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Imam M, Yiu ACF, Elgebaly A, Sobti A, Field RE, Jaffry Z, Ghaith H, Consigliere P, Narvani AA, Hassan R, Abdalla H. The impact of COVID-19 pandemic on the mortality and morbidity of patients undergoing trauma surgery: a report from the UK Corona TRAUMA Surge (UKCoTS) study. INTERNATIONAL ORTHOPAEDICS 2023; 47:1397-1405. [PMID: 36897361 PMCID: PMC9999070 DOI: 10.1007/s00264-023-05718-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 01/29/2023] [Indexed: 03/11/2023]
Abstract
PURPOSE To assess the impact of the COVID-19 pandemic on the outcomes of the patients who underwent trauma surgery during the peak of the pandemic. METHODS The UKCoTS collected the postoperative outcomes of consecutive patients who underwent trauma surgery across 50 centres during the peak of the pandemic (April 2020) and during April 2019. RESULTS Patients who were operated on during 2020 were less likely to be followed up within a 30-day postoperative period (57.5% versus 75.6% p <0.001). The 30-day mortality rate was significantly higher during 2020 (7.4% versus 3.7%, p <0.001). Likewise, the 60-day mortality rate was significantly higher in 2020 than in 2019 (p <0.001). Patients who were operated on during 2020 had lower rates of 30-day postoperative complications (20.7% versus 26.4%, p <0.001). CONCLUSIONS Postoperative mortality was higher during the first wave of the COVID-19 pandemic compared to the same period in 2019, but with lower rates of postoperative complications and reoperation.
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Affiliation(s)
- Mohamed Imam
- Rowley Bristow Unit, Trauma & Orthoapedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UK. .,Trauma & Orthopaedic Surgery Department, Suez Canal University, Ismailia, Egypt. .,Smart Health Academic Unit, University of East London, London, E16 2RD, UK.
| | - Antony Chi Fung Yiu
- Rowley Bristow Unit, Trauma & Orthoapedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UK
| | - Ahmed Elgebaly
- Smart Health Academic Unit, University of East London, London, E16 2RD, UK
| | - Anshul Sobti
- Royal National Orthopaedic Hospital & NHS Trust, Brockley Hill, Stanmore, London, HA7 4LP, UK
| | - Richard E Field
- South West Elective Orthopaedic Centre, Dorking Rd, Epsom, London, KT18 7EG, UK
| | - Zahra Jaffry
- Rowley Bristow Unit, Trauma & Orthoapedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UK
| | - Hazem Ghaith
- School of Medicine, Al-Azhar University, Cairo, Egypt
| | - Paolo Consigliere
- University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
| | - Ali A Narvani
- Rowley Bristow Unit, Trauma & Orthoapedics, Ashford and St. Peter's Hospitals NHS Foundation Trust, Guildford Rd, Lyne, Chertsey, KT16 0PZ, UK
| | - Rawad Hassan
- Smart Health Academic Unit, University of East London, London, E16 2RD, UK
| | - Hassan Abdalla
- Smart Health Academic Unit, University of East London, London, E16 2RD, UK
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