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新型冠状病毒肺炎对创伤与骨科手术的影响为未来传染病爆发提供了经验教训:最低报告标准、风险评分、脆弱创伤服务及全球合作。

The IMPACT of COVID-19 on trauma & orthopaedic surgery provides lessons for future communicable disease outbreaks : minimum reporting standards, risk scores, fragility trauma services, and global collaboration.

作者信息

Hall Andrew J, Clement Nick D, MacLullich Alasdair M J, Simpson A Hamish R W, White Tim O, Duckworth Andrew D

机构信息

Department of Orthopaedics, Golden Jubilee National Hospital, Clydebank, UK.

Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.

出版信息

Bone Joint Res. 2022 Jun;11(6):342-345. doi: 10.1302/2046-3758.116.BJR-2022-0060.

Abstract

Research into COVID-19 has been rapid in response to the dynamic global situation, which has resulted in heterogeneity of methodology and the communication of information. Adherence to reporting standards would improve the quality of evidence presented in future studies, and may ensure that findings could be interpreted in the context of the wider literature. The COVID-19 pandemic remains a dynamic situation, requiring continued assessment of the disease incidence and monitoring for the emergence of viral variants and their transmissibility, virulence, and susceptibility to vaccine-induced immunity. More work is needed to assess the long-term impact of COVID-19 infection on patients who sustain a hip fracture. The International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics (IMPACT) formed the largest multicentre collaborative audit conducted in orthopaedics in order to provide an emergency response to a global pandemic, but this was in the context of many vital established audit services being disrupted at an early stage, and it is crucial that these resources are protected during future health crises. Rapid data-sharing between regions should be developed, with wider adoption of the revised 2022 Fragility Fracture Network Minimum Common Data Set for Hip Fracture Audit, and a pragmatic approach to information governance processes in order to facilitate cooperation and meta-audit. This editorial aims to: 1) identify issues related to COVID-19 that require further research; 2) suggest reporting standards for studies of COVID-19 and other communicable diseases; 3) consider the requirement of new risk scores for hip fracture patients; and 4) present the lessons learned from IMPACT in order to inform future collaborative studies. Cite this article:  2022;11(6):342-345.

摘要

为应对动态变化的全球形势,针对新冠病毒病(COVID-19)的研究进展迅速,这导致了方法的异质性和信息的交流。遵循报告标准将提高未来研究中所呈现证据的质量,并可能确保研究结果能够在更广泛的文献背景下得到解读。COVID-19大流行仍然是一个动态变化的情况,需要持续评估疾病发病率,并监测病毒变种的出现及其传播性、毒力和对疫苗诱导免疫的易感性。还需要开展更多工作来评估COVID-19感染对髋部骨折患者的长期影响。国际多中心创伤与骨科COVID-19审计项目(IMPACT)是骨科领域开展的规模最大的多中心协作审计,旨在对全球大流行做出应急响应,但这是在许多重要的既定审计服务在早期就被中断的背景下进行的,在未来的健康危机中保护这些资源至关重要。应建立区域间快速数据共享机制,更广泛地采用修订后的2022年髋部骨折审计脆弱性骨折网络最小通用数据集,并采取务实的信息治理流程方法,以促进合作和元审计。本社论旨在:1)确定与COVID-19相关的需要进一步研究的问题;2)提出COVID-19及其他传染病研究的报告标准;3)考虑髋部骨折患者新风险评分的要求;4)介绍从IMPACT中吸取的经验教训,以为未来的合作研究提供参考。引用本文:2022;11(6):342 - 345。

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