Abunayan Abdulellah, Aljadaan Bader, Almudayfir Mohammed, Alshareef Sayaf, Alamer Abdulaziz
Department of Orthopedic, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Ann Med Surg (Lond). 2022 Sep;81:104331. doi: 10.1016/j.amsu.2022.104331. Epub 2022 Aug 11.
The occurrence of the COVID-19 pandemic in late December 2019 created a worldwide emergency. It affected most surgical subspecialties in many ways. Therefore, we aimed to quantitate the early effect of COVID-19 on elective and emergency orthopedic surgeries. Moreover, to identify the most affected orthopedic subspecialties during this crisis.
Our study was conducted in a tertiary hospital in Saudi Arabia. We included all patients who underwent orthopedic procedures from January 1, 2020 - June 30, 2020, with the same period of 2019 for comparison. Emergency procedures were considered if a patient had an acute fracture, joint dislocation, compartment syndrome, infection, and infected non-union.
The impact of procedure cancellation in the early COVID-19 phase was significant. Our department procedures decreased in the 2nd quarter of 2020 by 75.6% from the previous quarter of the same year and 61.1% from the 2nd quarter of 2019. No admission restrictions were made for oncology and trauma patients, though they had a reduction in their cases. The most affected subspecialties in our study were sports medicine, upper limb, arthroplasty, and pediatrics.
During the COVID-19 crisis, elective surgeries were held in our hospital and most of Saudi Arabia. Our cohort showed a significant decrease during this period. All subspecialties were affected by elective procedure cancellation, but some were affected more because of the elective nature of their operations, such as sports and upper limb, pediatric, and arthroplasty.
2019年12月下旬新冠疫情的爆发引发了一场全球紧急情况。它在许多方面影响了大多数外科亚专业。因此，我们旨在量化新冠疫情对择期和急诊骨科手术的早期影响。此外，确定在此危机期间受影响最大的骨科亚专业。
我们的研究在沙特阿拉伯的一家三级医院进行。我们纳入了2020年1月1日至2020年6月30日期间接受骨科手术的所有患者，并与2019年同期进行比较。如果患者发生急性骨折、关节脱位、骨筋膜室综合征、感染和感染性骨不连，则视为急诊手术。
在新冠疫情早期阶段手术取消的影响显著。我们科室的手术量在2020年第二季度较同年上一季度下降了75.6%，较2019年第二季度下降了61.1%。尽管肿瘤和创伤患者的病例数有所减少，但未对其进行入院限制。我们研究中受影响最大的亚专业是运动医学、上肢、关节置换术和儿科。
在新冠疫情危机期间，我们医院以及沙特阿拉伯大部分地区的择期手术都被推迟。我们的队列研究显示在此期间手术量显著下降。所有亚专业都受到择期手术取消的影响，但由于手术的择期性质，一些亚专业受到的影响更大，如运动医学、上肢、儿科和关节置换术。
