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Orthopaedic Trauma Never Sleeps: Resource Allocation Even During a Non-trauma Crisis

Risa Reid1, Tamar Roomian1, Madhav Karunakar1

  • 1Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, North Carolina.

Journal of Surgical Orthopaedic Advances
|September 5, 2023
PubMed

Insights

Hospital resource use for orthopaedic trauma remained consistent during the COVID-19 stay-at-home order. This suggests standard resource allocation is appropriate for future public health crises.

Area of Science:

  • Orthopaedic surgery
  • Trauma care
  • Public health preparedness

Background:

  • The COVID-19 pandemic prompted significant public health measures, including stay-at-home orders.
  • Understanding the impact of such crises on specialized medical services like orthopaedic trauma is crucial for future planning.

Purpose of the Study:

  • To evaluate hospital resource utilization and injury epidemiology in an orthopaedic trauma service during the 2020 COVID-19 stay-at-home period.
  • To compare this data with a pre-pandemic control period (2019).

Main Methods:

  • Retrospective chart review of adult patients (>18 years) with musculoskeletal trauma.
  • Comparison of data from March 30 to May 8, 2020 (stay-at-home) versus March 30 to May 8, 2019 (control).
  • Analysis included patient encounters, fractures, consultations, and surgeries.

Main Results:

  • 182 patient encounters and 274 fractures in 2020; 210 encounters and 337 fractures in 2019.
  • No statistically significant difference in the proportion of patient encounters between the stay-at-home period and the control period (p > 0.05).
  • Similar volumes of consultations and surgeries were observed.

Conclusions:

  • Orthopaedic trauma service resource utilization and patient volumes were comparable between the 2020 stay-at-home period and the 2019 control period.
  • Standard resource allocation appears adequate for maintaining orthopaedic trauma services during non-trauma public health crises.
  • Findings support informed planning for future large-scale emergencies impacting healthcare systems.

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