Putera Husna Dharma, Halim Valentina, Panghiyangani Roselina
Department of Orthopedic and Traumatology, Faculty of Medicine, Ulin General Hospital, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Department of Emergency, Siloam Hospital, Banjarmasin, Indonesia.
Clin Exp Emerg Med. 2023 Sep;10(3):315-326. doi: 10.15441/ceem.22.403. Epub 2023 May 15.
The global spread of the COVID-19 pandemic has affected all aspects of medicine, including orthopedic trauma surgery. This study aims to investigate whether COVID-19 patients who underwent orthopedic surgery trauma had a higher risk of postoperative mortality.
ScienceDirect, the Cochrane COVID-19 Study Register, and MEDLINE were searched for original publications. This study adhered to the PPRISMA 2020 statement. The validity of the studies was evaluated using a checklist developed by the Joanna Briggs Institute. Study and participant characteristics, as well as the odds ratio, were extracted from selected publications. Data were analyzed using RevMan ver. 5.4.1.
After applying the inclusion and exclusion criteria, 16 articles among 717 total were deemed eligible for analysis. Lower-extremity injuries were the most common condition, and pelvic surgery was the most frequently performed intervention. There were 456 COVID-19 patients (6.12%) and 134 deaths among COVID-19 patients, revealing an increase in mortality (29.38% vs. 5.30%; odds ratio, 7.72; 95% confidence interval, 6.01-9.93; P<0.001).
Among COVID-19 patients who received orthopedic surgery due to trauma, the postoperative death rate increased by 7.72 times.
新冠疫情的全球蔓延影响了医学的各个方面，包括骨科创伤手术。本研究旨在调查接受骨科创伤手术的新冠患者术后死亡风险是否更高。
在科学Direct、Cochrane新冠研究注册库和MEDLINE中检索原始出版物。本研究遵循PRISMA 2020声明。使用乔安娜·布里格斯研究所制定的检查表评估研究的有效性。从选定的出版物中提取研究和参与者特征以及比值比。使用RevMan 5.4.1版进行数据分析。
应用纳入和排除标准后，717篇文章中有16篇被认为符合分析条件。下肢损伤是最常见的情况，骨盆手术是最常进行的干预措施。有456例新冠患者（占6.12%），其中134例死亡，显示死亡率有所增加（29.38%对5.30%；比值比为7.72；95%置信区间为6.01 - 9.93；P<0.001）。
在因创伤接受骨科手术的新冠患者中，术后死亡率增加了7.72倍。
