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2022, vol. 150, br. 3-4, str. 138-142
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Upravljanje resursima za ortopedsku onkologiju i bolesnike sa traumom tokom pandemije kovida 19 - retrospektivna kohortna studija
Management of resources for orthopedic oncology and trauma patients during the COVID-19 pandemic: A retrospective cohort study
aSB Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Orthopedics and Traumatology Department, Istanbul, Turkey bOzel Pendik Bolge Hospital, Orthopedics and Traumatology Department, Istanbul, Turkey cIstanbul Medeniyet University, Medical Faculty, Orthopedics and Traumatology Department, Istanbul, Turkey
e-adresa: ozturanb@gmail.com
Sažetak
Uvod/Cilj Cilj ove studije je procena organizacionih i epidemioloških promena u ortopedskoj hirurgiji, kao i upoređivanje potreba za različitim hirurškim intervencijama pre i tokom pandemije kovida 19. Metode Retrospektivno su analizirani demografski podaci i podaci o zastupljenosti hirurških intervencija, dobijeni u tercijarnoj zdravstvenoj ustanovi, za period od 1. aprila do 31. maja u 2019. i u 2020. godini. Rezultati U navedenom kalendarskom periodu tokom pandemije kovida 19 (u 2020. godini) najveći broj hirurških intervencija se odnosio na zbrinjavanje preloma (n = 81), dok su se ostale intervencije odnosile na zbrinjavanje onkoloških stanja (n = 19), biopsiju (n = 11), debridman (n = 10), amputaciju (n = 6), operaciju displastičnih kukova (n = 5) i ligamentarnu reparaciju kolena (n = 1). Najveći udeo traume su činili prelomi kuka (n = 23). Prosečna starost bolesnika je bila 70,5 godina, a polnu strukturu su činile 63 žene i 70 muškaraca. Samo jedan bolesnik je imao istoriju infekcije kovidom 19. U godini pre pandemije (2019. god.) u istom je kalendarskom periodu operisano 86 bolesnika zbog traume i 49 bolesnika zbog onkološkog stanja. Prosečna starost bolesnika je bila 54,5 godina, a polnu strukturu su činile 62 žene i 73 muškaraca. Uočeno je da je zastupljenost onkoloških intervencija bila značajno veća u 2019. god. (p < 0,05). Zaključak Dok je ukupan broj ortopedskih operacija bio u padu tokom pandemije, ukupan broj operativno zbrinutih osteoporotičnih preloma kuka se nije značajno smanjio. Ovo upućuje na potrebu za preduzimanjem mera usmerenih na prevenciju preloma kuka tokom kućne izolacije stanovništva. Odnos hirurški zbrinutih osteoporotičnih preloma kuka i kičme u periodu pandemije se nije razlikovao u odnosu na period pre pandemije.
Abstract
Introduction/Objective This study aims to evaluate changes in surgical strategy and orthopedic epidemiology, and to compare the frequency of surgeries before and during the COVID-19 pandemic. Methods For periods from April 1 to May 31 in years 2019 and 2020, retrospective data on patient demographics and types of orthopedic surgical procedures were obtained from hospital databases in a tertiary referral hospital. Results During the COVID-19 pandemic, the most common orthopedic surgical procedures performed were trauma surgery (n = 81), while other procedures were referred to oncology (n = 19), biopsy (n = 11), debridement (n = 10), amputation (n = 6), surgery of dysplastic hip (n = 5), and knee ligament repair (n = 1). The majority of trauma cases were hip fracture surgeries (n = 23). The mean age of the patients was 70.5 years. Sixty-three patients were female and 70 were male. Only one patient had a history of COVID-19 infection. In the same period during the year before the pandemic, 86 patients had trauma surgery, while 49 had oncological surgery and the mean patient's age was 54.5 years. Sixty-two patients in this group were female, and 73 were male. The number of tumor surgeries before the pandemic was higher compared to the same period during the pandemic (p < 0.05). Conclusion During the pandemic, although all orthopedic surgeries decreased, the rate of osteoporotic hip fractures surgery was similar to that of the pre-pandemic state. This finding emphasizes the increased need to implement preventive measures regarding hip fractures during lockdown periods. The relation of hip and spine osteoporotic fractures surgery was not different before and during the pandemic.
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