What have we learnt as orthopaedic surgeons? Pandemic surveillance of surgically treated fracture patients

Authors : Murat Taşcı, Sedat Duman, İhsan Özdamar
Pages : 54-61
Doi:10.21673/anadoluklin.1467004
View : 40 | Download : 28
Publication Date : 2025-01-29
Article Type : Research Paper
Abstract :Aim: To investigate the epidemiological and demographic data of the patients operated on during the first wave of the pandemic, and to analyze what the pandemic has taught orthopedic surgeons Methods: In this retrospective analysis, 90 patients who were operated in our clinic were analyzed. Demographic data, injury mechanism, fracture site, anesthesia type, the number of consultations after admission, the comorbidities, average time between first admission to hospitalization, the length of stay in the intensive care unit (ICU), and neutrophil-lymphocyte ratio (NLR) were investigated. Results: Higher incidence of hip fractures was observed in COVID-positive patients (p<0.001). The number of two or more consultations requested was significantly higher in COVID-positive patients (p=0.034). As the number of consultations requested increased, the mean time between the first admission and hospitalization also increased (p=0.036). Moreover, there was a significant association between COVID-positivity and the need for ICU follow-up (p=0.001). When the postoperative NLR was compared, it was found to be significantly different in COVID-positive patients compared to COVID-negative patients (p=0.005). Conclusion: During the heart of disasters, patients with high comorbidity should not be made to wait for long periods in the emergency department. It is important to inform them and their relatives about the prognosis and possible ICU follow-up of these patients. It is important to consider that domestic injuries may increase. Additionally, it is important to note that parameters such as NLR, which are commonly used in routine follow-up, may be affected by infections.
Keywords : COVID-19, enfeksiyon, kalça kırıkları, yoğun bakım ünitesi

ORIGINAL ARTICLE URL