About: Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma

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About: Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma
Creator	Smith, Adam Deo, Sunny Dunkerley, Sarah Lowdon, Ian Omiawele, Joshua Thelwall, Claire
Source	Medline; PMC
abstract	PURPOSE: The COVID pandemic has decreased orthopaedic fracture operative intervention and follow-up and increased the use of virtual telemedicine clinics. We assessed the implications of this management on future orthopaedic practice. We also surveyed patient satisfaction of our virtual fracture follow-up clinics. METHOD: We prospectively analysed 154 patients during two weeks of ‘lockdown’ assessing their management. We surveyed 100 virtual fracture clinic follow-up patients for satisfaction, time off work and travel. RESULTS: Forty-nine percent of patients had decisions affected by COVID. Twelve percent of patients were discharged at diagnosis having potentially unstable fractures. These were all upper limb fractures which may go onto mal-union. Twenty-nine percent of patients were discharged who would have normally had clinal or radiological follow-up. No patients had any long-term union follow-up. Virtual telemedicine clinics have been incredibly successful. The average satisfaction was 4.8/5. In only 6% of cases, the clinician felt a further face-to-face evaluation was required. Eighty-nine percent of patients would have chosen virtual follow-up under normal conditions. CONCLUSION: Lessons for the future include potentially large numbers of upper limb mal-unions which may be symptomatic. The non-union rate is likely to be the same, but these patients are unknown due to lack of late imaging. Telemedicine certainly has a role in future orthopaedic management as it is well tolerated and efficient and provides economic and environmental benefits to both clinicians and patients.
has issue date	2020-08-07(xsd:dateTime)
bibo:doi	10.1007/s00264-020-04764-x
bibo:pmid	32767088
has license	no-cc
sha1sum (hex)	649de2bfd2f467a523cea90b36abf6eed77de1fa
schema:url	https://doi.org/10.1007/s00264-020-04764-x
resource representing a document's title	Patient care modifications and hospital regulations during the COVID-19 crisis created inequality and functional hazard for patients with orthopaedic trauma
has PubMed Central identifier	PMC7412999
has PubMed identifier	32767088
schema:publication	Int Orthop
resource representing a document's body	covid:649de2bfd2f467a523cea90b36abf6eed77de1fa#body_text
is schema:about of	named entity 'The' named entity 'future' named entity 'telemedicine' named entity 'discharged' named entity 'patients' named entity 'felt' named entity 'upper limb' named entity 'FOLLOW-UP' named entity 'PATIENT SATISFACTION' named entity 'INCREASED' named entity 'TWO WEEKS' named entity 'LARGE' named entity 'CONDITIONS' named entity 'TRAVEL' named entity 'TELEMEDICINE' named entity 'UNSTABLE' named entity 'NON-UNION' named entity 'UPPER LIMB FRACTURES' named entity 'union' named entity 'fracture' named entity 'management' named entity 'average' named entity 'tolerated' named entity 'orthopaedic' named entity 'analysed' named entity 'large numbers' named entity 'Results' named entity 'patients' named entity 'normal conditions' named entity 'upper limb' named entity 'non-union' named entity 'coronavirus pandemic' named entity 'significant difference' named entity 'coronavirus pandemic' named entity 'worked from home' named entity 'palpation' named entity 'coronavirus pandemic' named entity 'COVID-19' named entity 'Swindon' named entity 'video calls' named entity 'mal-union' named entity 'ST7' named entity 'Telemedicine' named entity 'arthroplasty' named entity 'paradigm shift' named entity 'Non-verbal communication' named entity 'telemedicine' named entity 'PPE' named entity 'cellulitis' named entity 'telemedicine' named entity 'district general hospital' named entity 'English language' named entity 'upper limb' named entity 'Clinical examination' named entity 'osteotomy' named entity 'clinical examination' named entity 'clinical examination' named entity '12 weeks' named entity 'upper limb' named entity 'Great Western Hospital' named entity 'cost-effectiveness' named entity 'triaging' named entity 'orthopaedics' named entity 'fracture management' named entity 'physical infrastructure' named entity 'communication barrier' named entity 'Management decisions' named entity 'outpatient' named entity 'Mal-union' named entity 'COVID-19' named entity 'working remotely' named entity 'upper limb' named entity 'triaging' named entity 'lip reading' named entity 'distal radius fractures' named entity '4.7'

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