About: A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures

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About: A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures
Creator	Guo, Meng Hai, Yong Meng, Yutong Shan, Lei Tian, Qingxian Zhou, Junlin Leng, &
source	Medline; PMC
abstract	PURPOSE: Coronavirus disease 2019 (COVID-19) has become a worldwide pandemic. The toughest issue traumatic orthopaedic surgeons are faced with is how to maintain a balance between adequate COVID-19 screening and timely surgery. In this study, we described our experience with pre-operative COVID-19 screening in patients with traumatic fractures. Furthermore, we analysed the clinical results of fracture patients undergoing confined or emergency surgery during the COVID-19 outbreak. METHODS: This was a case series study. Patients with traumatic fractures who were admitted to our hospital for surgery were enrolled in this study during the COVID-19 outbreak from March to April 2020. All patients were enrolled and managed using the standardized clinical pathway we designed for preoperative COVID-19 screening. Clinical, laboratory and outcome data were analysed. RESULTS: The average surgery waiting time from injury to surgery was 8.7 ± 3.4 days. The average waiting time from admission to surgery was 5.3 ± 2.8 days. These average waiting times were increased by 4.1 days and 2.0 days, respectively, compared with 2019 data. Cardiovascular complications, venous thromboembolism and pneumonia occurred in one, two and one patient, respectively. Three and two patients developed pre-operative and postoperative fevers, respectively. CONCLUSIONS: We introduced a novel clinical pathway for pre-operatively screening of COVID-19 in traumatic orthopaedic patients. The delay in surgery caused by COVID-19 screening was minimized to a point at which reasonable and acceptable clinical outcomes were achieved. Doctors should pay more attention to perioperative complications, such as cardiovascular complications, venous thromboembolism, pneumonia and fever.
has issue date	2020-05-28(xsd:dateTime)
bibo:doi	10.1007/s00264-020-04645-3
bibo:pmid	32468202
has license	cc-by
sha1sum (hex)	e585543fe1d9a7ad085c8d98bb02f19a679bc984
schema:url	https://doi.org/10.1007/s00264-020-04645-3
resource representing a document's title	A clinical pathway for pre-operative screening of COVID-19 and its influence on clinical outcome in patients with traumatic fractures
has PubMed Central identifier	PMC7254976
has PubMed identifier	32468202
schema:publication	Int Orthop
resource representing a document's body	covid:e585543fe1d9a7ad085c8d98bb02f19a679bc984#body_text
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