Jain V K, Upadhyaya G K, Iyengar K P, Patralekh M K, Lal H, Vaishya R
Department of Orthopaedics, Dr Ram Manohar Lohia Hospital, New Delhi, India.
Department of Orthopaedics, All India Institute of Medical Sciences, Raibarelly, India.
Malays Orthop J. 2021 Mar;15(1):55-62. doi: 10.5704/MOJ.2103.009.
The social lockdown measures imposed to contain the COVID-19 pandemic, have had profound effects on the healthcare systems across the world and India has been no exception to it. The study was aimed to evaluate the impact of COVID-19 on orthopaedic practice in India during the lockdown period and assess the preparedness of orthopaedic surgeons for resuming clinical practice after the initial lockdown was lifted.
An online survey of 35 questions was conducted to evaluate impact on (i) general orthopaedic practice (ii) hospital protocols (iii) out-patient practice (iv) surgical practice (v) personal protective equipment (PPE) use and (vi) post-lockdown preparedness.
A total number of 588 practising orthopaedic surgeons from India completed the survey. Majority (88.3%) found severe impact (>50%) on trauma surgery and non-trauma surgery with significant reduction in out -patient attendance compared to corresponding time in 2019. There were significant changes made in individual hospital protocols (91.7 %). Appropriate required PPE was available in majority of the hospitals (74.3%). No remodelling or upgrading of the existing operating theatre infrastructure was done by most surgeons (89.5%).
This pan India survey of orthopaedic surgeons has indicated that COVID-19 has had a profound impact on their outpatient and surgical trauma and non-trauma practice, due to the lockdown and resulted in significant changes to hospital protocols. Preparedness to resume clinical and surgical practice was associated with anxiety in two-thirds of the respondents. Majority of the orthopaedic practitioners felt that they would continue to conduct pre-operative COVID-19 screening and use PPE even after the lockdown is over.
为遏制新冠疫情而实施的社会封锁措施，对全球医疗系统产生了深远影响，印度也不例外。本研究旨在评估新冠疫情在封锁期间对印度骨科医疗实践的影响，并评估骨科医生在首次封锁解除后恢复临床实践的准备情况。
开展了一项包含35个问题的在线调查，以评估对（i）普通骨科医疗实践（ii）医院规程（iii）门诊医疗实践（iv）外科手术实践（v）个人防护装备（PPE）使用情况以及（vi）封锁解除后的准备情况的影响。
来自印度的588名执业骨科医生完成了该调查。大多数（88.3%）发现创伤外科和非创伤外科受到严重影响（>50%），与2019年同期相比门诊就诊人数显著减少。各医院规程有显著变化（91.7%）。大多数医院（74.3%）有适用的所需个人防护装备。大多数外科医生（89.5%）未对现有手术室基础设施进行改造或升级。
这项针对印度骨科医生的全印度范围调查表明，由于封锁，新冠疫情对他们的门诊、外科创伤及非创伤医疗实践产生了深远影响，并导致医院规程发生显著变化。三分之二的受访者在恢复临床和外科手术实践方面的准备情况与焦虑情绪有关。大多数骨科从业者认为，即使在封锁结束后，他们仍将继续进行术前新冠病毒筛查并使用个人防护装备。
