The IMPACT of COVID-19 on trauma & orthopaedic surgery provides lessons for future communicable disease outbreaks: minimum reporting standards, risk scores, fragility trauma services, and global collaboration

Bone & Joint Research

article

Andrew J. Hall¹  Nick D. Clement²  Alasdair M. J. MacLullich³  A. Hamish R. W. Simpson⁴  Tim O. White²  Andrew D. Duckworth² 

[1] Department of Orthopaedics, Golden Jubilee National Hospital;Edinburgh Orthopaedics, Royal Infirmary of Edinburgh;Scottish Hip Fracture Audit ,(SHFA), NHS National Services Scotland;Department of Orthopaedics & Trauma, University of Edinburgh

关键词: Hip fracture;    COVID-19;    Collaborative audit;    Meta audit;    Frailty;    Orthopaedic trauma;    Vaccination;    Communicable disease;    Infection;    trauma;    COVID-19 infection;    hip fracture;    orthopaedic surgery;    Fragility Fracture;    infection;    periprosthetic fractures;    comorbidity;    acute and rehabilitation;    clinical diagnosis;   

DOI  :  10.1302/2046-3758.116.BJR-2022-0060

学科分类：骨科学

来源: British Editorial Society Of Bone And Joint Surgery

【 摘 要 】

Research into COVID-19 has been rapid in response to the dynamic global situation, which has resulted in heterogeneity of methodology and the communication of information. Adherence to reporting standards would improve the quality of evidence presented in future studies, and may ensure that findings could be interpreted in the context of the wider literature. The COVID-19 pandemic remains a dynamic situation, requiring continued assessment of the disease incidence and monitoring for the emergence of viral variants and their transmissibility, virulence, and susceptibility to vaccine-induced immunity. More work is needed to assess the long-term impact of COVID-19 infection on patients who sustain a hip fracture. The International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics (IMPACT) formed the largest multicentre collaborative audit conducted in orthopaedics in order to provide an emergency response to a global pandemic, but this was in the context of many vital established audit services being disrupted at an early stage, and it is crucial that these resources are protected during future health crises. Rapid data-sharing between regions should be developed, with wider adoption of the revised 2022 Fragility Fracture Network Minimum Common Data Set for Hip Fracture Audit, and a pragmatic approach to information governance processes in order to facilitate cooperation and meta-audit. This editorial aims to: 1) identify issues related to COVID-19 that require further research; 2) suggest reporting standards for studies of COVID-19 and other communicable diseases; 3) consider the requirement of new risk scores for hip fracture patients; and 4) present the lessons learned from IMPACT in order to inform future collaborative studies.

【 授权许可】

CC BY-NC