Stoneham Adam C S, Apostolides Michael, Bennett Philippa M, Hillier-Smith Ryan, Witek Alex J, Goodier Henry, Asp Rebecka
Queen Alexandra Hospital, Portsmouth, UK.
University Hospital, Southampton, UK.
Bone Jt Open. 2020 Nov 2;1(7):438-442. doi: 10.1302/2633-1462.17.BJO-2020-0087.R1. eCollection 2020 Jul.
This study aimed to identify patients receiving total hip arthroplasty (THA) for trauma during the peak of the COVID-19 pandemic in the UK and quantify the risks of contracting SARS-CoV-2 virus, the proportion of patients requiring treatment in an intensive care unit (ICU), and rate of complications including mortality.
All patients receiving a primary THA for trauma in four regional hospitals were identified for analysis during the period 1 March to 1 June 2020, which covered the current peak of the COVID-19 pandemic in the UK.
Overall, one of 48 patients (2%) contracted COVID-19 during their admission. Although they required a protracted stay in hospital, they did not require ICU treatment. Two patients did require ICU support for medical problems but not relating to COVID-19. Complications were no greater than expected given the short follow-up. There were no mortalities.
There is a paucity of evidence to guide restarting elective joint arthroplasties following the COVID-19 pandemic. Although THAs for trauma are by no means a perfect surrogate, the results of this study show a low incidence of contracting COVID-19 virus during admission and no significant sequalae during this period.Cite this article: 2020;1-7:438-442.
本研究旨在确定在英国新冠疫情高峰期因创伤接受全髋关节置换术（THA）的患者，量化感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）病毒的风险、需要在重症监护病房（ICU）接受治疗的患者比例以及包括死亡率在内的并发症发生率。
确定了2020年3月1日至6月1日期间在四家地区医院因创伤接受初次THA的所有患者进行分析，该时间段涵盖了英国新冠疫情的当前高峰期。
总体而言，48名患者中有1名（2%）在住院期间感染了新冠病毒。尽管他们需要延长住院时间，但不需要ICU治疗。两名患者确实因医疗问题需要ICU支持，但与新冠病毒无关。鉴于随访时间短，并发症并不比预期严重。没有死亡病例。
缺乏证据指导新冠疫情后重新开展择期关节置换术。尽管创伤性THA绝不是一个完美的替代指标，但本研究结果显示住院期间感染新冠病毒的发生率较低，且在此期间没有明显后遗症。引用本文：2020；1 - 7：438 - 442。
