The Och Spine Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 5141 Broadway at W 220th Street, New York, NY 10034.
Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, 622 W 168th Street, PH 11-Center, New York, NY 10032.
Spine J. 2020 Sep;20(9):1367-1378. doi: 10.1016/j.spinee.2020.05.539. Epub 2020 May 31.
In a very brief period, the COVID-19 pandemic has swept across the planet leaving governments, societies, and healthcare systems unprepared and under-resourced. New York City now represents the global viral epicenter with roughly one-third of all mortalities in the United States. To date, our hospital has treated thousands of COVID-19 positive patients and sits at the forefront of the United States response to this pandemic. The goal of this paper is to share the lessons learned by our spine division during a crisis when hospital resources and personnel are stretched thin. Such experiences include management of elective and emergent cases, outpatient clinics, physician redeployment, and general health and wellness. As peak infections spread across the United States, we hope this article will serve as a resource for other spine departments on how to manage patient care and healthcare worker deployment during the COVID-19 crisis.
在很短的时间内，COVID-19 疫情席卷全球，使各国政府、社会和医疗体系措手不及，资源匮乏。纽约市现在是全球病毒的中心，美国约三分之一的死亡病例都在这里。迄今为止，我们医院已经治疗了数千例 COVID-19 阳性患者，并且站在美国应对这一流行病的最前线。本文的目的是分享我们脊柱科在医院资源和人员紧张的情况下应对危机时所获得的经验教训。这些经验包括处理择期和急症病例、门诊、医生重新部署以及一般健康和保健。随着感染高峰在美国各地蔓延，我们希望本文能为其他脊柱科提供资源，帮助他们在 COVID-19 危机期间管理患者护理和医护人员部署。
