Customized treatment protocols for patients with closed fracture in hospitals at varying coronavirus disease 2019 (COVID-19) risk

BMC Musculoskeletal Disorders

Yong-Guang Wu¹  Zhong-Hua Guo²  Yu He³  Rui Li³  De-Hao Fu³  Xie Xie⁴ 

[1] Department of Orthopedics, People’s Hospital of Caidian District, Wuhan, P.R. China;Department of Orthopedics, People’s Hospital of Dongxihu District, Wuhan, P.R. China;Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (HUST), 1277 Jiefang Avenue, 430022, Wuhan, P.R. China;Department of Traditional Chinese Medicine, Wuhan Third Hospital, Tongren Hospital of Wuhan University, 430060, Wuhan, P.R. China;

关键词: Coronavirus disease 2019 (COVID-19);    Risk level of the epidemic;    Delayed surgery;    Closed fracture;    Treatment protocol;    Optimization strategy;   

DOI  :  10.1186/s12891-021-04614-w

来源: Springer

【 摘 要 】

BackgroundTo determine an optimized treatment protocol during the COVID-19 epidemic for patients with closed fracture and delayed surgery.MethodsThe epidemic data of three hospitals, randomly selected from different administrative regions of Wuhan, were analyzed retrospectively from 23 January to 31 March 2020. Changes in the number of confirmed cases per day (cumulative and new) of each region were tracked as a reflection of changing epidemic risk levels. The risk level map was drawn. The epidemic status, treatment protocols, and treatment efficiencies for patients with closed fracture in the three hospitals were compared.ResultsOverall, 138 patients with closed fracture were admitted. Each hospital had established its own protocol, according to the initial perceived risk. Based on the risk level map, over the study period, the risk levels of the three regions changed independently and were not in sync. All patients recovered and were timely discharged. No staff member was detected with COVID-19.ConclusionsThe COVID-19 risk level of each area is dynamic. To optimize medical resources, avoid cross-infection, and improve efficiency, changes in epidemic risk should be monitored. For patients with closed fracture, treatment protocols should be adjusted according to changes in epidemic risk.

【 授权许可】

CC BY