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2020 ; 55
(3
): 269-277
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Intervention Protocol of the Orthopedics and Traumatology Department of a
High-Complexity University Hospital to Cope with the COVID-19 Pandemic
#MMPMID32616970
Lima EBS
; Belangero PS
; Falótico GG
; Mansur NSB
; Luzo MVM
; Reis FBD
Rev Bras Ortop (Sao Paulo)
2020[Jun]; 55
(3
): 269-277
PMID32616970
show ga
Objective ?To describe the protocols implemented to adapt the orthopedic team to
the COVID-19 pandemic; a secondary objective is to assess the behavior of
hospital and departmental variables when implementing such measures. Methods ?The
present is a retrospective study describing three protocols: 1) reduction in the
risk of infection for patients and healthcare workers; 2) adaptation of work,
academic and scientific activities; and 3) adaptation of the orthopedic treatment
during the pandemic. We analyzed hospital and departmental variables, including
the number of patients seen in the emergency room and outpatient clinic, the
number of hospitalized patients, suspected and confirmed cases in patients and
orthopedic team members, changes in teaching activities from on-site attendance
to videoconferencing, and number of surgeries. Period A, from March 3 to 16, was
compared with period B, from March 17 to 30, 2020, which corresponded to the
implementation of the protocols. Results ?There was a decrease in the number of
outpatients and inpatients. One confirmed and two suspected cases were notified.
Among the departmental members, there were 12 suspected and 6 confirmed cases.
The weekly frequency of classes was maintained, while the clinical-scientific
meetings decreased from ten to three. In addition, the number of surgeries was
reduced. Conclusions ?The present study demonstrated the feasibility and
efficiency of the rapid implementation of intervention protocols in the midst of
the COVID-19 pandemic. The protocols focused on reducing the risk of infection
for patients and healthcare professionals, adapting work, academic and scientific
activities, and modifying the orthopedic treatment. With the application of the
protocols, the healthcare, academic and scientific activities remained
functional, prioritizing measures to confront the COVID-19 pandemic.