linked to these results is a matter of further research with larger multicenter studies.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
Journal of clinical orthopaedics and trauma - 21(2021) vom: 15. Okt., Seite 101515 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Khanna, Varun [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 25.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.jcot.2021.101515 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 100 | 1 | |a Khanna, Varun |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Impact of Covid-19 pandemic on arthroplasty services and early experience after resuming surgeries at a 'non Covid' center |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2021. | ||
| 520 | |a BACKGROUND: The aim of this study is to assess the impact of Covid-19 crisis on hip and knee joint replacement surgeries at a high volume tertiary care hospital in the Indian National Capital Region and to evaluate the early experience of resumption of arthroplasty services | ||
| 520 | |a METHODS: Institutional records of the arthroplasty cases, operated between 1st March to 31 August of 2019 (Group A, pre-Covid) and 2020 (Group B, pandemic year) were compared retrospectively over numerous parameters including the complications within six weeks of surgery | ||
| 520 | |a RESULTS: There was a significant drop (by 82.53 %) in the total number of arthroplasty surgeries in Group B (62) as compared with Group A (355). Average number of arthroplasties per month were 59.17 ± 12.93 and 10.67 ± 13.29 in Group A and Group B respectively (p < 0.001). There was a significant increase in postoperative complication rate 7/355 (1.97 %) in Group A vs 7/62 (11.29 %) in Group B during pandemic (p < 0.002), along with a higher 30-days mortality rate 2/355 (3.22 %) vs 2/62 (0.56 %). Pandemic year also saw an increased readmission rate (4.83 %) vs (0.56 %) and postoperative ICU transfer rate (1.61 %) vs (0.56 %) in comparison with pre-Covid year | ||
| 520 | |a CONCLUSION: In the pandemic, arthroplasty services got severely affected at our center. With nearly six fold increase in complication rates, higher 30-days mortality and increased readmission rates, caution is advised in resuming arthroplasty surgeries without robust evaluation of cases. Whether undetected Covid-19 infection or poor pre-existing disease control due to lockdown can be linked to these results is a matter of further research with larger multicenter studies | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a A:G, Albumin:Globulin | |
| 650 | 4 | |a Arthroplasty | |
| 650 | 4 | |a CRP, C-reactive Protein | |
| 650 | 4 | |a Covid-19 | |
| 650 | 4 | |a Covid-19, Coronavirus disease 2019 | |
| 650 | 4 | |a Disruption | |
| 650 | 4 | |a ICU, Intensive Care Unit | |
| 650 | 4 | |a IL-6, Interleukin 6 | |
| 650 | 4 | |a LDH, Lactate Dehydrogenase | |
| 650 | 4 | |a Pandemic | |
| 650 | 4 | |a Post-lockdown | |
| 650 | 4 | |a RTPCR, Reverse transcription polymerase chain reaction | |
| 650 | 4 | |a Resumption | |
| 650 | 4 | |a TJRS, Total joint replacement surgeries | |
| 650 | 4 | |a WHO, World Health Organisation | |
| 700 | 1 | |a Nashikkar, Piyush Suresh |e verfasserin |4 aut | |
| 700 | 1 | |a Mahajan, Ramneek |e verfasserin |4 aut | |
| 700 | 1 | |a Tripathi, Swayam |e verfasserin |4 aut | |
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