Verma Virendra K, Mishra Pankaj K, Agrawal Udit, Santoshi John A
Department of Orthopaedics, AIIMS Bhopal, Madhya Pradesh, India.
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S1314-S1316. doi: 10.4103/jpbs.jpbs_106_23. Epub 2023 Jul 11.
In December 2019, a cluster of atypical cases of pneumonia was reported in Wuhan, China, which was later designated as Coronavirus disease 2019 (COVID-19) by the World Health Organization (WHO) on Feb 11, 2020. We all are facing a global pandemic, and it is very important to be clear that there is no correct roadmap to navigate this difficult situation. It is imperative to state that this global pandemic impacted the spine care services of our institute. In the present study, we have assessed the spine surgeries performed by orthopedic surgeons in terms of volume and etiologies during the COVID-19 pandemic and compared the data with a pre-COVID period.
We retrospectively collected data from all patients who underwent spinal surgeries at our institute under the department of orthopedics from August 20, 2019 to August 20, 2020 (a total of 12 months duration). The data was then divided into two groups-pre-COVID period (August 20, 2019-February 19, 2020-6 months) and during the COVID pandemic (February 20, 2020-August 20, 2021-6 months).
A total of 140 patients underwent surgery at our institute from August 20, 2019 to August 20, 2020. Of these, 91 patients underwent surgery during the pre-COVID period, and 49 patients underwent surgery during the COVID pandemic. In this devastating phase of the pandemic, our department's total number of surgeries significantly declined to 46.15%. The routine surgeries performed during the pandemic phase show a steep fall from 59.34% in the pre-COVID period to 10.20%.
This paper is meant to focus attention on the exorbitant reduction in the operative workflow of the spine patients during the COVID-19 pandemic at a tertiary healthcare institute. It is the need of the hour that orthopedic surgeons maintain equilibrium while providing the best possible treatment to their patients and limiting the spread of the COVID-19 pandemic.
2019年12月，中国武汉报告了一组非典型肺炎病例，后来世界卫生组织（WHO）于2020年2月11日将其命名为2019冠状病毒病（COVID-19）。我们都面临着一场全球大流行，必须明确的是，目前并没有应对这一困难局面的正确路线图。必须指出的是，这场全球大流行对我们研究所的脊柱护理服务产生了影响。在本研究中，我们评估了骨科医生在COVID-19大流行期间进行的脊柱手术的数量和病因，并将数据与COVID-19之前的时期进行了比较。
我们回顾性收集了2019年8月20日至2020年8月20日（共12个月）在我们研究所骨科接受脊柱手术的所有患者的数据。然后将数据分为两组——COVID-19之前的时期（2019年8月20日至2020年2月19日——6个月）和COVID-19大流行期间（2020年2月20日至2021年8月20日——6个月）。
2019年8月20日至2020年8月20日，共有140名患者在我们研究所接受了手术。其中，91名患者在COVID-19之前的时期接受了手术，49名患者在COVID-19大流行期间接受了手术。在这场大流行的毁灭性阶段，我们科室的手术总数显著下降至46.15%。大流行阶段进行的常规手术从COVID-19之前时期的59.34%急剧下降至10.20%。
本文旨在关注三级医疗机构在COVID-19大流行期间脊柱患者手术流程的过度减少。骨科医生在为患者提供最佳治疗的同时保持平衡并限制COVID-19大流行的传播是当务之急。
