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10.1302/2633-1462.16.BJO-2020-0035.R1 http://scihub22266oqcxt.onion/10.1302/2633-1462.16.BJO-2020-0035.R1 33225288!7677720!33225288     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Bone+Jt+Open 2020 ; 1 (6): 190-197 Nephropedia Template TP {{tp|p=33225288|t=2020. Evaluating the efficacy of a two-site ( COVID-19 and COVID-19-free ) trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK |pdf=|usr=}}{{33225288}} gab.com Text Evaluating the efficacy of a two-site ( COVID-19 and COVID-19-free ) trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK JO: Bone Jt Open http://www.kidney.de/pget.php?&tw=1&pmid=33225288 #FOAvip AIMS: Hip fracture patients are at higher risk of severe COVID-19 illness, and admission into hospital puts them at further risk. We implemented a two-site orthopaedic trauma service, with 'COVID' and 'COVID-free' hubs, to deliver urgent and infection-controlled trauma care for hip fracture patients, while increasing bed capacity for medical patients during the COVID-19 pandemic. METHODS: A vacated private elective surgical centre was repurposed to facilitate a two-site, 'COVID' and 'COVID-free', hip fracture service. Patients were screened for COVID-19 infection and either kept at our 'COVID' site or transferred to our 'COVID-free' site. We collected data for 30 days on patient demographics, Clinical Frailty Scale (CFS), Nottingham Hip Fracture Scores (NHFS), time to surgery, COVID-19 status, mortality, and length of stay (LOS). RESULTS: In all, 47 hip fracture patients presented to our service: 12 were admitted to the 'COVID' site and 35 to the 'COVID-free' site. The 'COVID' site cohort were older (mean 86.8 vs 78.5 years, p = 0.0427) and with poorer CFS (p = 0.0147) and NHFS (p = 0.0023) scores. At the 'COVID-free' site, mean time to surgery was less (29.8 vs 52.8 hours, p = 0.0146), and mean LOS seemed shorter (8.7 vs 12.6 days, p = 0.0592). No patients tested positive for COVID-19 infection while at the 'COVID-free' site. We redirected 74% of our admissions from the base 'COVID' site and created 304 inpatient days' capacity for medical COVID patients. CONCLUSION: Acquisition of unused elective orthopaedic capacity from the private sector facilitated a two-site trauma service. Patients were treated expeditiously, while successfully achieving strict infection control. We achieved significant gains in medical bed capacity in response to the COVID-19 demand. The authors propose the repurposing of unused elective operating facilities for a two-site 'COVID' and 'COVID-free' model as a safe and effective way of managing hip fracture patients during the pandemic.Cite this article: Bone Joint Open 2020;1-6:190-197. Twit Text FOAVip Evaluating the efficacy of a two-site ( COVID-19 and COVID-19-free ) trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK ????Bone Jt Open http://www.kidney.de/pget.php?&tw=1&pmid=33225288 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33225288 #FOAvip English Wikipedia <ref>{{Cite pmid|33225288}}</ref> Evaluating the efficacy of a two-site ( COVID-19 and COVID-19-free ) trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK #MMPMID33225288 Chui K; Thakrar A; Shankar S Bone Jt Open 2020[Jun]; 1 (6): 190-197 PMID33225288show ga AIMS: Hip fracture patients are at higher risk of severe COVID-19 illness, and admission into hospital puts them at further risk. We implemented a two-site orthopaedic trauma service, with 'COVID' and 'COVID-free' hubs, to deliver urgent and infection-controlled trauma care for hip fracture patients, while increasing bed capacity for medical patients during the COVID-19 pandemic. METHODS: A vacated private elective surgical centre was repurposed to facilitate a two-site, 'COVID' and 'COVID-free', hip fracture service. Patients were screened for COVID-19 infection and either kept at our 'COVID' site or transferred to our 'COVID-free' site. We collected data for 30 days on patient demographics, Clinical Frailty Scale (CFS), Nottingham Hip Fracture Scores (NHFS), time to surgery, COVID-19 status, mortality, and length of stay (LOS). RESULTS: In all, 47 hip fracture patients presented to our service: 12 were admitted to the 'COVID' site and 35 to the 'COVID-free' site. The 'COVID' site cohort were older (mean 86.8 vs 78.5 years, p = 0.0427) and with poorer CFS (p = 0.0147) and NHFS (p = 0.0023) scores. At the 'COVID-free' site, mean time to surgery was less (29.8 vs 52.8 hours, p = 0.0146), and mean LOS seemed shorter (8.7 vs 12.6 days, p = 0.0592). No patients tested positive for COVID-19 infection while at the 'COVID-free' site. We redirected 74% of our admissions from the base 'COVID' site and created 304 inpatient days' capacity for medical COVID patients. CONCLUSION: Acquisition of unused elective orthopaedic capacity from the private sector facilitated a two-site trauma service. Patients were treated expeditiously, while successfully achieving strict infection control. We achieved significant gains in medical bed capacity in response to the COVID-19 demand. The authors propose the repurposing of unused elective operating facilities for a two-site 'COVID' and 'COVID-free' model as a safe and effective way of managing hip fracture patients during the pandemic.Cite this article: Bone Joint Open 2020;1-6:190-197. äEvaluating the efficacy of a two-site ( COVID-19 and COVID-19-free )(epmc).pdf DeepDyve Pubget Overpricing