scholarly journals The Epidemiology of Knee Arthroscopy during Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 9 (B) ◽  
pp. 683-686
Author(s):  
Asep Santoso ◽  
Iwan Budiwan Anwar ◽  
Tangkas SMHS Sibarani ◽  
Pamudji Utomo ◽  
Zarkasyi Arimukti ◽  
...  
Keyword(s):  
Health Service ◽  
Severe Acute Respiratory Syndrome ◽  
Knee Arthroscopy ◽  
Demographic Data ◽  
Retrospective Data ◽  
Preoperative Screening ◽  
Surgical Service ◽  
Surgical Services ◽  
Huge Impact ◽  
Retrospective Data Collection

Introduction: Coronavirus disease (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus (SARS Cov-2) has made a huge impact on global health service including in orthopaedic surgical service. Knee surgery (including arthroscopy) is one of the emerging surgical services in Indonesia. As the pandemic goes on, some of the patients prefer to postpone or cancel the surgery planning. We tried to evaluate the epidemiology of knee arthroscopy procedure during Covid-19 pandemic at our institution. Material and methods: Retrospective data collection was performed on all patients who received knee arthroscopy procedure at Prof dr. R. Soeharso Orthopaedic Hospital, Surakarta, Indonesia during the year 2020. The study evaluated the demographic data, the indication of surgery, and trends of the number of surgeries according to period time. This study also compared the data of knee arthroscopy procedures performed during the corresponding period before the pandemic in Indonesia (January to December 2019). Results: There was a total of 88 knee arthroscopy surgery performed during the period January to December 2020. There was a decrease in the number of knee arthroscopy during April and May 2020.  The decreasing number of surgeries also occurred in November 2020 which was later followed by the increasing number of surgeries in December 2020. Among all patient received knee arthroscopy during 2020, none have post-operative complication or infection due to SARS Cov-2. Conclusion: There was some difference in the epidemiology of knee arthroscopy during the COVID-19 pandemic compared to the non-pandemic era. Comprehensive preoperative screening is needed before resume elective surgical service.  

scholarly journals Tonsillectomy Bleed Rates across the CHEER Practice Research Network

2016 ◽  
Vol 155 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Walter T. Lee ◽  
David L. Witsell ◽  
Kourosh Parham ◽  
Jennifer J. Shin ◽  
Nikita Chapurin ◽  
...  
Keyword(s):  
Data Collection ◽  
Postoperative Bleeding ◽  
Age Groups ◽  
Postoperative Hemorrhage ◽  
Research Network ◽  
Practice Research ◽  
Retrospective Data ◽  
Significant Difference ◽  
Retrospective Data Collection ◽  
A Site

Objectives (1) Compare postoperative bleeding in the CHEER network (Creating Healthcare Excellence through Education and Research) among age groups, diagnoses, and practice types. (2) Report the incidence of bleeding by individual CHEER practice site based on practice guidelines. Study Design Retrospective data collection database review of the CHEER network based on ICD-9 and CPT codes related to tonsillectomy patients. Setting Multisite practice–based network. Subjects and Methods A total of 8347 subjects underwent tonsillectomy as determined by procedure code within the retrospective data collection database, and 107 had postoperative hemorrhage. These subjects had demographic information and related diagnoses based on the CPT and ICD-9 codes collected. Postoperative ICD-9 and CPT codes were used to identify patients who also had postoperative bleed. Variables included age (<12 vs ≥12 years), diagnoses (infectious vs noninfectious), and practice type (community vs academic). Statistical analysis included multivariate logistic regression variables predictive of postoperative bleeding, with P < .05 considered significant. Results Thirteen sites contributed data to the study (7 academic, 6 community). There was postoperative bleeding for an overall bleed rate of 1.3%. Patients ≥12 years old had a significantly increased bleed rate when compared with the younger group (odds ratio, 5.98; 95% confidence interval: 3.79-9.44; P < .0001). There was no significant difference in bleed rates when practices or diagnoses were compared. Conclusion A site descriptor database built to expedite clinical research can be used for practice assessment and quality improvement. These data were also useful to identify patient risk factors for posttonsillectomy bleed.

scholarly journals EP.WE.409Stoma forming surgery – has lockdown changed our operative practice during COVID 19

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ross Manson ◽  
Tracy Tallo ◽  
Isabell Robertson ◽  
John Anderson ◽  
Praveen Sharma ◽  
...  
Keyword(s):  
Loop Ileostomy ◽  
Retrospective Data ◽  
Curative Intent ◽  
Data Set ◽  
Patients With Cancer ◽  
Local Database ◽  
Stoma Formation ◽  
Retrospective Data Collection ◽  
Emergency Operating ◽  
Comparison Data

Abstract Aims This study aimed to establish whether the initial lockdown resulted in a shift towards emergency surgery, changes in stoma formation and in rate of surgery with curative intent. Methods A retrospective data collection was performed. Patients were identified using a local database of all patients with stomas. Data was collected from 16/03/20 to 16/09/20. A comparison data set was taken (16/03/19 to 16/09/19). Data was collected on whether the case was performed as an emergency; the type of stoma formed and whether the operation was performed with curative intent. Results Seventeen patients were identified in the 2020 cohort (age: 51-84, mean age: 67.6, M:F 10:7). Fourteen cases (82.4%) were performed as emergencies, three electively (17.6%). Six (35.3%) had end colostomies, three (17.6%) had loop colostomies, one (5.9%) had a caecostomy, four (23.5%) had an end ileostomy and three (17.6%) had a loop ileostomy. Ten operations were for patients with cancer, three (30%) were performed with curative intent. 38 patients were identified in the 2019 cohort (age: 28-85, mean age: 63.0, M:F 17:21). 23 (60.5%) were emergencies, fifteen (39.5%) were performed electively. Nine (23.7%) had end colostomies, eight (21.1%) had loop colostomies, three (7.9%) had caecostomies, ten (26.3%) had end ileostomies and nine (23.7%) had loop ileostomies. There were nineteen operations for cancer, eight (42.1%) were with curative intent. Conclusions Cessation of elective activity caused a shift towards emergency operating, with an associated shift towards surgery with non-curative intent. The distribution of stomas formed has not changed.

scholarly journals Diagnostic Tests and Procedures During the COVID-19 Pandemic

2021 ◽  
pp. 191-216
Author(s):  
Sherry A. Dunbar ◽  
Yi-Wei Tang
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Global Health ◽  
Diagnostic Tests ◽  
Clinical Intervention ◽  
Laboratory Diagnosis ◽  
Accurate Diagnosis ◽  
Mitigation Strategies ◽  
Causative Pathogen ◽  
Huge Impact

AbstractCoronavirus disease 2019 (COVID-19) has brought a huge impact on global health and the economy. Early and accurate diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections is essential for clinical intervention and pandemic control. This book chapter addresses the evolving approach to the laboratory diagnosis of COVID-19 covering preanalytical, analytical, and postanalytical steps. The rapidly changing dynamics of the COVID-19 pandemic serve as an example which will be important for laboratories to plan for future pandemics. With the quick identification of the causative pathogen and availability of the genome sequence, it will be possible to develop and implement diagnostic tests within weeks of an outbreak. Laboratories will need to be flexible to continuously adapt to changing testing needs and burdens on the healthcare system, plan mitigation strategies for bottlenecks in testing and workflow due to limitations on resources and supplies, and prepare back-up plans now in order to be better prepared for future pandemics.

The perceptions on the recent COVID-19 pandemic: a study on health-care students in Malaysia

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Norhayati Mohd Zain ◽  
Nur Anis Izzati Che Mut
Keyword(s):  
Health Care ◽  
Demographic Data ◽  
Descriptive Analysis ◽  
Online Questionnaire ◽  
Future Health ◽  
Content Type ◽  
Health Care Students ◽  
Future Challenges ◽  
Future Health Care ◽  
Huge Impact

PurposeThe purpose of this paper is to study the perception of health-care students on the recent COVID-19 pandemic in Malaysia. There was one study by Caliskhan et al. (2020) conducted among Turkish final-year medical students showed that the students were knowledgeable about and aware of the COVID-19 pandemic. To the authors’ knowledge, there are limited number of studies conducted among health-care students in Malaysia.Design/methodology/approachThe online questionnaire was randomly distributed to the health-care students in Malaysia. The questionnaire consists of socio-demographic data and perceptions on COVID-19. Descriptive analysis was used to analyse the perceptions of the health-care students on COVID-19.FindingsHealth-care students in Malaysia have positive perceptions on COVID-19, and it did not give huge impact of their interest in this health-care field. Thus, it is important that this issue is investigated, and the perceptions of health-care students on COVID-19 can be highlighted.Research limitations/implicationsThe strength of this study was the participation from the health-care students from various institutions, which have different experience and backgrounds. The study was limited on the items of question utilised. Due to the limited time and urgency of the survey, the authors were unable to study their knowledge, attitudes and way they are going to cope with this kind of pandemic as the students and as future health-care workers.Originality/valueThe paper points out the effect on the recent COVID-19 pandemic on health-care students in Malaysia. It also points out the perceptions of health-care students in Malaysia on the current pandemic. It is expected that the results of this research would serve as baseline data for health-care institutions in Malaysia to continue equip the future front liners that can adapt future challenges.

scholarly journals Impact of health service provision on mothers and infants in a rural village in North West Frontier Province, Pakistan

1998 ◽  
Vol 1 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Christine A Northrop-Clewes ◽  
Nisar Ahmad ◽  
Parvez I Paracha ◽  
David I Thurnham
Keyword(s):  
Health Service ◽  
Child Mortality ◽  
Demographic Data ◽  
Service Research ◽  
Low Literacy ◽  
Health Service Provision ◽  
North West ◽  
Neonatal Deaths ◽  
North West Frontier Province ◽  
The Impact

AbstractObjective:The objective of this paper is to examine the impact of the Health Service Research Project of the Pakistan Medical Research Council (PMRC) on mothers and infants in Budhni village, North West Frontier Province (NWFP), Pakistan.Methods:Information from the PMRC records on the socioeconomic and demographic situation over the last 10 years and anthropometric measurements made on all infants from 1986–96 were collected and analysed.Results:The demographic data showed a number of changes, namely a reduction in birth rate and improvements in perinatal, neonatal, infant and child mortality rates. Literacy in the village was poor (27 and 39% literate in 1986 and 1996, respectively) and female literacy showed no improvement (14%). Improvements in sanitation and in the water supply introduced by the PMRC had limited success, as clean water was subsequently contaminated by unclean hands and utensils, and 50% of the population continued to use open fields for sanitation. In 1986 only 27% of children 0–5 years were vaccinated, but by 1996, 96% of children had completed polio, diphtheria/pertussis/tetanus (DPT) and bacille Calmette-Guérin (BCG) vaccination programmes and 95% of women of child-bearing age were vaccinated against tetanus. Protection against tetanus reduced neonatal deaths and from 1333 onwards there have been no further cases.Anthropometric data for the period 1986–96 for infants (0–24 months) showed that at birth the majority of infants were close to the 50th National Centre for Health Statistics (NCHS) centile for weight and length, and only 5% of birth-weights were less than 2.5 kg. Growth charts showed faltering in length and weight and by 24-months length in both boys and girls was below the 3rd NCHS centile and weights were just above.Conclusions:Reductions in child mortality have occurred over the period 1986–96. However, the slow progress in adopting hygienic practices, despite health education, and the low literacy rates, particularly in women, may hamper continued improvement.

Live attenuated MMR/V booster vaccines in children with rheumatic diseases on immunosuppressive therapy are safe: Multicenter, retrospective data collection

Vaccine ◽  
2020 ◽  
Vol 38 (9) ◽  
pp. 2198-2201 ◽  
Author(s):  
Yosef Uziel ◽  
Veronica Moshe ◽  
Beata Onozo ◽  
Andrea Kulcsár ◽  
Diána Tróbert-Sipos ◽  
...  
Keyword(s):  
Data Collection ◽  
Immunosuppressive Therapy ◽  
Rheumatic Diseases ◽  
Retrospective Data ◽  
Retrospective Data Collection
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