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Lessons Learnt from Managing Orthopaedic Trauma During the First Wave of the COVID-19 Pandemic at a UK District

B A Patel1,2, S F Green1,3, C Henessy1,4

  • 1Stoke Mandeville Hospital, Buckinghamshire NHS Foundation Trust, Aylesbury, UK.

Indian Journal of Orthopaedics
|May 24, 2021
PubMed

Insights

The COVID-19 pandemic led to longer surgical delays and increased complication severity for orthopaedic trauma patients. This highlights the need for dedicated emergency orthopaedic services in hospitals.

Area of Science:

  • Orthopaedic surgery
  • Trauma management
  • Public health emergencies

Background:

  • The COVID-19 pandemic caused global health system strain, impacting hospital services.
  • Hospitals restructured services to manage anticipated COVID-19 patient surges.
  • This study examines the impact on orthopaedic trauma care at a UK district general hospital.

Purpose of the Study:

  • To evaluate the effects of COVID-19 pandemic-related service changes on orthopaedic trauma management.
  • To assess the impact on patient outcomes, including surgical delays and complications.
  • To inform the development of effective orthopaedic services during health crises.

Main Methods:

  • Retrospective analysis of electronic health records for orthopaedic trauma patients.
  • Comparison of data from two 6-week periods: pre-pandemic (2019) and pandemic (2020).
  • Inclusion criteria: confirmed diagnosis with radiological evidence; exclusion: no orthopaedic intervention.

Main Results:

  • Fewer hospital attendances in 2020 (178) vs. 2019 (328).
  • Significantly increased time from presentation to surgery in 2020 (4.91 days) vs. 2019 (2.94 days).
  • Increased complication severity in 2020, including mortality, despite fewer overall complications.

Conclusions:

  • COVID-19 pandemic response led to significant orthopaedic surgical delays and increased post-operative complication severity.
  • Results underscore the necessity for fast-track emergency orthopaedic services in UK hospitals.
  • Optimized services are crucial for maintaining patient safety during ongoing public health challenges.
Abstract

Keywords:
COVID-19Demographic dataOrthopaedicsTrauma

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