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2020 ; 11
(Suppl 4
): S442-S445
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Outcome of trauma and orthopaedic surgery at a UK District General Hospital
during the Covid-19 pandemic
#MMPMID32774009
Sobti A
; Memon K
; Bhaskar RRP
; Unnithan A
; Khaleel A
J Clin Orthop Trauma
2020[Jul]; 11
(Suppl 4
): S442-S445
PMID32774009
show ga
INTRODUCTION: There are suggestions that elective surgery performed during the
incubation period of COVID-19 infection may cause an immediate impairment of
cell-mediated immunity, leading to high morbidity and mortality. However is
contrasting data about the associated mortality. Since the outbreak, our unit has
maintained a prospective database recording Trauma and Orthopaedic surgical
activity. Our aim was to share our experience of the first 3 months with
prospective data on outcome of essential surgery during the covid-19 peak. Our
focus in this report was on the mortality rate as services begin to open.
Methods: We prospectively collected data during the peak of the pandemic in the
UK, for fracture neck of femur patients (NOF) the most commonly performed
surgical procedure and the most vulnerable during this period. We compared this
Covid-19 cohort of NOFs against a cohort of NOF's during the same time in 2019
and another cohort of NOF's in 2020 outside the lockdown period to compare
mortality rates and give a broader perspective. RESULTS: During the period March
1, 2020 to May 31, 2020, total of 206 patients were operated. Ninety-four
fracture NOF and another one hundred twelve essential surgical procedures were
performed. In the NOF cohort, there were nine patients that died. Three of them
were covid-19 positive, one was not tested and the rest five were covid-19
negative. There was no mortality reported in the non NOF group. Conclusion: In
our unit, during the lock down period, mortality rate in patients undergoing
fracture NOF was not significantly different from a similar cohort earlier in the
year and similar period last year. We have not observed any mortality, to date in
the Non NOF procedures carried out.