Kamal Achmad Fauzi, Widodo Wahyu, Kuncoro Mohamad Walid, Karda I Wayan Arya Mahendra, Prabowo Yogi, Habib Hadiki, Liastuti Lies Dina, Hutagalung Errol Untung, Saleh Ifran, Tobing Singkat Dohar A L, Gunawan Bambang, Dilogo Ismail Hadisoebroto, Lubis Andri Mt, Kurniawan Aryadi, Rahyussalim Ahmad Jabir, Oesman Ihsan, Ifran Nadia Npps, Latief Wildan, Wijaya Mohammad Triadi, Ivansyah Muhammad Deryl, Primaputra Muhammad Rizqi Adhi, Reksoprodjo Adisa Yusuf, Hendriarto Andra, Novriandi K M Azka, Alaztha Ziad, Canintika Anissa Feby, Sitanggang Anita Happy Rahayu
Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Int J Surg Case Rep. 2020 Dec 2;77:870-874. doi: 10.1016/j.ijscr.2020.11.158. eCollection 2020.
Every emergency surgery performed is aimed at saving lives; however, during COVID-19 pandemic, surgeries are often postponed. Many existing recommendations take into account postponing surgery during a pandemic. How these surgeries can lead to increasing infection rates has not been widely published. This study aims to investigate the relationship of emergency orthopaedic surgery and the incidence rate of COVID-19.
This was a case series of 14 patients. The study was performed at the emergency department unit at a national tertiary hospital in Jakarta, Indonesia. A total of 14 patients underwent orthopaedic surgery in the emergency room of our institution. The mean age of the subjects was 40.07 ± 20.5 years. Twelve (85.7%) were male patients and 2 (14.3%) were female patients. The average duration of surgery was 125 minutes. The most used type of anaesthesia was general anaesthesia for 6 operations (50%). Patients were hospitalized for an average length of 4 days. Three patients had infiltrates found on plain x-ray examination, which required further examination to determine whether the cause was COVID-19 infection or not. There was no ground glass appearance (GGO) in the three patients in further follow-up examination.
We found that emergency orthopaedic surgery was not associated with increasing number of COVID-19 cases. Factors including duration of surgery, length of stay, types of anaesthesia and comorbidities were also not associated with COVID-19 cases in this study.
每一台急诊手术的目的都是挽救生命；然而，在新冠疫情期间，手术常常被推迟。许多现有建议都考虑到了在疫情期间推迟手术。但这些手术如何导致感染率上升，尚未有广泛的报道。本研究旨在调查急诊骨科手术与新冠发病率之间的关系。
这是一个包含14例患者的病例系列。研究在印度尼西亚雅加达一家国家级三级医院的急诊科进行。共有14例患者在我院急诊室接受了骨科手术。受试者的平均年龄为40.07±20.5岁。12例（85.7%）为男性患者，2例（14.3%）为女性患者。平均手术时长为125分钟。最常用的麻醉方式是全身麻醉，共6例手术（50%）。患者平均住院时长为4天。3例患者在胸部X光检查中发现有浸润影，需要进一步检查以确定病因是否为新冠感染。在进一步的随访检查中，这3例患者均未出现磨玻璃影（GGO）。
我们发现急诊骨科手术与新冠病例数的增加并无关联。在本研究中，包括手术时长、住院时间、麻醉方式和合并症等因素也与新冠病例无关。
