Wen Yin-Xian, Wang Hua, Tie Kai, Ni Qu-Bo, Qin Jun, Tan Yang, Pan Zheng-Qi, Chen Biao, He Hang-Yuan, Chen Liao-Bin
Department of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Orthop Surg. 2021 May;13(3):778-785. doi: 10.1111/os.12898. Epub 2021 Mar 8.
To evaluate whether it is safe and effective for orthopaedic medical staff to provide support to the work against COVID-19.
One hundred and twenty-two orthopaedic medical staff from the orthopaedic center of Zhongnan Hospital of Wuhan University were included in this retrospective investigation. A total of 43 surgeons and 69 nurses provided medical support in the treatment of COVID-19 patients from 1 January 2020 to 8 April 2020 in four different hospitals in Wuhan. We collected data on the age, gender, and body temperature of orthopaedic medical staff, as well as the results for their chest CT scans, SARS-CoV-2 RNA, SARS-CoV-2 IgM and SARS-CoV-2 IgG tests, and training and examinations on COVID-19 knowledge. We also collected data on the time span of work, the number of infected staff during the support period, the number of COVID-19 patients the surgeons treated and the cure rate, the performance of the surgeons as assessed by the specialists and patients, and the number of infected staff during the pandemic.
Among the 49 surgeons and 73 nurses, 43 surgeons and 69 nurses provided support against COVID-19. A total of 12 surgeons and 11 nurses provided support in the fields of respiration, intensive care, and emergency. A total of 34 surgeons and 58 nurses worked in the designated wards restructured for COVID-19 in the orthopaedic building. The average time span of work for the surgeons and nurses was 14.78 ± 3.64 days and 24.77 ± 7.58 days, respectively. No staff were infected during the support period. Over 1000 patients were received in the fever clinic by orthopaedic surgeons. The overall number of the treated hospitalized patients was 622. Among these patients, 226 cases were mild, 318 were mild to moderate, and 58 were severe or critical. The cure rate was 96.01%, 99.37%, and 52.00% respectively. The performance of the surgeons was scored 87.02 ± 3.17 and 90.69 ± 3.58 by the specialists and the patients, respectively. During the whole pandemic, 3 surgeons and 3 nurses who did not participate in the support work were infected in the early stages. The morbidity of all the orthopaedic staff was 4.92% during the whole pandemic, while no one was infected during the support work.
Our investigation indicated that although they worked outside their specialty, it was safe and effective for the orthopaedic staff to provide medical support in the work against COVID-19 with adequate precautions and proper training.
评估骨科医务人员为抗击新型冠状病毒肺炎（COVID-19）工作提供支持是否安全有效。
本回顾性调查纳入了武汉大学中南医院骨科中心的122名骨科医务人员。2020年1月1日至2020年4月8日期间，共有43名外科医生和69名护士在武汉四家不同医院为COVID-19患者的治疗提供医疗支持。我们收集了骨科医务人员的年龄、性别、体温数据，以及他们的胸部CT扫描结果、严重急性呼吸综合征冠状病毒2（SARS-CoV-2）核糖核酸、SARS-CoV-2 IgM和SARS-CoV-2 IgG检测结果，以及关于COVID-19知识的培训和考核情况。我们还收集了工作时长、支持期间感染工作人员数量、外科医生治疗的COVID-19患者数量及治愈率、专家和患者对外科医生表现的评估，以及疫情期间感染工作人员数量等数据。
在49名外科医生和73名护士中，43名外科医生和69名护士为抗击COVID-19提供了支持。共有12名外科医生和11名护士在呼吸、重症监护和急诊领域提供支持。共有34名外科医生和58名护士在骨科大楼内为COVID-19改造的指定病房工作。外科医生和护士的平均工作时长分别为14.78±3.64天和24.77±7.58天。支持期间无工作人员感染。骨科外科医生在发热门诊接诊患者超过1000例。接受治疗的住院患者总数为622例。其中，轻症226例，轻至中症318例，重症或危重症58例。治愈率分别为96.01%、99.37%和52.00%。专家和患者对外科医生表现的评分分别为87.02±3.17和90.69±3.58。在整个疫情期间，3名未参与支持工作的外科医生和3名护士在早期被感染。整个疫情期间，所有骨科工作人员的发病率为4.92%，而在支持工作期间无人感染。
我们的调查表明，尽管骨科工作人员在其专业领域之外工作，但在采取充分预防措施和进行适当培训的情况下，他们为抗击COVID-19工作提供医疗支持是安全有效的。
