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Shiqing Liu
Wuhan University Renmin Hospital
Corresponding Author
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Background: The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital.
Methods: A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17, 2020 to April 20, 2020 (epidemic group), and from February 17, 2019 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed.
Results: In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group.
Conclusion: During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.
Keywords
Novel coronavirus 2019, Viral pneumonia, Fracture, Diagnosis and treatment mode, Infection control
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CURRENT STATUS: Under Review
The most recent version of this article is available here.
No community comments so far
Review #1 received
Received 17 Mar, 2021
Reviewers invited
Invitations sent on 17 Feb, 2021
Reviewer #1 agreed
On 17 Feb, 2021
Editor assigned
On 22 Dec, 2020
Submission checks complete
On 22 Dec, 2020
Editor invited
On 22 Dec, 2020
Version 1
Posted 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 07 Nov, 2020
Review #2 received
Received 27 Aug, 2020
Review #3 received
Received 27 Aug, 2020
Review #1 received
Received 27 Aug, 2020
Reviewer #3 agreed
On 06 Aug, 2020
Reviewer #1 agreed
On 06 Aug, 2020
Reviewer #2 agreed
On 06 Aug, 2020
Reviewers invited
Invitations sent on 05 Aug, 2020
Editor assigned
On 29 Jul, 2020
First submitted
On 28 Jul, 2020
Submission checks complete
On 28 Jul, 2020
Editor invited
On 28 Jul, 2020
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Subject Areas
Orthopedic Surgery
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A new preprint design is coming!
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This preprint is under consideration at European Journal of Medical Research. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Shiqing Liu
Wuhan University Renmin Hospital
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
The most recent version of this article is available here.
No community comments so far
Review #1 received
Received 17 Mar, 2021
Reviewers invited
Invitations sent on 17 Feb, 2021
Reviewer #1 agreed
On 17 Feb, 2021
Editor assigned
On 22 Dec, 2020
Submission checks complete
On 22 Dec, 2020
Editor invited
On 22 Dec, 2020
Version 1
Posted 30 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 07 Nov, 2020
Review #2 received
Received 27 Aug, 2020
Review #3 received
Received 27 Aug, 2020
Review #1 received
Received 27 Aug, 2020
Reviewer #3 agreed
On 06 Aug, 2020
Reviewer #1 agreed
On 06 Aug, 2020
Reviewer #2 agreed
On 06 Aug, 2020
Reviewers invited
Invitations sent on 05 Aug, 2020
Editor assigned
On 29 Jul, 2020
First submitted
On 28 Jul, 2020
Submission checks complete
On 28 Jul, 2020
Editor invited
On 28 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
The most recent version of this article is available here.
Background: The purpose of this article is to summarize the epidemiologic characteristics and double-buffered strategy for patients in orthopedic surgery during the COVID-19 outbreak in Wuhan, China, based on our own experience in our hospital.
Methods: A retrospective and comparative study was performed to identify all inpatients at our clinic from February 17, 2020 to April 20, 2020 (epidemic group), and from February 17, 2019 to April 20, 2019 (control group). Epidemiologic characteristics, screening effect, perioperative complications, and nosocomial infection were analyzed.
Results: In the epidemic group, 82 patients were identified, a decrease by 76.0% than the 342 patients in the same period in the 2019. Patients in the epidemic group (54.6 ± 20.2 years) were older than those in the control group (49.6 ± 22.5 years). For the epidemic group, the proportion rates of traumatic factures (69.5%) and low-energy injuries (86.0%) were higher than that in the control group, respectively (35.4% and 37.2%). The preoperative waiting time (7.0 ± 2.6 days) in the epidemic group was longer than that in the control group (4.5 ± 2.1 days). The postoperative complication rate (12.2%) in the epidemic group was higher than that in the control group (3.5%). No nosocomial infection of orthopedic staff and patients with COVID-19 was noted in the epidemic group.
Conclusion: During the COVID-19 outbreak in Wuhan, China, orthopedic inpatients showed unique epidemiological characteristics. The double-buffered strategy could effectively avoid nosocomial infections among medical staff and patients. Doctors should fully evaluate the perioperative risks and complications.
Figure 1
Figure 2
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