Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology
(1) Background: The COVID-19 pandemic has led to a significant change in the utilization of trauma surgery and tumor orthopedic hospital facilities. (2) Methods: In a monocentric retrospective analysis, the weekly numbers of cases requiring intra-clinical treatment in the first four months of 2020 w...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-12-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/1/3 |
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| author | Christina Polan Manuel Burggraf Max Daniel Kauther Heinz-Lothar Meyer Friederike Rademacher Henrik Braitsch Karl-Heinz Jöckel Jendrik Hardes Arne Streitbürger Marcel Dudda |
| author_facet | Christina Polan Manuel Burggraf Max Daniel Kauther Heinz-Lothar Meyer Friederike Rademacher Henrik Braitsch Karl-Heinz Jöckel Jendrik Hardes Arne Streitbürger Marcel Dudda |
| author_sort | Christina Polan |
| collection | DOAJ |
| description | (1) Background: The COVID-19 pandemic has led to a significant change in the utilization of trauma surgery and tumor orthopedic hospital facilities. (2) Methods: In a monocentric retrospective analysis, the weekly numbers of cases requiring intra-clinical treatment in the first four months of 2020 were compared with those of 2019. Patients’ visits to the emergency department and shock room, consultation hours, work-related accidents, case numbers in the normal and intensive care units, ventilation hours, the “Simplified Acute Physiology Score/ Therapeutic Intervention Scoring System” (SAPS/TISS), the average length of stay in hospital, the number of operations and their degree of urgency, as well as deaths, were analyzed in a study based on the data from 7606 outpatient consultations in 2019 and 6755 in 2020, as well as 993 inpatient cases in 2019 and 950 in 2020. (3) Results: There was a significant reduction in the number of treatments per week in the emergency department (261 ± 29 vs. 165 ± 25; <i>p</i> < 0.001) with the same number of shock room treatments and fewer consultation hour contacts (226 ± 29 vs. 119 ± 65; <i>p</i> = 0.012). There were fewer inpatient cases (66 ± 7 vs. 42 ± 11; <i>p</i> = 0.001), resulting in a fall in the days of hospitalization (492 ± 63 vs. 308 ± 78; <i>p</i> < 0.001) and number of operations (73 ± 7 vs. 55 ± 10; <i>p</i> = 0.012), especially elective procedures (20 ± 3 vs. 7 ± 7; <i>p</i> = 0.008). The SAPS/TISS score was lower (1351 ± 1213 vs. 399 ± 281; <i>p</i> = 0.023). Fewer fracture treatments and septic surgeries were performed, while the number of procedures to treat orthopedic malignancies remained constant. (4) Conclusions: During the first phase of the COVID-19 pandemic, we observed a significant reduction in the number of cases treated in orthopedics. While the number of multiple-injured patients was unchanged, fewer patients presented for primary and regular care. Treatment of acute injuries and malignant tumor diseases was not at risk. There was no effect on in-house mortality. We see a potential for the recruitment of medical staff from the outpatient department, operating room, and the ward. In the event of a future second wave, our results may allow for early planning, particularly of the all-important human resources. Reorganization by hospitals and decreased patient numbers in trauma surgery can enable the reallocation of medical staff, equipment, and beds to increase capacity for COVID-19 patients. |
| first_indexed | 2024-03-10T13:51:00Z |
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| id | doaj.art-1d456939c9cb4b97b613ef5296db0d1f |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T13:51:00Z |
| publishDate | 2020-12-01 |
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| spelling | doaj.art-1d456939c9cb4b97b613ef5296db0d1f2023-11-21T02:07:31ZengMDPI AGHealthcare2227-90322020-12-0191310.3390/healthcare9010003Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic OncologyChristina Polan0Manuel Burggraf1Max Daniel Kauther2Heinz-Lothar Meyer3Friederike Rademacher4Henrik Braitsch5Karl-Heinz Jöckel6Jendrik Hardes7Arne Streitbürger8Marcel Dudda9Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyCentral Department of Medical Controlling, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyInstitute of Medical Informatics, Biometry and Epidemiology, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Tumor Orthopedics, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Tumor Orthopedics, University Hospital Essen, Hufelandstraße 55, 45147 Essen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, Hufelandstraße 55, 45147 Essen, Germany(1) Background: The COVID-19 pandemic has led to a significant change in the utilization of trauma surgery and tumor orthopedic hospital facilities. (2) Methods: In a monocentric retrospective analysis, the weekly numbers of cases requiring intra-clinical treatment in the first four months of 2020 were compared with those of 2019. Patients’ visits to the emergency department and shock room, consultation hours, work-related accidents, case numbers in the normal and intensive care units, ventilation hours, the “Simplified Acute Physiology Score/ Therapeutic Intervention Scoring System” (SAPS/TISS), the average length of stay in hospital, the number of operations and their degree of urgency, as well as deaths, were analyzed in a study based on the data from 7606 outpatient consultations in 2019 and 6755 in 2020, as well as 993 inpatient cases in 2019 and 950 in 2020. (3) Results: There was a significant reduction in the number of treatments per week in the emergency department (261 ± 29 vs. 165 ± 25; <i>p</i> < 0.001) with the same number of shock room treatments and fewer consultation hour contacts (226 ± 29 vs. 119 ± 65; <i>p</i> = 0.012). There were fewer inpatient cases (66 ± 7 vs. 42 ± 11; <i>p</i> = 0.001), resulting in a fall in the days of hospitalization (492 ± 63 vs. 308 ± 78; <i>p</i> < 0.001) and number of operations (73 ± 7 vs. 55 ± 10; <i>p</i> = 0.012), especially elective procedures (20 ± 3 vs. 7 ± 7; <i>p</i> = 0.008). The SAPS/TISS score was lower (1351 ± 1213 vs. 399 ± 281; <i>p</i> = 0.023). Fewer fracture treatments and septic surgeries were performed, while the number of procedures to treat orthopedic malignancies remained constant. (4) Conclusions: During the first phase of the COVID-19 pandemic, we observed a significant reduction in the number of cases treated in orthopedics. While the number of multiple-injured patients was unchanged, fewer patients presented for primary and regular care. Treatment of acute injuries and malignant tumor diseases was not at risk. There was no effect on in-house mortality. We see a potential for the recruitment of medical staff from the outpatient department, operating room, and the ward. In the event of a future second wave, our results may allow for early planning, particularly of the all-important human resources. Reorganization by hospitals and decreased patient numbers in trauma surgery can enable the reallocation of medical staff, equipment, and beds to increase capacity for COVID-19 patients.https://www.mdpi.com/2227-9032/9/1/3COVID-19coronaviruspandemicemergency medicineorthopedicspublic health |
| spellingShingle | Christina Polan Manuel Burggraf Max Daniel Kauther Heinz-Lothar Meyer Friederike Rademacher Henrik Braitsch Karl-Heinz Jöckel Jendrik Hardes Arne Streitbürger Marcel Dudda Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology Healthcare COVID-19 coronavirus pandemic emergency medicine orthopedics public health |
| title | Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology |
| title_full | Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology |
| title_fullStr | Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology |
| title_full_unstemmed | Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology |
| title_short | Development of Case Numbers during the COVID-19 Pandemic in a Center of Maximum-Care for Traumatology and Orthopedic Oncology |
| title_sort | development of case numbers during the covid 19 pandemic in a center of maximum care for traumatology and orthopedic oncology |
| topic | COVID-19 coronavirus pandemic emergency medicine orthopedics public health |
| url | https://www.mdpi.com/2227-9032/9/1/3 |
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