scholarly journals The impact of novel COVID-19 initial pandemic on orthopedic healthcare: an experience from a single institution of South Korea

2021 ◽  
Vol 64 (11) ◽  
pp. 778-787
Author(s):  
Gun Woo Lee ◽  
Gi Beom Kim ◽  
In Jun Lee

Background: This study was to investigate the cancellation rate and trend of orthopedic surgeries during the novel coronavirus disease 2019 (COVID-19) pandemic. Moreover, we assessed the psychologic status of orthopedic healthcare workers, and investigated the details of the preventive surgeries underwent in COVID-19-positive patients.Methods: For 3 months after January 20, 2020, cancellation rates of elective surgeries were investigated, and the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic status among the orthopedic health care workers. We compared the outcomes according to occupation (physician or nurse), and type of work (faculty staff or resident physician). Outcomes according to occupation and type of work were compared. Preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were investigated.Results: Spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced. During the initial pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year and was different for each subdivision depending on the degree of pain or disability. The psychological outcomes were within the normal range and there were no significant differences between groups. After preventive surgery, all medical staff involved in the operation tested negative.Conclusion: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year. Orthopedic health care workers did not seem to have significant psychological distress. As a result of the preventive surgery in specialized facilities, all the medical staff who participated in the operation tested negative.

2020 ◽  
Author(s):  
Gi Beom Kim ◽  
Oog-Jin Shon ◽  
Jeong Jin Park ◽  
Sun-Mi Lee ◽  
Gun Woo Lee

Abstract Background: This study aimed to investigate the cancellation rate and trend of orthopedic surgery at the main institution in Daegu, Korean epicenter of novel coronavirus disease 19 (COVID-19), and to analyze the psychologic status of the healthcare workers in the orthopedic division during the COVID-19 pandemic. Moreover, we sought to assess the outcomes of the preventive surgeries underwent in patients suspected to have COVID-19.Methods: Cancellation rates of elective surgeries over three months since the first confirmed COVID-19 case in South Korea on January 20, 2020 were investigated. Moreover, the number of elective surgeries conducted in the same period over the last two years was compared. Four different questionnaires were used to investigate psychologic impact among health care workers in the orthopedic department. The surveyed outcomes according to occupation and type of work were compared. Urgent preventive surgeries underwent in patients who could not wait for the results of the COVID-19 diagnosis were also investigated.Results: During the pandemic, spine and hip surgery had relatively lower cancellation rates, and elective surgeries were significantly reduced compared to the same period in the last two years. The surveyed outcomes of the psychological questionnaires were within the normal range and there were no significant differences between groups. After preventive surgeries, the virus did not spread to all medical staff involved.Conclusions: During the COVID-19 pandemic, the cancellation rate of orthopedic elective surgeries was significantly higher than in the same period of the previous year, and was different for each subdivision depending on the degree of pain or disability experienced by the patient. Health care workers in the orthopedic division did not seem to have significant psychological distress; rather, a decrease in workload appears to be a positive factor in their mental health. Preventive surgery performed in specialized facilities did not spread the virus to involved medical staff.


Author(s):  
Seyed Hadi Kalantar ◽  
Seyed Mohammad Javad Mortazavi ◽  
Nima Bagheri ◽  
Seyed Ali Dehghan Manshadi ◽  
Alireza Moharrami ◽  
...  

Background: The novel coronavirus disease-2019 (COVID-19) has become a significant worldwide problem since January 2019. Hospitals have spent most of their time and logistics on patients with COVID-19. During this crisis, many healthcare providers have been infected with the disease, and occasionally, some wards and operating rooms were shut down as a result. Here, we explain our experience with the healthcare staff involvement with COVID-19 in our hospital. Methods: As a referral tertiary center, Imam Khomeini Hospital (Tehran, Iran) has 4,200 health-care workers (HCWs). From February 20, 2020 to August 21, 2020, we investigated the hospital database for COVID-19 involvement among the staff. Results: During the study period, 973 (23%) hospital HCWs were detected with COVID-19, 378 (9%) of whom were involved between June 21 and July 21, 2020. In the orthopedic department, 20 of 43 (46%) HCWs were infected with COVID-19. Conclusion: We believe that the increase in the incidence of the disease and higher risk of exposure is a highly noticeable factor which should be addressed by the administrative health officials.


2020 ◽  
Vol 57 ◽  
pp. 14-16
Author(s):  
Nabil A. Al-zoubi ◽  
Basil R. Obeidat ◽  
Mohammad A. Al-Ghazo ◽  
Wail A. Hayajneh ◽  
Abdelkarim H. Alomari ◽  
...  

2021 ◽  
Author(s):  
Piyush Kumar

Abstract: Background: The ongoing coronavirus pandemic caused by SARS-CoV-2/covid-19/novel coronavirus is an acute infectious communicable disease spreading mainly via respiratory, eye, mouth and other possible routes from person to person as well as through contact with infected non living objects. The pandemic has massively increased healthcare systems burden due to high hospitals admission rate, infection rates, morbidity, and mortality. QALY (quality adjusted life years) & DALY (disability adjusted life years) are also important for consideration of impact of this pandemic. The healthcare systems is under constant massive pressure to halt the spread of the novel coronavirus & a huge part of this responsibility is being shouldered by frontline health care workers including doctors, nurses, paramedical workers, ASHAs and Anganwadi services etc. Hence HCWs are inevitably and routinely exposed to the virus hence naturally are at high risk of infection, possible mortality & morbidities. Objectives: The key objective is to find out impact of SARS-CoV-2/Covid-19 Pandemic on Healthcare Workers (HCWs) Mortality & Infections across 36 states & union territories of India. What are the reasons of mortality and morbidity & How to prevent mortality & morbidity of HCWs? Methodology/settings & design (search strategy-Research Methods): Several databases were searched for deaths of HCWs in India between January 2019 and 18th May 2021, including MoHFW website, PUBMED, WHO COVID-19 database, COVID-19 Study Register, and Google scholar. The search terms used were: “healthcare providers /health care workers/nurses- death in India due to COVID-19”, “SARS-CoV-2”, “Coronavirus,” using Google search. Whatever data obtained is tabulated. Results: There is increase in mortality of HCWs in India. The data is not available completely in my search. Beside increased death I have found a lot of controversy and questions raised on the issue of this data. There is lot of discrepancy in data given by Government and other sources. According to the Indian Medical Association, 244 doctors have lost their lives due to Covid in the second wave. Of them, 50 deaths were recorded on Sunday. The highest number of fatalities have been reported from Bihar (69) followed by Uttar Pradesh (34) and Delhi (27) .Conclusion: The government and other agencies should collect and provide the data publicly so that it can be analysed by different sections of researchers to give feedback which will help in making policies helpful to protect HCWs. A large number of medical staffs are infected due to the lack of adequate protection. Currently, the COVID-19 pandemic is growing day by day with lack of essential facilities for treatment. Some experts have warned of a possible third wave of COVID-19. Keywords: Healthcare workers (HCWs), covid-19 infection, safety, pandemic, Mortality, Doctors, Nurses, Death, India


2021 ◽  
Author(s):  
Piyush Kumar

Abstract Background The ongoing coronavirus pandemic caused by SARS-CoV-2/covid-19/novel coronavirus is an acute infectious communicable disease spreading mainly via respiratory, eye, mouth and other possible routes from person to person as well as through contact with infected non living objects. The pandemic has massively increased healthcare systems burden due to high hospitals admission rate, infection rates, morbidity, and mortality. QALY (quality adjusted life years) & DALY (disability adjusted life years) are also important for consideration of impact of this pandemic. The healthcare systems is under constant massive pressure to halt the spread of the novel coronavirus & a huge part of this responsibility is being shouldered by frontline health care workers including doctors, nurses, paramedical workers, ASHAs and Anganwadi services etc. Hence HCWs are inevitably and routinely exposed to the virus hence naturally are at high risk of infection, possible mortality & morbidities. Objectives The key objective is to find out impact of SARS-CoV-2/Covid-19 Pandemic on Healthcare Workers (HCWs) Mortality & Infections across 36 states & union territories of India. What are the reasons of mortality and morbidity & How to prevent mortality & morbidity of HCWs? Methodology/settings & design (search strategy-Research Methods): Several databases were searched for deaths of HCWs in India between January 2019 and 18th May 2021, including MoHFW website, PUBMED, WHO COVID-19 database, COVID-19 Study Register, and Google scholar. The search terms used were: “healthcare providers /health care workers/nurses- death in India due to COVID-19”, “SARS-CoV-2”, “Coronavirus,” using Google search. Whatever data obtained is tabulated. Results There is increase in mortality of HCWs in India. The data is not available completely in my search. Beside increased death I have found a lot of controversy and questions raised on the issue of this data. There is lot of discrepancy in data given by Government and other sources. According to the Indian Medical Association, 244 doctors have lost their lives due to Covid in the second wave. Of them, 50 deaths were recorded on Sunday. The highest number of fatalities have been reported from Bihar (69) followed by Uttar Pradesh (34) and Delhi (27). Conclusion The government and other agencies should collect and provide the data publicly so that it can be analysed by different sections of researchers to give feedback which will help in making policies helpful to protect HCWs. A large number of medical staffs are infected due to the lack of adequate protection. Currently, the COVID-19 pandemic is growing day by day with lack of essential facilities for treatment. Some experts have warned of a possible third wave of COVID-19.


Author(s):  
Tanvi Modi ◽  
Mitusha Verma ◽  
Gauri Ahuja ◽  
Deepak Patkar

The impact of the global pandemic due to novel Coronavirus Disease (nCOVID-19) has been braced by all medical subspecialties, including the radiology department. As Computerised Tomography (CT) of the chest as well as radiographs gain more and more importance in diagnosing, following up and prognosticating this respiratory infection, it becomes essential to have set protocols in place regarding imaging, disinfection and departmental workflow to ensure smooth functioning and protection of patients and health care workers. We have formulated the “AMMO” protocol as a guide to smooth functioning of the radiology department, which enumerates the steps to be taken for organisation of patient workload, organising equipment, disinfection protocols, maintaining the health and safety of radiology healthcare workers along with timely and accurate reporting. By combining the established guidelines and the knowledge gained from our experience at a dedicated COVID-19 hospital, this article aims to provide a reference in the management of radiology departments during this pandemic.


2020 ◽  
Vol 34 (1-2) ◽  
pp. 24-27
Author(s):  
Aakash Pandita ◽  
Girish Gupta

The world has recently been hit by a pandemic caused by the novel Coronavirus infection. The infection is highly contagious and possesses a significant risk for health care workers caring for the infected patients. With more than 200 countries being affected and around 3,00,000 deaths across the globe, the essential supply of masks and personal protective equipment has been falling short of the ever increasing need. In such crisis there is a need for innovating and designing endogenous masks and equipment to avoid compromise in care of the effected patients and for safeguarding the health of health care workers.


Author(s):  
Nehad J. Ahmed ◽  
Omar S. Alanazi ◽  
Abeer A. Alzahrani ◽  
Rana E. Alonazi

Aim: There is evidence that health care providers have insufficient knowledge and poor practices regarding the use of surgical mask. Therefore, this study aimed to explore the knowledge, practices and attitude of healthcare providers about using face mask in order to limit the spreading of the novel coronavirus disease. Methodology: This was a cross sectional pilot study included a questionnaire about the knowledge of health care workers regarding the use of surgical face mask to prevent the new COVID-19 spreading and about their practices and the attitude of them regarding the use of surgical face mask to limit the new COVID-19 exposure. Results: About 86.21% of health care workers said that the correct way of using surgical face mask is White side facing in and about 65.52% of them said that N-95 mask is the mask type that actually protect against COVID-19. All of the respondents reported that they wear a mask in public places to protect themselves against COVID-19 and that they wear a mask in hospital premises to protect themselves against COVID-19 (100.00%). Conclusion: The Knowledge, attitude, and practice of health care providers regarding the use of surgical face masks were found to be good but still more knowledge is required about several aspects such as the types of masks, the duration of using masks and the disposal of the masks.


2021 ◽  
Vol 59 (238) ◽  
Author(s):  
Ishwor Sharma ◽  
Anurag Misra ◽  
Bipin Kumar Shrestha ◽  
Arun Kumar Koirala ◽  
Anita Banjade ◽  
...  

Introduction: Studies among health care workers from different part of world during the coronavirus disease 19 pandemic have reported substantial impact on their physical, mental and emotional well-being. This study measured the impact of coronavirus disease 2019 on the mental health of Nepali healthcare workers in different parts of the world during the pandemic. Methods: This cross-sectional survey was carried out from December 25, 2020 to Jan 25, 2021. Ethical approval was taken from the Institutional Review Committee (reference number: 372). Online questionnaire including demographic profiles and Depression, Anxiety, and Stress Scales-21 instrument were sent to Nepali healthcare workers around the world through social media apps using convenience sampling. Data were entered into Microsoft Excel for Mac version 16.49 and analysed. Results: Among 208 who participated in the study, 62 (30%) participants were positive for anxiety, 47 (22.5%) for depression and 25 (12%) for stress. Higher prevalence of depression 18 (30%) and stress 10 (17%) was found in nurses compared to paramedics, among whom depression was seen in 5 (20%) and stress in 4 (16%). Among doctors, depression was found in 24 (19%) and stress in 11 (9%). Conclusions: This study demonstrated that a high proportion of healthcare workers were suffering from depression, anxiety and stress. Our findings are similar to the data from other national and international studies.


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