Early Orthopaedic Trauma Outcomes in COVID-19 Infected Patients: A Case Series.
Identifieur interne : 000164 ( Main/Corpus ); précédent : 000163; suivant : 000165Early Orthopaedic Trauma Outcomes in COVID-19 Infected Patients: A Case Series.
Auteurs : Diep N. Edwards ; Alexandra M. Arguello ; Brent A. Ponce ; Clay A. Spitler ; Jonathan H. QuadeSource :
- Journal of orthopaedic trauma [ 1531-2291 ] ; 2020.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Betacoronavirus (MeSH), Coronavirus Infections (complications), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Disease Transmission, Infectious (prevention & control), Female (MeSH), Follow-Up Studies (MeSH), Fracture Fixation (methods), Fractures, Bone (complications), Fractures, Bone (epidemiology), Fractures, Bone (surgery), Humans (MeSH), Incidence (MeSH), Male (MeSH), Middle Aged (MeSH), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (epidemiology), Pneumonia, Viral (transmission), Retrospective Studies (MeSH), Risk Assessment (methods), Time Factors (MeSH), Treatment Outcome (MeSH), United States (epidemiology), Young Adult (MeSH).
- MESH :
- geographic , epidemiology : United States.
- complications : Coronavirus Infections, Fractures, Bone, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Fractures, Bone, Pneumonia, Viral.
- methods : Fracture Fixation, Risk Assessment.
- prevention & control : Disease Transmission, Infectious.
- surgery : Fractures, Bone.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- Adolescent, Adult, Aged, Aged, 80 and over, Betacoronavirus, Female, Follow-Up Studies, Humans, Incidence, Male, Middle Aged, Pandemics, Retrospective Studies, Time Factors, Treatment Outcome, Young Adult.
Abstract
Orthopaedic trauma presents a unique and complex challenge in the initial phase of the coronavirus 2019 (COVID-19) global crisis. Little is currently known about the surgical practices in orthopaedic emergencies in the early days of the COVID-19 outbreak (1). This is a retrospective case series of 10 orthopaedic trauma patients who underwent fracture fixation in March 2020. Of the 10 patients testing COVID-19 positive, there were a total of 16 long bone fractures, 5 pelvic ring fractures, and 1 lumbar burst fracture. There were 7 (70%) males in this cohort. Two (20%) of the COVID-positive patients did not develop fever, leukocytosis, respiratory insufficiency, or positive imaging findings and were younger (average age 25.5 years) with fewer comorbidities (average 0.5) compared with the 8 symptomatic COVID-19-positive patients (56.6 years with 1.88 comorbidities). Advancement of COVID-19 pathogenesis with lung opacities and prolonged intubation occurred in all 5 patients who remained on ventilation postoperatively (range 9 hours-11 days). At the time of most recent follow-up, all patients survived, 1 continues to require ventilation support, 1 remains admitted without ventilation support, and 8 (80%) were discharged to home. LEVEL OF EVIDENCE:: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
DOI: 10.1097/BOT.0000000000001924
PubMed: 32947589
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pubmed:32947589Le document en format XML
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Spitler</name></author><author><name sortKey="Quade, Jonathan H" sort="Quade, Jonathan H" uniqKey="Quade J" first="Jonathan H" last="Quade">Jonathan H. Quade</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32947589</idno><idno type="pmid">32947589</idno><idno type="doi">10.1097/BOT.0000000000001924</idno><idno type="wicri:Area/Main/Corpus">000164</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000164</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Early Orthopaedic Trauma Outcomes in COVID-19 Infected Patients: A Case Series.</title><author><name sortKey="Edwards, Diep N" sort="Edwards, Diep N" uniqKey="Edwards D" first="Diep N" last="Edwards">Diep N. Edwards</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL.</nlm:affiliation></affiliation></author><author><name sortKey="Arguello, Alexandra M" sort="Arguello, Alexandra M" uniqKey="Arguello A" first="Alexandra M" last="Arguello">Alexandra M. Arguello</name></author><author><name sortKey="Ponce, Brent A" sort="Ponce, Brent A" uniqKey="Ponce B" first="Brent A" last="Ponce">Brent A. Ponce</name></author><author><name sortKey="Spitler, Clay A" sort="Spitler, Clay A" uniqKey="Spitler C" first="Clay A" last="Spitler">Clay A. Spitler</name></author><author><name sortKey="Quade, Jonathan H" sort="Quade, Jonathan H" uniqKey="Quade J" first="Jonathan H" last="Quade">Jonathan H. Quade</name></author></analytic><series><title level="j">Journal of orthopaedic trauma</title><idno type="eISSN">1531-2291</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Coronavirus Infections (complications)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (transmission)</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Fracture Fixation (methods)</term><term>Fractures, Bone (complications)</term><term>Fractures, Bone (epidemiology)</term><term>Fractures, Bone (surgery)</term><term>Humans (MeSH)</term><term>Incidence (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (complications)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (transmission)</term><term>Retrospective Studies (MeSH)</term><term>Risk Assessment (methods)</term><term>Time Factors (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>United States (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term><term>Fractures, Bone</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Fractures, Bone</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fracture Fixation</term><term>Risk Assessment</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fractures, Bone</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Betacoronavirus</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Pandemics</term><term>Retrospective Studies</term><term>Time Factors</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Orthopaedic trauma presents a unique and complex challenge in the initial phase of the coronavirus 2019 (COVID-19) global crisis. Little is currently known about the surgical practices in orthopaedic emergencies in the early days of the COVID-19 outbreak (1). This is a retrospective case series of 10 orthopaedic trauma patients who underwent fracture fixation in March 2020. Of the 10 patients testing COVID-19 positive, there were a total of 16 long bone fractures, 5 pelvic ring fractures, and 1 lumbar burst fracture. There were 7 (70%) males in this cohort. Two (20%) of the COVID-positive patients did not develop fever, leukocytosis, respiratory insufficiency, or positive imaging findings and were younger (average age 25.5 years) with fewer comorbidities (average 0.5) compared with the 8 symptomatic COVID-19-positive patients (56.6 years with 1.88 comorbidities). Advancement of COVID-19 pathogenesis with lung opacities and prolonged intubation occurred in all 5 patients who remained on ventilation postoperatively (range 9 hours-11 days). At the time of most recent follow-up, all patients survived, 1 continues to require ventilation support, 1 remains admitted without ventilation support, and 8 (80%) were discharged to home. LEVEL OF EVIDENCE:: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32947589</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1531-2291</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>10</Issue><PubDate><Year>2020</Year><Month>10</Month></PubDate></JournalIssue><Title>Journal of orthopaedic trauma</Title><ISOAbbreviation>J Orthop Trauma</ISOAbbreviation></Journal><ArticleTitle>Early Orthopaedic Trauma Outcomes in COVID-19 Infected Patients: A Case Series.</ArticleTitle><Pagination><MedlinePgn>e382-e388</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/BOT.0000000000001924</ELocationID><Abstract><AbstractText>Orthopaedic trauma presents a unique and complex challenge in the initial phase of the coronavirus 2019 (COVID-19) global crisis. Little is currently known about the surgical practices in orthopaedic emergencies in the early days of the COVID-19 outbreak (1). This is a retrospective case series of 10 orthopaedic trauma patients who underwent fracture fixation in March 2020. Of the 10 patients testing COVID-19 positive, there were a total of 16 long bone fractures, 5 pelvic ring fractures, and 1 lumbar burst fracture. There were 7 (70%) males in this cohort. Two (20%) of the COVID-positive patients did not develop fever, leukocytosis, respiratory insufficiency, or positive imaging findings and were younger (average age 25.5 years) with fewer comorbidities (average 0.5) compared with the 8 symptomatic COVID-19-positive patients (56.6 years with 1.88 comorbidities). Advancement of COVID-19 pathogenesis with lung opacities and prolonged intubation occurred in all 5 patients who remained on ventilation postoperatively (range 9 hours-11 days). At the time of most recent follow-up, all patients survived, 1 continues to require ventilation support, 1 remains admitted without ventilation support, and 8 (80%) were discharged to home. LEVEL OF EVIDENCE:: Prognostic Level II. 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