Customized treatment protocols for patients with closed fracture in hospitals at varying coronavirus disease 2019
Yu He1, Zhong-Hua Guo2, Yong-Guang Wu3
1Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), 1277 Jiefang Avenue, 430022, Wuhan, P.R. China.
Insights
Optimizing treatment for closed fractures during the COVID-19 pandemic requires dynamic adjustments. Monitoring epidemic risk levels is crucial for efficient patient care and preventing cross-infection.
Area of Science:
- Orthopedic Surgery
- Epidemiology
- Public Health
Background:
- The COVID-19 pandemic necessitated the adaptation of medical protocols.
- Optimized treatment strategies were needed for patients with closed fractures requiring delayed surgery.
Purpose of the Study:
- To determine an optimized treatment protocol for closed fracture patients during the COVID-19 epidemic.
- To assess the impact of dynamic epidemic risk levels on treatment protocols.
Main Methods:
- Retrospective analysis of epidemic data from three Wuhan hospitals (January 23 - March 31, 2020).
- Tracking daily confirmed COVID-19 cases to establish regional risk levels.
- Comparison of treatment protocols and efficiencies for closed fracture patients across different risk levels.
Main Results:
- 138 closed fracture patients were admitted; all recovered and were discharged promptly.
- Hospitals developed independent protocols based on perceived initial risk.
- Regional epidemic risk levels varied independently, highlighting the need for dynamic monitoring.
Conclusions:
- COVID-19 risk levels are dynamic and require continuous monitoring.
- Adjusting treatment protocols based on real-time epidemic risk is essential.
- Optimized protocols improve medical resource allocation, reduce cross-infection, and enhance treatment efficiency.
Background:
To determine an optimized treatment protocol during the COVID-19 epidemic for patients with closed fracture and delayed surgery.
Methods:
The epidemic data of three hospitals, randomly selected from different administrative regions of Wuhan, were analyzed retrospectively from 23 January to 31 March 2020. Changes in the number of confirmed cases per day (cumulative and new) of each region were tracked as a reflection of changing epidemic risk levels. The risk level map was drawn. The epidemic status, treatment protocols, and treatment efficiencies for patients with closed fracture in the three hospitals were compared.
Results:
Overall, 138 patients with closed fracture were admitted. Each hospital had established its own protocol, according to the initial perceived risk. Based on the risk level map, over the study period, the risk levels of the three regions changed independently and were not in sync. All patients recovered and were timely discharged. No staff member was detected with COVID-19.
Conclusions:
The COVID-19 risk level of each area is dynamic. To optimize medical resources, avoid cross-infection, and improve efficiency, changes in epidemic risk should be monitored. For patients with closed fracture, treatment protocols should be adjusted according to changes in epidemic risk.
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