Choudhry Baseem, Sleiman Stefan, Dutta Agneish, Akhtar Tanvir, David Lee, Dartnell Jo
Maidstone and Tunbridge Wells NHS Trust, Pembury, Tunbridge Wells, Kent, TN2 4QJ, UK.
J Clin Orthop Trauma. 2021 Jul;18:44-50. doi: 10.1016/j.jcot.2021.04.003. Epub 2021 Apr 18.
To evaluate the safety and transmission of COVID-19 in trauma patients during the coronavirus pandemic at a time of rapid reorganization of hospital health services.
All patients sustaining trauma requiring surgery treated in our institution during the lockdown period were included. Retrospective data for all admissions were collected, including outcomes, length of stay and complications. Telephone interviews were performed with all patients, families or their carers to assess COVID-19 transmission at minimum of 6 week post-discharge.
161 patients underwent surgery, 107 females and 54 males with average age of 56 (2-99). There were lower limb related procedures, upper limb related respectively. 13 people died during this period, of these one was directly attributed to COVID-19 related morbidity. 75% responded to telephone interviews and found no cases of symptomatic spread to any patient or household members.
Following reorganization, our experience has shown that trauma services can be safely resumed with little to no significant adverse effect to patient or spread into community, especially as concerns of second wave risk overwhelming the NHS. We advocate that rigorous testing of COVID pre-operatively and with development of local COVID-19 standard operating protocols will also reduce and prevent the spread of COVID-19.
在医院卫生服务快速重组时期，评估新冠疫情期间创伤患者中新冠病毒病（COVID-19）的安全性及传播情况。
纳入在封锁期间于我院接受手术治疗的所有创伤患者。收集所有入院患者的回顾性数据，包括治疗结果、住院时间及并发症情况。对所有患者、家属或其护理人员进行电话访谈，以评估出院后至少6周时的COVID-19传播情况。
161例患者接受了手术，其中女性107例，男性54例，平均年龄56岁（2 - 99岁）。分别进行了下肢相关手术和上肢相关手术。在此期间有13人死亡，其中1例直接归因于COVID-19相关发病。75%的患者接受了电话访谈，未发现有任何有症状传播至患者或家庭成员的情况。
经过重组，我们的经验表明，创伤服务可以安全恢复，对患者几乎没有或没有显著不良影响，也不会传播到社区，特别是在担心第二波风险压垮国民保健服务体系（NHS）的情况下。我们主张术前对COVID进行严格检测，并制定当地的COVID-19标准操作方案，这也将减少和预防COVID-19的传播。
