Indiana University Hip and Knee Center, Saxony Hospital, Fishers, IN; Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN; Department of Orthopaedic Surgery, Indiana University Health Physicians, Indianapolis, IN.
J Arthroplasty. 2020 Jul;35(7S):S15-S18. doi: 10.1016/j.arth.2020.04.051. Epub 2020 Apr 22.
The COVID pandemic of 2020 has emerged as a global threat to patients, health care providers, and to the global economy. Owing to this particular novel and highly infectious strain of coronavirus, the rapid community spread and clinical severity of the subsequent respiratory syndrome created a substantial strain on hospitals and health care systems around the world. The rapid surge of patients presenting over a small period for emergent clinical care, admission to the hospital, and intensive care units with many requiring mechanically assisted ventilators for respiratory support demonstrated the potential to overwhelm health care workers, hospitals, and health care systems. The purpose of this article is to describe an effective system for redeployment of health care supplies, resources, and personnel to hospitals within a suburban academic hospital system to optimize the care of COVID patients, while treating orthopedic patients in an equally ideal setting to maximize their surgical and clinical care. This article will provide a particular focus on the current and future role of a specialty hip and knee hospital and its partnering ambulatory surgery center in the context of an outpatient arthroplasty program.
2020 年的 COVID 大流行已成为对患者、医疗保健提供者以及全球经济的全球性威胁。由于这种新型且高度传染性的冠状病毒株,随后的呼吸道综合征在社区中的迅速传播和临床严重程度给世界各地的医院和医疗保健系统带来了巨大的压力。大量患者在短时间内涌入急诊接受临床治疗、住院和重症监护病房,其中许多人需要机械辅助呼吸机进行呼吸支持,这表明医疗保健工作者、医院和医疗保健系统有被压垮的风险。本文旨在描述一种有效的系统,用于将医疗用品、资源和人员重新部署到郊区学术医院系统内的医院,以优化 COVID 患者的护理,同时以同样理想的方式治疗骨科患者,以最大限度地提高他们的手术和临床护理。本文将特别关注一家专业的髋膝关节医院及其合作的门诊手术中心在门诊关节置换计划背景下的当前和未来作用。