Shetty Vishvas, Ali Shahanoor, Lebe Moritz, Birkett Nicholas, Akhtar Kash, Mahaluxmivala Jehangir
Trauma and Orthopaedics, Princess Alexandra Hospital, Harlow, England, UK.
Trauma and Orthopaedics, Royal London Hospital, London, England, UK.
J Clin Orthop Trauma. 2022 Sep;32:101946. doi: 10.1016/j.jcot.2022.101946. Epub 2022 Jul 19.
Healthcare systems across the world have struggled as a result of the Covid-19 pandemic. Most specialties have redeployed their staff and resources to deal with the pandemic whilst ceasing their planned elective activity. However acute specialties such as Trauma and Orthopaedics still have a significant emergency caseload that must be safely managed, even in a pandemic. The aim of this study was to investigate the change in Orthopaedic Trauma caseload in a Trauma Unit and a Major Trauma Centre during a pandemic compared to pre-pandemic levels and the associated staffing requirements.
The data presented was collected from a Trauma Unit and a Major Trauma Centre in the United Kingdom. We compared the number of accident and emergency referrals, fracture clinic appointments, inpatient admissions and operations during the six weeks of the first lockdown from 23rd March to May 3, 2020, to the same time period in 2019.
The results showed that the orthopaedic trauma caseload was approximately half that of pre-pandemic levels, reducing by an average of 54.2%.
A significant orthopaedic trauma caseload still remains to be safely managed during a pandemic and appropriate resources must be allocated. Staff allocation must take into account sick cover and staff wellbeing. A proportion of staff may need to be ring fenced from redeployment to facilitate this.
由于新冠疫情，世界各地的医疗系统都面临困境。大多数专科已重新调配其工作人员和资源以应对疫情，同时停止了计划中的择期医疗活动。然而，诸如创伤与骨科等急症专科即便在疫情期间仍有大量急诊病例需要安全处理。本研究的目的是调查在疫情期间，与疫情前水平相比，一家创伤科病房和一家重大创伤中心的骨科创伤病例数量的变化以及相关的人员配备需求。
所呈现的数据收集自英国的一家创伤科病房和一家重大创伤中心。我们将2020年3月23日至5月3日首次封锁的六周内的事故与急诊转诊数量、骨折门诊预约数量、住院患者入院数量及手术数量与2019年同期进行了比较。
结果显示，骨科创伤病例数量约为疫情前水平的一半，平均减少了54.2%。
在疫情期间，仍有大量骨科创伤病例需要安全处理，必须分配适当的资源。人员分配必须考虑到病假替代安排和工作人员的健康状况。可能需要划出一部分工作人员不进行重新调配以促成此事。
