message stringlengths 5 6.31k | message_type stringclasses 3 values | message_id int64 0 2 | conversation_id int64 77.3k 898k | cluster float64 44 44 | __index_level_0__ int64 232k 2.69M |
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Please summerize the given abstract to a title | instruction | 0 | 77,323 | 44 | 231,559 |
Impact of the first COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center | output | 1 | 77,323 | 44 | 231,560 |
PURPOSE: In Dec 2019, COVID-19 was first recognized and led to a worldwide pandemic. The German government implemented a shutdown in Mar 2020, affecting outpatient and hospital care. The aim of the present article was to evaluate the impact of the COVID-19 shutdown on patient volumes and surgical procedures of a Level I trauma center in Germany. METHODS: All emergency patients were recorded retrospectively during the shutdown and compared to a calendar-matched control period (CTRL). Total emergency patient contacts including trauma mechanisms, injury patterns and operation numbers were recorded including absolute numbers, incidence proportions and risk ratios. RESULTS: During the shutdown period, we observed a decrease of emergency patient cases (417) compared to CTRL (575), a decrease of elective cases (42 vs. 13) and of the total number of operations (397 vs. 325). Incidence proportions of emergency operations increased from 8.2 to 12.2% (shutdown) and elective surgical cases decreased (11.1 vs. 4.3%). As we observed a decrease for most trauma mechanisms and injury patterns, we found an increasing incidence proportion for severe open fractures. Household-related injuries were reported with an increasing incidence proportion from 26.8 to 47.5% (shutdown). We found an increasing tendency of trauma and injuries related to psychological disorders. CONCLUSION: This analysis shows a decrease of total patient numbers in an emergency department of a Level I trauma center and a decrease of the total number of operations during the shutdown period. Concurrently, we observed an increase of severe open fractures and emergency operations. Furthermore, trauma mechanism changed with less traffic, work and sports-related accidents. | input | 2 | 77,323 | 44 | 231,561 |
Please summerize the given abstract to a title | instruction | 0 | 77,373 | 44 | 231,709 |
Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus | output | 1 | 77,373 | 44 | 231,710 |
The speed and scale of the global COVID-19 pandemic has resulted in unprecedented pressures on health services worldwide, requiring new methods of service delivery during the health crisis. In the setting of severe resource constraint and high risk of infection to patients and clinicians, there is an urgent need to identify consensus statements on head and neck surgical oncology practice. We completed a modified Delphi consensus process of three rounds with 40 international experts in head and neck cancer surgical, radiation, and medical oncology, representing 35 international professional societies and national clinical trial groups. Endorsed by 39 societies and professional bodies, these consensus practice recommendations aim to decrease inconsistency of practice, reduce uncertainty in care, and provide reassurance for clinicians worldwide for head and neck surgical oncology in the context of the COVID-19 pandemic and in the setting of acute severe resource constraint and high risk of infection to patients and staff. | input | 2 | 77,373 | 44 | 231,711 |
Please summerize the given abstract to a title | instruction | 0 | 77,683 | 44 | 232,639 |
Performing gynecologic cancer surgery during the COVID-19 pandemic in Turkey: A multicenter retrospective observational study | output | 1 | 77,683 | 44 | 232,640 |
OBJECTIVE: To report the perioperative outcomes of 200 patients with gynecologic cancer who underwent surgery during the Novel Coronavirus Disease (COVID-19) pandemic and the safety of surgical approach. METHODS: Data of patients operated between March 10 and May 20, 2020, were collected retrospectively. Data were statistically analyzed using IBM Statistical Package for the Social Sciences (SPSS) Statistics for Windows v. SP21.0. RESULTS: Data of 200 patients were included. Their mean age was 56 years. Of the patients, 54% (n=108), 27.5% (n=55), 12.5% (n=25), and 2% (n=4) were diagnosed as having endometrial, ovarian, cervical, and vulvar cancer, respectively. Of them, 98% underwent non-emergent surgery. A minimally invasive surgical approach was used in 18%. Stage 1 cancer was found in 68% of patients. Surgeons reported COVID-related changes in 10% of the cases. The rate of postoperative complications was 12%. Only two patients had cough and suspected pneumonic lesions on thoracic computed tomography postoperatively, but neither was positive for COVID-19 on polymerase chain reaction testing. CONCLUSION: Based on the present findings, it is thought that gynecologic cancer surgery should continue during the COVID-19 pandemic while adhering to the measures. Postponement or non-surgical management should only be considered in patients with documented infection. Gynecologic cancer surgery should continue during the COVID-19 pandemic while adhering to measures. Only 1% of patients developed COVID-19-related symptoms during the postoperative follow-up period. | input | 2 | 77,683 | 44 | 232,641 |
Please summerize the given abstract to a title | instruction | 0 | 77,720 | 44 | 232,750 |
Rationing Urology Care During a Pandemic: A Primer | output | 1 | 77,720 | 44 | 232,751 |
In March 2020, edicts from many states required offices and hospitals to cancel all non-emergent surgeries and office visits to prevent hospitals from being overloaded, preserve personal protective equipment, and prevent the spread of COVID-19 with the goal to flatten the curve of novel corona virus infections on the community Beneficence demands health care providers develop and maintain skills and knowledge, continually update training, consider individual circumstances of all patients, and strive for net benefit [ ]justice discusses fairness in decisions, which can burden or benefit, are equally considered [ ]Jus Post Bellum considers how the war is ended and how the restoration of the community is completed | input | 2 | 77,720 | 44 | 232,752 |
Please summerize the given abstract to a title | instruction | 0 | 77,738 | 44 | 232,804 |
A Worldwide Survey On Proctological Practice During Covid-19 Lockdown (Proctolock 2020): A Cross-Sectional Analysis | output | 1 | 77,738 | 44 | 232,805 |
BACKGROUND: Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic Using a cross-sectional non-incentivized worldwide web-survey we aimed to snapshot the current status of proctological practice in 6 world regions METHODS: Surgeons affiliated to renowned scientific societies with an interest in coloproctology were invited to join the survey Members of the ProctoLock Working Group enhanced recruitment by direct invitation Predictive power of respondents' and hospitals' demographics on the change of status of surgical and outpatient activities was calculated RESULTS: Respondents (N=1,050) were mostly men (79%), with a mean age of 46 9 years, at consultant level (79%), practicing in academic hospitals (53%), offering a dedicated proctology service (68%) A total of 119 (11%) tested COVID-19 positive The majority (54%) came from Europe Participants from Asia reported a higher proportion of unaltered practice (17%), while those from Europe had the highest proportion of fully stopped practice (20%) The likelihood of ongoing surgical practice was higher in males (OR 1 54, 95%CI 1 13;2 09;P=0 006), in those reporting readily availability of personal protective equipment (PPE) (OR 1 40, 1 08;1 42;P=0 012) and in centers that were partially or not at all involved in COVID-19 care (OR 2 95, 2 14;4 09;P<0 001) This chance decreased by 2% per year of respondents' age (P=0 001) CONCLUSION: Several factors including different screening policies and resource capacity impacted the current status of proctological practice This may inform health authorities to formulate effective preventive strategies to limit curtailment of care of these patients during the pandemic | input | 2 | 77,738 | 44 | 232,806 |
Please summerize the given abstract to a title | instruction | 0 | 77,843 | 44 | 233,119 |
New adaptation of neurosurgical practice and residency programs during the Covid-19 pandemic and their effects on neurosurgery resident satisfaction and welfare at the National General Hospital, Jakarta, Indonesia | output | 1 | 77,843 | 44 | 233,120 |
INTRODUCTION: Many institutions in numerous countries have made changes in their health care services during the COVID-19 pandemic. One change has been to reduce elective neurosurgery cases, which has impacted neurosurgery education. Published literature is lacking about the healthcare services, education, and residents’ well-being during adaptation to the pandemic, especially in national referral hospitals in developing countries. METHODS: We conducted a cross-sectional study on current neurosurgical services during 2020. We evaluated 34 neurosurgery residents in Cipto Mangunkusumo National General Hospital using a self-made questionnaire to determine the effects of the COVID-19 pandemic on their surroundings, education process, and satisfaction with the currently adapted education program. We used the modified Maslach Burnout Inventory to assess burnout in the residents before and during the pandemic. RESULTS: Neurosurgical residents spent more time studying neurosurgical theory (Mode 1–1.5h/day, p < 0.05) but spent less time learning neurosurgical skills (Mode 30 min–1 h/day, p < 0.05) compared to before the pandemic. The resident satisfaction mean score (scale 0–10) was 7.58 for live surgery and 8.53 for the microsurgical skills lab training program. On a scale of 1–10, the residents’ stress level increased after the pandemic but the change was not statistically significant (6.61 ± 1.87, p > 0.05). The Modified Maslach Burnout inventory score was 3.02 ± 3.74 during the pandemic, and increased from before the pandemic (2.41 ± 3.18), but the difference was not statistically significant. CONCLUSION: The COVID-19 pandemics have reduced the working hours and the clinical exposure of neurosurgical residents. Fortunately, this pandemic has led to a new opportunity to find many suitable learning methods which may decrease the risk of burnout. The psychological burden of residents is still worrisome, and planned management is necessary to sustain resident performance. | input | 2 | 77,843 | 44 | 233,121 |
Please summerize the given abstract to a title | instruction | 0 | 77,894 | 44 | 233,272 |
The First 60 Days: Physical Therapy in a Neurosurgical Center Converted Into a COVID-19 Center in Brazil | output | 1 | 77,894 | 44 | 233,273 |
OBJECTIVE: The purpose of this case report was to describe the role of physical therapists in a neurosurgical center that was converted into a COVID-19 center for critically ill patients. METHODS (CASE DESCRIPTION): On March 16, 2020, the state government of Rio de Janeiro, Brazil, determined that a neurosurgical center with 44 ICU beds equipped with mechanical ventilators should immediately transfer all patients with neurological conditions to other institutions and prepare for patients who were critically ill with COVID-19. The staff, including physical therapists, were trained to handle patients with COVID-19, many of whom were developing acute respiratory distress syndrome (ARDS) with complex and multifactorial ventilatory support needs. Adjustments were made to the physical therapy routine and protocols. Following the stabilization of patients' respiratory condition, physical therapist interventions focused on restoring physical function. RESULTS: A total of 116 confirmed COVID-19 cases were treated from March 17 to May 17, 2020. Sixty percent were men (70) and 40% were women (46), with a median age of 59 years. Eighty-nine percent (103) underwent mechanical ventilation during hospitalization, of which 11% (11) were successfully extubated. Thirty percent (31) of patients underwent tracheostomy, and 26% of those (8) were successfully decannulated. Of the total patients, 57 patients died (mortality rate of 49%), 4 (3%) were transferred to another institution, 23 (20%) were discharged home, and 32 (28%) continued to be hospitalized. CONCLUSION: Physical therapists in the ICU can facilitate care for critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training. IMPACT: The coronavirus pandemic has highlighted the importance of physical therapists, specifically in the care of patients who are critically ill with COVID-19. The availability and expertise of physical therapists in the ICU are important for managing critical events such as intubation, patient positioning, ventilatory adjustments, extubation, and functional training. | input | 2 | 77,894 | 44 | 233,274 |
Please summerize the given abstract to a title | instruction | 0 | 77,988 | 44 | 233,554 |
Effect of COVID-19 on Ulnar Collateral Ligament Reconstruction in Major League Baseball Pitchers | output | 1 | 77,988 | 44 | 233,555 |
BACKGROUND: The coronavirus disease of 2019 (COVID-19) pandemic led to the suspension and shortening of the 2020 Major League Baseball (MLB) season from 162 to 60 regular season games. The effect of this disruption on injury rates, specifically injury to the ulnar collateral ligament (UCL), has not been quantified. PURPOSE/HYPOTHESIS: The purpose of this study was to compare the rate of UCL reconstruction (UCLR), surgery timing, and pitching workload in MLB pitchers from before and after the COVID-19 pandemic lockdown. We hypothesized that UCLR rates relative to games played would be increased and pitching workload would be decreased in 2020 compared with previous seasons. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: An extensive online search using publicly available data was conducted to identify all MLB pitchers who underwent UCLR between January 1, 2017, and December 31, 2020. Only pitchers who were competing at the MLB level when undergoing reconstruction were included. Player characteristics and surgery date, as well as career and season of surgery pitching workload, were collected for all included pitchers. All data were compared as a pooled sample (2017-2019 vs 2020). RESULTS: A similar number of pitchers underwent UCLR during or after the 2020 regular season (n = 18) compared with the 2017-2019 seasons (n = 16, 20, and 16, respectively). However, after accounting for the decrease in games played during the 2020 regular season, an MLB pitcher was 2.9 times more likely to undergo surgery per game after the COVID-19 lockdown compared with the previous years (P < .001). MLB pitchers who underwent surgery in 2020 threw fewer preseason innings than did pitchers who underwent surgery between 2017 and 2019 (5.98 vs 9.39; P = .001). CONCLUSION: MLB pitchers were almost 3 times more likely to undergo UCLR per game after the COVID-19 lockdown. A decreased preseason pitching workload because of the COVID-19 lockdown may have had an effect on per game UCLR rates. | input | 2 | 77,988 | 44 | 233,556 |
Please summerize the given abstract to a title | instruction | 0 | 78,192 | 44 | 234,166 |
Investigating the real impact of covid-19 pandemic on the daily neurosurgical practice? | output | 1 | 78,192 | 44 | 234,167 |
Objective: The objective of this study was to relate the neurosurgical activity during a time of sanitary crisis such as experienced during the SARS-Cov-2 pandemic. Methods: A monocentric retrospective analysis was made based on a prospectively gathered cohort of all patients requiring neurosurgical care between March 15th and May 12th, 2020. Local impact of SARS-CoV-2 was analysed regarding number of patients admitted in ICU. Results: 160 patients could benefit from neurosurgical care with a wide-ranging profile of clinical and surgical activities performed during the study that seemed similar to last year profile activity. Surgical indications were restricted to nondeferrable surgeries, leading to a drop in operative volume of 50%. Only 1,3% of patients required transfer to other units due to the impossibility of providing gold standard neurosurgical care in our centre. Conclusion: Despite the challenges represented by the SARS-CoV-2 pandemic, it was proven possible to assure the routine neurosurgical continuity and provide high standards of neurosurgical care without compromising patients’ access to the required treatments. | input | 2 | 78,192 | 44 | 234,168 |
Please summerize the given abstract to a title | instruction | 0 | 78,405 | 44 | 234,805 |
The impact of national lockdown due to COVID-19 pandemic on frequency of occurrence of secretory otitis media in children - our experience | output | 1 | 78,405 | 44 | 234,806 |
Objective: To present the impact of national lockdown due to COVID-19 pandemic on the incidence of persistent secretory otitis media in children. Patients: Children aged from four to 13 years who were surgically treated from 1st January 2017 to 31th December 2020 at the University Department of Otolaryngology, Head and Neck Surgery, University Hospital Center Osijek. Methods: Patients underwent otomicroscopy, tympanometry, tone audiometry and fiberendoscopy of the epipharynx. After confirmation of the existence of secretory otitis the children were treated surgically, using adenotomy and myringotomy by inserting ventilation tubes in the equilateral ear. Results: This study included 107 children who were surgically treated with adenotomy and myringotomy by inserting ventilation tubes. The results showed a significant decline in the number of operations in 2020 compared to the previous three years, presumably due to national lockdown closures. We recorded the largest difference comparing 2018 and 2020, when the number of operations decreased by 87%. Conclusions: Drastic reduction of activities during the national lockdown closure, schooling from home and emphasizing the proper and regular implementation of personal hygiene have contributed to reducing the incidence of one of the most common infections in children. Lower frequency of acute otitis media has a positive effect on reducing the frequency of development of secretory otitis in children. Compared to the previous three years, there has been a significant decline in the number of children requiring surgical treatment. This is the first retrospective study on the impact of national lockdown on reducing the need for surgical treatment of persistent secretory otitis in children. © 2022 Hrvatski Lijecnicki Zbor. All rights reserved. | input | 2 | 78,405 | 44 | 234,807 |
Please summerize the given abstract to a title | instruction | 0 | 78,408 | 44 | 234,814 |
[Do COVID-19 restrictions lead to a decrease in severely injured patients at a level 1 trauma center in Germany?] | output | 1 | 78,408 | 44 | 234,815 |
BACKGROUND: Intensive care and ventilator capacities are essential for treatment of COVID-19 patients Severely injured patients are often in continuous need of intensive care and ventilator treatment The question arises, whether restrictions related to COVID-19 have led to a decrease in severely injured patients and thus to an increase in intensive care unit (ICU) capacity MATERIAL AND METHODS: A retrospective analysis of all seriously injured patients with an injury severity score (ISS) >=16 was performed between 17 March and 30 April 2020 at a level 1 trauma center in Germany The mechanism of injury and the ISS were recorded Further data were collected as to whether it was a work-related accident, a documented suicide attempt and if surgery was necessary in the first 24h after arrival in hospital Data from 2018 and 2019 served as a control group RESULTS: There was no substantial difference in the total number of seriously injured patients (2018 n= 30, 2019 n= 23, 2020 n= 27) Furthermore, there was no relevant difference in the number of patients needing intensive care or ventilator treatment when leaving the shock room The number of patients needing an operative intervention within the first 24h after arriving at hospital was slightly higher in 2020 The mean ISS was at a constant level during all 3 years In 2020 there was no polytraumatized motorbike rider, who did not have a work-related accident (2018 n= 5, 2019 n= 4, 2020 n= 0) A noticeable increase in work-related accidents was observed (2018: 10%, 2019: 26 1%, 2020 44 4%) DISCUSSION: Restrictions related to COVID-19 did not lead to a reduction in seriously injured patients needing ICU care Due to the monocentric data analysis there is room for misinterpretation In general, intensive care and operating capacities should be managed with adequate consideration for seriously injured patients even in times of crisis, such as the COVID-19 pandemic Confirmation through the German Trauma Register is pending | input | 2 | 78,408 | 44 | 234,816 |
Please summerize the given abstract to a title | instruction | 0 | 78,424 | 44 | 234,862 |
Impact of COVID-19 on Timing of Hip-Fracture Surgeries: An Interrupted Time-Series Analysis of the Pre/Post-Quarantine Period in Northern Italy. | output | 1 | 78,424 | 44 | 234,863 |
BACKGROUND To assess whether the imposition of the coronavirus disease 2019 (COVID-19) national quarantine (March 10, 2020) resulted in a shift in the proportion of patients operated for hip fracture on the day of admission, the following day and two days after admission in the region of Piedmont, northern Italy. METHODS Interrupted time-series analysis (ITSA) comparing hospitalization rate and timing of hip-fracture surgeries between pre- and post-quarantine period. The same data observed in Piedmont the year before were included as a control time series with no "intervention" (quarantine) in the middle of the observation period. RESULTS We found that 70.3% and 69.4% of hip-fracture patients received surgery within 2 days of hospital admission in the 16 weeks before and after the national quarantine, respectively. One-day surgery went from 46.0% to 46.5%, and same-day surgery from 13.3% to 12.4%. Unchanged trends were confirmed by ITSA after controlling for the 32-week time-series observed the year before. In the second week of March 2020, there was a borderline significant decrease in weekly hospital admissions for hip fractures as compared with that of the same week of March 2019 (-1.95 per 100 000, 95% CI = -4.10 to 0.21, P value = .075), followed by a weekly significant increase in the hospitalization rate (+0.14 per 100 000, 95% CI = 0.01 to 0.27, P value = .039), although the difference-in-differences of slopes failed to achieve statistical significance (0.19 per 100 000, 95% CI = -0.03 to 0.41, P value = .090). CONCLUSION Our study shows that the timing of hip-fracture surgery was unchanged during the lockdown period. This suggests that the healthcare systems can be resilient and able to guarantee a high-quality and safe healthcare to hip-fracture patients, even in the most challenging working conditions. | input | 2 | 78,424 | 44 | 234,864 |
Please summerize the given abstract to a title | instruction | 0 | 78,489 | 44 | 235,057 |
Impact of COVID19 pandemic on treatment outcome of locallyadvanced head and neck squamous cell carcinoma (LAHNSCC): IMPACCT study | output | 1 | 78,489 | 44 | 235,058 |
Background: Treatment (ttm) of cancer patients (pts) was compromised during the first wave of COVID19 pandemic due to collapse of healthcare systems. Standard of care (SOC) for LA-HNSCC pts had to be adapted as operating rooms were temporarily unavailable, and to reduce risk of COVID19 exposure. The IMPACCT study evaluated the outcome of LA-HNSCC pts treated at the Catalan Institute of Oncology during the first semester of 2020 and compared it to a control cohort previously treated in the same institution. Methods: Retrospective single institution analysis of two consecutively-treated cohorts of newly-diagnosed HNSCC pts: from January to June of 2020 (CT20) and same period of 2018 and 2019 (CT18-19). Pt demographics and disease characteristics were obtained from our in-site prospective database. Ttm modifications from SOC as per COVID19- contingency protocol in CT20 for LA-HNSCC were collected. Chi-squared was used to compare variables and ttm response between cohorts. One-year recurrence-free survival (1yRFS) and overall survival (1yOS) of LA-HNSCC pts were estimated by Kaplan-Meier method and compared by Log-rank test. Results: A total of 306 pts were included: CT20=99;CT18- 19=207. Baseline characteristics were balanced between cohorts (Table1). In pts treated with conservative ttm (non-surgical approach), persistence disease was higher in CT20 vs CT18- 19 (26 vs. 10% p=0.02). Median follow-up of CT20 and CT18-19 was 6.8 months (IQR 5.1-7.9) and 12.3 (6.7-18.4), respectively. A trend towards lower 1yRFS and 1yOS was observed in CT20 vs CT18-19 (72 vs 83% p=0.06;80 vs 84% p=0.07), respectively. Within CT20, 37 pts (37%) had one or more ttm modifications: switch from surgery to conservative ttm (n=13);altered radiotherapy fractionation (n=14);reduced cisplatin cumulative dose to 200mg/m2 (n=19);no adjuvant ttm (n=1). Pts who received modified ttm had no differences in 1yRFS vs those who did not (80 vs 66% p=0.31), but higher 1yOS was observed (97 vs 67% p<0.01). When stratified by stage, 1yOS difference remained significant in stage III/IVA (100 vs 61% p<0.01) but not in I/II (100 vs 77% p=0.28) or IVB (67 vs 50% p=0.54). Conclusions: COVID19 pandemic had a negative impact on ttm outcomes and survival in LA-HNSCC pts when compared to our historical cohort. Ttm modifications based on COVID19-contingency protocol did not compromise ttm efficacy in terms of RFS and was associated with better OS in Stage III/IVA. | input | 2 | 78,489 | 44 | 235,059 |
Please summerize the given abstract to a title | instruction | 0 | 78,583 | 44 | 235,339 |
Drastic reduction of orthopaedic services at an urban tertiary hospital in South Africa during COVID-19: Lessons for the future response to the pandemic. | output | 1 | 78,583 | 44 | 235,340 |
BACKGROUND The COVID-19 pandemic has impacted on the global surgery landscape. OBJECTIVES To analyse and describe the initial impact of the COVID-19 pandemic on orthopaedic surgery at Groote Schuur Hospital, a tertiary academic hospital in South Africa. METHODS The number of orthopaedic surgical cases, emergency theatre patient waiting times, and numbers of outpatient clinic visits, ward admissions, bed occupancies and total inpatient days for January - April 2019 (pre-COVID-19) were compared with the same time frame in 2020 (COVID-19). The COVID-19 timeframe included initiation of a national 'hard lockdown' from 26 March 2020, in preparation for an increasing volume of COVID-19 cases. RESULTS April 2020, the time of the imposed hard lockdown, was the most affected month, although the number of surgical cases had started to decrease slowly during the 3 preceding months. The total number of surgeries, outpatient visits and ward admissions decreased significantly during April 2020 (55.2%, 69.1% and 60.6%, respectively) compared with April 2019 (p<0.05). Trauma cases were reduced by 40% in April 2020. Overall emergency theatre patient waiting time was 30% lower for April 2020 compared with 2019. CONCLUSIONS COVID-19 and the associated lockdown has heavily impacted on both orthopaedic inpatient and outpatient services. Lockdown led to a larger reduction in the orthopaedic trauma burden than in international centres, but the overall reduction in surgeries, outpatient visits and hospital admissions was less. This lesser reduction was probably due to local factors, but also to a conscious decision to avoid total collapse of our surgical services. | input | 2 | 78,583 | 44 | 235,341 |
Please summerize the given abstract to a title | instruction | 0 | 78,922 | 44 | 236,356 |
St Andrew's COVID-19 surgery safety (StACS) study: Elective plastic surgery, trauma & burns | output | 1 | 78,922 | 44 | 236,357 |
INTRODUCTION: This study evaluates COVID-19 related patient risk, when undergoing management within one of the largest specialist centres in Europe, which rapidly implemented national COVID-19 safety guidelines METHOD: A prospective cohort study was undertaken in all patients who underwent surgical (n = 1429) or non-operative (n = 191) management during the UK COVID-19 pandemic peak (April-May 2020);all were evaluated for 30-day COVID-19 related death A representative sample of elective/trauma/burns patients (surgery group, n = 729) were selected and also sub-analysed within a controlled cohort study design Comparison was made to a random selection of non-operatively managed (non-operative group, n = 100) or waiting list (control group, n = 250) patients These groups were prospectively followed-up and telephoned from the end of June (control group) or at 30 days post-first assessment (non-operative group)/post-operatively (surgery group) RESULTS: Complex general (9 2%, 136/1483) or regional (5 0%, 74/1483) anaesthesia cases represented 14 2% (210/1483) of operations undertaken There were no 30-day post-operative (0/1429)/first assessment (0/191) COVID-19 related deaths Neither the three sub-speciality plastic surgery, or non-operative groups, displayed increases in post-operative/first assessment symptoms in comparison to each other, or to control The proportion of COVID-19 positive tests were: 7 1% (1/14) (non-operative), 5 9% (2/34) (burns) and 3 0% (3/99) (trauma);there were however no significant differences between these groups, the elective (0%, 0/54) and control (0%, 0/24) groups (p = 0 236) CONCLUSION: We demonstrate that even heterogeneous sub-speciality patient groups, who required operative/non-operative management, did not incur an increased COVID-19 risk compared to each other or to control These highly encouraging results were achieved with described, rapidly implemented service changes that were tailored to protect each patient group and staff | input | 2 | 78,922 | 44 | 236,358 |
Please summerize the given abstract to a title | instruction | 0 | 78,932 | 44 | 236,386 |
The impact of COVID-19 pandemic on bariatric patients' self-management post-surgery | output | 1 | 78,932 | 44 | 236,387 |
BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had far reaching consequences on the health and well-being of the general public. Evidence from previous pandemics suggest that bariatric patients may experience increased emotional distress and difficulty adhering to healthy lifestyle changes post-surgery. OBJECTIVE: We aimed to examine the impact of the novel COVID-19 public health crisis on bariatric patients' self-management post-surgery. METHOD: In a nested-qualitative study, semi-structured telephone interviews were conducted with 23 post-operative bariatric patients who had undergone Roux-en-Y gastric bypass (RYGB) at a Canadian Bariatric Surgery Program between 2014 and 2020. A constant comparative approach was used to systematically analyze the data and identify the overarching themes. RESULTS: Participants (n = 23) had a mean age of (48.82 ± 10.03) years and most were female (n = 19). The median time post-surgery was 2 years (range: 6 months-7 years). Themes describing the impact of COVID-19 pandemic on patients' post-bariatric surgery self-management included: coping with COVID-19; vulnerability factors and physical isolation; resiliency factors during pandemic; and valuing access to support by virtual care. The need for patients to access post-operative bariatric care during COVID-19 differed based on gender and socioeconomic status. CONCLUSION: This study showed that the COVID-19 pandemic has impacted patients' ability to self-manage obesity and their mental health in a variety of ways. These findings suggest that patients may experience unique psychological distress and challenges requiring personalized care strategies to improve obesity self-care and overall well-being. | input | 2 | 78,932 | 44 | 236,388 |
Please summerize the given abstract to a title | instruction | 0 | 78,942 | 44 | 236,416 |
The COVID CLAVICLE Study: A predictor of future trauma trends | output | 1 | 78,942 | 44 | 236,417 |
BACKGROUND: Clavicle fractures are a common presentation to the Emergency Department following falls and sporting injuries. During 2020, the COVID-19 pandemic brought with it a long period of social isolation resulting in a change of behavior patterns and in return, the presentation of fractures to our local hospitals. The effects of this global pandemic on the presentation and management of clavicles were noted with particular interest to the change in mechanism and its future implications. METHODS: We performed a longitudinal observational study in 10 hospitals in the North West of England, reviewing all patients presenting with a clavicle fracture during six weeks in the first peak of COVID-19 pandemic and compared these with the same time period in 2019. Collection points included the patient demographics, fracture characteristics, mechanism of injury and management. RESULTS: A total of 427 clavicle fractures were assessed with lower numbers of patients presenting with a clavicle fracture during the COVID-2020 period (n=177) compared with 2019 (n=250). Cycling related clavicle fractures increased three fold during the pandemic compared to the 2019 control group. We also noted an overall increase in clavicle fractures resulting from higher energy trauma as opposed to low energy or fragility fracture. We also found a faster time to surgery in the COVID cohort by 2.7 days on average when compared to 2019. CONCLUSIONS: Government restrictions and the encouragement of social distancing led to behavioral changes with a vast increase in cyclists on the road. This created a significant rise in clavicle fractures related to this activity. This is likely to be further driven by the Government pledge to double cyclists on the road by 2025 in the United Kingdom.(5) We forecast that this increase in cyclists, a behavior change accelerated by the pandemic, is a reliable predictor for future trauma trends. | input | 2 | 78,942 | 44 | 236,418 |
Please summerize the given abstract to a title | instruction | 0 | 79,063 | 44 | 236,779 |
Spinal surgery in COVID-19 pandemic era: One trauma hub center experience in central-southern Italy | output | 1 | 79,063 | 44 | 236,780 |
The aim of the study is to analyze and report the results of the surgical activity in a spinal unit of a trauma hub in central Italy during COVID-19 pandemic. Surgical activity was compared between COVID 19 pandemic and the same period of time in 2019 at our institution. A 50% reduction of surgical procedures during the last three months was observed compared with the same period of time in 2019. The compliance with the containment rules for the spread of the infection, were sufficient to allow safe surgical activity for the medical teams and patients. | input | 2 | 79,063 | 44 | 236,781 |
Please summerize the given abstract to a title | instruction | 0 | 79,089 | 44 | 236,857 |
The impact of COVID‐19 on thoracic surgery residency programs in the US: A program director survey | output | 1 | 79,089 | 44 | 236,858 |
OBJECTIVE: The coronavirus disease 2019 (COVID‐19) has altered how the current generation of thoracic surgery residents are being trained. The aim of this survey was to determine how thoracic surgery program directors (PDs) are adapting to educating residents during the COVID‐19 pandemic. METHODS: Thoracic surgery PDs of integrated, traditional (2 or 3 year), and combined 4 + 3 general/thoracic surgery training programs in the United States were surveyed between 17th April and 1st May 2020 during the peak of the COVID‐19 pandemic in much of the United States. The 15‐question electronic survey queried program status, changes to the baseline surgical practice, changes to didactic education, deployment/scheduling of residents, and effect of the pandemic on case logs and preparedness for resident graduation. RESULTS: All 23 institutions responding had ceased elective procedures, and most had switched to telemedicine clinic visits. Online virtual didactic sessions were implemented by 91% of programs, with most (69.6%) observing same or increased attendance. PDs reported that 82.7% of residents were on a non‐standard schedule, with most being deployed in a 1 to 2 week on, 1 to 2 week off block schedule. Case volumes were affected for both junior and graduating trainees, but a majority of PDs report that graduating residents will graduate on time without perceived negative effect on first career/fellowship position. CONCLUSIONS: The COVID‐19 pandemic has radically changed the educational approach of thoracic surgery programs. PDs are adapting educational delivery to optimize training and safety during the pandemic. Long‐term effects remain uncertain and require additional study. | input | 2 | 79,089 | 44 | 236,859 |
Please summerize the given abstract to a title | instruction | 0 | 79,377 | 44 | 237,721 |
Effects of COVID-19 lockdown on a bariatric surgery waiting list cohort and its influence in surgical risk perception | output | 1 | 79,377 | 44 | 237,722 |
PURPOSE: The COVID-19 outbreak has forced a 2-month lockdown (LD) in Spain We aimed to assess how that had affected our cohort of bariatric patients waiting for surgery METHODS: A review of electronic records and a structured phone interview with each patient were conducted Changes in severity of obesity were analyzed using the Obesity Surgery Score (OSS) and changes in health-related quality of life (HRQoL) using the validated EQ-5D questionnaire Other miscellaneous questions about behavior modifications and surgical risk perception were also analyzed RESULTS: All 51 patients fully answered the questionnaires Mean age was 47 years and mean time on waiting list 91 days Mean BMI increased during LD (42 7 vs 43 2;p < 0 001) Both OSS (2 84 vs 3;p = 0 011) and EQ-5D (69 vs 64;p < 0 001) mildly worsened during LD, mainly due to psychosocial issues Twenty-seven patients (53%) thought that perioperative risks were higher under the current circumstances but they were as willing to undergo surgery as those who believed that the risks had not increased (74% vs 87%, p = 0 2) CONCLUSIONS: COVID-19 LD had a significant but mild effect on our cohort of bariatric surgery waiting list patients Although perioperative risk perception had increased, patients were still willing to undergo their planned surgeries | input | 2 | 79,377 | 44 | 237,723 |
Please summerize the given abstract to a title | instruction | 0 | 79,425 | 44 | 237,865 |
COVID-19 Pandemic and Elective Spinal Surgery Cancelations – What Happens to the Patients? | output | 1 | 79,425 | 44 | 237,866 |
BACKGROUND CONTEXT: The COVID-19 pandemic caused nationwide suspensions of elective surgeries due to reallocation of resources to the care of COVID-19 patients. Following resumption of elective cases, a significant proportion of patients continued to delay surgery, with many yet to reschedule, potentially prolonging their pain and impairment of function and causing detrimental long-term effects. PURPOSE: The aim of this study was to examine differences between patients who have and have not rescheduled their spine surgery procedures originally cancelled due to the COVID-19 pandemic, and to evaluate the reasons for continued deferment of spine surgeries even after the lifting of the mandated suspension of elective surgeries. STUDY DESIGN/SETTING: Retrospective case series at a single institution PATIENT SAMPLE: Included were 133 patients seen at a single institution where spine surgery was canceled due to a state-mandated suspension of elective surgeries from March to June, 2020. OUTCOME MEASURES: The measures assessed included preoperative diagnoses and neurological dysfunction, surgical characteristics, reasons for surgery deferment, and PROMIS scores of pain intensity, pain interference, and physical function. METHODS: Patient electronic medical records were reviewed. Patients who had not rescheduled their canceled surgery as of January 31, 2021, and did not have a reason noted in their charts were called to determine the reason for continued surgery deferment. Patients were divided into three groups: early rescheduled (ER), late rescheduled (LR), and not rescheduled (NR). ER patients had a date of surgery (DOS) prior to the city's Phase 4 reopening on July 20, 2020; LR patients had a DOS on or after that date. Statistical analysis of the group findings included analysis of variance with Tukey's honestly significant difference (HSD) post-hoc test, independent samples T-test, and chi-square analysis with significance set at p≤0.05. RESULTS: Out of 133 patients, 47.4% (63) were in the ER, 15.8% (21) in the LR, and 36.8% (49) in the NR groups. Demographics and baseline PROMIS scores were similar between groups. LR had more levels fused (3.6) than ER (1.6), p= 0.018 on Tukey HSD. NR (2.1) did not have different mean levels fused than LR or ER, both p= >0.05 on Tukey HSD. LR had more three column osteotomies (14.3%) than ER and (1.6%) and NR (2.0%) p=0.022, and fewer lumbar microdiscectomies (0%) compared to ER (20.6%) and NR (10.2%), p=0.039. Other surgical characteristics were similar between groups. LR had a longer length of stay than ER (4.2 vs 2.4, p=.036). No patients in ER or LR had a nosocomial COVID-19 infection. Of NR, 2.0% have a future surgery date scheduled and 8.2% (4) are acquiring updated exams before rescheduling. 40.8% (20; 15.0% total cohort) continue to defer surgery over concern for COVID-19 exposure and 16.3% (8) for medical comorbidities. 6.1% (3) permanently canceled for symptom improvement. 8.2% (4) had follow-up recommendations for non-surgical management. 4.1% (2) are since deceased. CONCLUSION: Over 1/3 of elective spine surgeries canceled due to COVID-19 have not been performed in the 8 months from when elective surgeries resumed in our institution to the end of the study. ER patients had less complex surgeries planned than LR. NR patients continue to defer surgery primarily over concern for COVID-19 exposure. The toll on the health of these patients as a result of the delay in treatment and on their lives due to their inability to return to normal function remains to be seen. | input | 2 | 79,425 | 44 | 237,867 |
Please summerize the given abstract to a title | instruction | 0 | 79,488 | 44 | 238,054 |
[Urologic cancer care during the first wave of the COVID-19 pandemic : Role of federal cancer registration in Germany] | output | 1 | 79,488 | 44 | 238,055 |
Urologic cancer care needs to be prioritized despite multiple health care restrictions during the coronavirus disease 2019 (COVID-19) pandemic However, therapies and procedures may be delayed and complicated In Germany, analysis of the multiple cancer registries provides insights into the actual numbers of treated patients We provide a review on the registration of urologic cancer care during the first wave of the COVID-19 pandemic in Germany and on potential surgical complications of urologic interventions We found that during the year 2020 there were generally fewer registrations of newly diagnosed patients with major urologic neoplasms in a representative federal database The number of surgical interventions in patients with renal cell carcinoma and urothelial bladder cancer decreased, whereas equal numbers of radical prostatectomies were performed when compared to the year 2019 COVID-19 may increase non-urological postoperative complications following surgical treatment of urologic malignancies;however, available data are still very limited | input | 2 | 79,488 | 44 | 238,056 |
Please summerize the given abstract to a title | instruction | 0 | 79,645 | 44 | 238,525 |
Management of non-invasive tumours, benign tumours and breast cancer during the COVID-19 pandemic: recommendations based on a Latin American survey | output | 1 | 79,645 | 44 | 238,526 |
Introduction: The COVID-19 pandemic has changed health systems across the world, both in general hospitals and in oncology institutes or centres For cancer specialists, particularly breast cancer (BC), the COVID-19 pandemic represents a combination of challenges since the hospital resources and staff have become more limited;this has obliged oncology specialists to seek a consensus and establish which patients with BC require more urgent attention and which patients can wait until there is a better control of this pandemic The health system in Latin America has some special characteristics;in some of the countries, there are shortages which limit access to several specialities (surgery, clinical oncology and radiotherapy) in some regions Objective: After a systematic review of the most recent literature regarding the management of BC during the COVID-19 pandemic, the main objective is to understand the position of the different Latin American Societies of Mastology in terms of available alternatives for the treatment of BC Methods: After carrying out a comprehensive and exhaustive search of the most recent guides on the management of BC during the COVID-19 pandemic, the board members of the Latin American Federation of Mastology invited, via email, different specialists, all experts in BC care, to complete an anonymous survey online The survey was distributed between 30 and 10 May 2020 The survey included 27 questions on four topics: demographic information, consultations, imaging and treatment of BC The questionnaire was sent and then distributed to various health specialists including breast surgeons, clinical oncologists, radiation oncologists and radiologists via the Presidents of the different Latin American Societies of Mastology in 18 countries The results are summarised as tallies based on the number of responses to each question Results: A total of 499 responses were received The majority of the respondents were males (275 (55 11%));290 participants were over 45 years (58 11%) The questionnaire presented those surveyed with three possible answers (agree, disagree and neither agree nor disagree) The results reflect that there was consensus in the majority of situations presented Only seven questions revealed disagreement among those responding The results are presented as recommendations Conclusion: The management of patients with BC presents unique challenges during the current world health situation produced by COVID-19 pandemic Breast care specialists (surgical oncologists, breast care clinicians, clinical oncologists, radiation oncologists and radiologists) from 18 countries in Central and South America submitted through their responses and recommendations for the treatment of BC during the COVID-19 pandemic | input | 2 | 79,645 | 44 | 238,527 |
Please summerize the given abstract to a title | instruction | 0 | 79,647 | 44 | 238,531 |
Coronavirus disease 2019 pandemic, restriction, and orthopedic trauma: Retrospective observational study | output | 1 | 79,647 | 44 | 238,532 |
In 2019, the Coronavirus disease 2019 (Covid-19) was reported in Wuhan, China. Governments in various countries had taken many safeguards. This study investigated the incidence of orthopedic trauma in a rural region epidemiologically and guided source distribution and medical professionals to sustain healthcare systems. Between December 2019 and August 2020, 1651 patients admitted to orthopedics and traumatology clinics with trauma were evaluated in this study. Patients were grouped into 3 groups: pre-covid, restriction, and permitted groups. Age, sex, and fracture types of patients were recorded. The number of patients in the pre-covid period was 629 (38.1%), those were 334 (20.2%) in the restriction period, and 688 (41.7%) patients were admitted in the permitted period. A total of 1203 (72.9%) patients with upper extremity fractures, 383 (23.2%) patients with lower extremity fractures, and 65 (3.9%) patients with axial skeleton and pelvic ring fractures were included in the study. The lowest rates were found in the restriction period when all fractures were evaluated according to the admission periods. There were significant differences between admission dates and the fractures (P < .001). In this study, a decrease in orthopedic trauma rates was observed by half in the restriction period compared with the other 2 periods. Public health precautions had led to a reduction in the incidence of orthopedic trauma in all age groups. | input | 2 | 79,647 | 44 | 238,533 |
Please summerize the given abstract to a title | instruction | 0 | 79,670 | 44 | 238,600 |
Morbidity and Mortality in Patients with Perioperative COVID-19 Infection: Prospective Cohort in General, Gastroesophagic, Hepatobiliary, and Colorectal Surgery | output | 1 | 79,670 | 44 | 238,601 |
BACKGROUND: Severe acute respiratory syndrome due to coronavirus 2 has rapidly spread worldwide in an unprecedented pandemic. Patients with an ongoing COVID-19 infection requiring surgery have higher risk of mortality and complications. This study describes the mortality and morbidity in patients with perioperative COVID-19 infection undergoing elective and emergency surgeries. METHODS: Prospective cohort of consecutive patients who required a general, gastroesophageal, hepatobiliary, colorectal, or emergency surgery during COVID-19 pandemic at an academic teaching hospital. The primary outcome was 30-day mortality and major complications. Secondary outcomes were specific respiratory mortality and complications. RESULTS: A total of 701 patients underwent surgery, 39 (5.6%) with a perioperative COVID-19 infection. 30-day mortality was 12.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Major surgical complications occurred in 25.6% and 6.8% in patients with and without COVID-19 infection, respectively (p < 0.001). Respiratory complications occurred in 30.8% and 1.4% in patients with and without COVID-19 infection, respectively (p < 0.001). Mortality due to a respiratory complication was 100% and 11.1% in patients with and without COVID-19 infection, respectively (p < 0.006). CONCLUSIONS: 30-day mortality and surgical complications are higher in patients with perioperative COVID-19 infection. Indications for elective surgery need to be reserved for non-deferrable procedures in order to avoid unnecessary risks of non-urgent procedures. | input | 2 | 79,670 | 44 | 238,602 |
Please summerize the given abstract to a title | instruction | 0 | 80,250 | 44 | 240,340 |
The effect of COVID-19 lockdown on acute type A aortic dissection: insights from Bologna | output | 1 | 80,250 | 44 | 240,341 |
This document is intended to provide an overview of the incidence and characteristics of acute type A aortic dissection in Bologna during the month of severe restrictions imposed by the National Italian government due to COVID-19 pandemic. Aspects on management and time to intervention are outlined. | input | 2 | 80,250 | 44 | 240,342 |
Please summerize the given abstract to a title | instruction | 0 | 80,509 | 44 | 241,117 |
Practical Guidance for Managing EMG Requests and Testing during the COVID‐19 Pandemic | output | 1 | 80,509 | 44 | 241,118 |
The COVID‐19 pandemic has necessitated cancelation of elective or non‐urgent contact with the healthcare system, including non‐urgent nerve conduction studies and electromyography (electrodiagnostic [EDX] studies). The definitions of elective and non‐urgent are physician judgments, and often are not straightforward. Clinical care must be provided to help our patients in a timely manner, while keeping them, health care personnel and the community safe. Benefit/risk stratification is an important part of this process. We have stratified EDX studies into 3 categories: Urgent, Non‐urgent and Possibly Urgent, in an effort to help clinicians triage these referrals. For each category, we provide a rationale and some examples. However, each referral must be reviewed on a case‐by‐case basis, and the clinical situation will evolve over time, necessitating flexibility in managing EDX triaging. Engaging the referring clinician and, at times, the patient, may be useful in the triage process. This article is protected by copyright. All rights reserved. | input | 2 | 80,509 | 44 | 241,119 |
Please summerize the given abstract to a title | instruction | 0 | 80,573 | 44 | 241,309 |
Review of orthopaedic trauma surgery during the peak of COVID-19 pandemic - An observational cohort study in the UK | output | 1 | 80,573 | 44 | 241,310 |
Aim: This study aims to estimate the risk of acquiring medical complication or death from COVID-19 infection in patients who were admitted for orthopaedic trauma surgery during the peak and plateau of pandemic. Unlike other recently published studies, where patient-cohort included a more morbid group and cancer surgeries, we report on a group of patients who had limb surgery and were more akin to elective orthopaedic surgery. Methods: The study included 214 patients who underwent orthopaedic trauma surgeries in the hospital between 12th March and 12th May-2020 when the pandemic was on the rise in the United Kingdom. Data was collected on demographic profile including comorbidities, ASA grade, COVID-19 testing, type of procedures and any readmissions, complications or mortality due to COVID-19. Results: There were 7.9% readmissions and 52.9% of it was for respiratory complications. Only one patient had positive COVID-19 test during readmission. 30-day mortality for trauma surgeries was 0% if hip fractures were excluded and 2.8% in all patients. All the mortalities were for proximal femur fracture surgeries and between ASA Grade 3 and 4 or in patients above the age of 70 years. Conclusion: This study suggests that presence of COVID-19 virus in the community and hospital did not adversely affect the outcome of orthopaedic trauma surgeries or lead to excess mortality or readmissions in patients undergoing limb trauma surgery. The findings also support resumption of elective orthopaedic surgeries with appropriate risk stratification, patient optimization and with adequate infrastructural support amidst the recovery phase of the pandemic. | input | 2 | 80,573 | 44 | 241,311 |
Please summerize the given abstract to a title | instruction | 0 | 80,760 | 44 | 241,870 |
Compliance and perception about personal protective equipment among health care workers involved in the surgery of COVID-19 negative cancer patients during the pandemic | output | 1 | 80,760 | 44 | 241,871 |
BACKGROUND: Health care workers (HCWs) are at risk of getting infected while at work, for example, operating room (OR), hence it is pertinent that they don all the appropriate personal protective equipment (PPE) to minimize the chance of getting infected. METHODS: A COVID-19 specific briefing and debriefing form was created and used in the OR along with the World Health Organization surgical safety checklist to reinforce the use of appropriate PPE. An audit was subsequently done to understand the compliance to PPE use, followed by a survey based on the findings of the audit to understand the issues related to noncompliance. RESULTS: The form was used in 183 out of the 238 (77%) surgeries performed during a months' time. The overall compliance for PPE usage was 96.3%. Noncompliance was seen most often for eye protection (45/567) (P = .01). The survey revealed that this was mostly among surgeons mainly due to discomfort, poor visibility, and frequent fogging. CONCLUSIONS: Our HCW were adapting well to the new normal of donning appropriate PPE in the OR, except for the eye protection due to discomfort and visibility related issues. This is important to know so that necessary changes could be introduced to better the compliance. | input | 2 | 80,760 | 44 | 241,872 |
Please summerize the given abstract to a title | instruction | 0 | 80,906 | 44 | 242,308 |
COVID-19 and Management of Orthopedic Emergencies. Producing a Consensus of Experts | output | 1 | 80,906 | 44 | 242,309 |
OBJECTIVE: Report the results of a participatory approach in Tunisian orthopedic surgery, for the development of a consensus of experts, on the identification of the list of pathologies to always be considered as non-postponable emergencies, during the COVID-19 pandemic. MATERIAL AND METHODS: This descriptive study of the opinions of Tunisian experts covered all orthopedic morbidities classified into three homogeneous groups: trauma, infections and tumors of the musculoskeletal system. The attitudes of the interviewees were collected using the "Delphi" method, using a "Google-Form" questionnaire, sent by email to all of the Tunisian university orthopedic surgeons in practice, and registered at the SOTCOT. Consensus has been established for an item, if validated by at least 80% of the experts. The analysis of the results focused on the first 30 responses to this "online" form. RESULTS: Tunisian experts agreed on the continuity of the urgency of taking in charge all the items of orthopedic morbidity during the COVID-19 pandemic, apart from the following affections: aseptic nonunions in the upper and lower limbs, aggressive giant cell tumors, and hyperalgesic disc herniations, where agreement rates were only at 8%, 12%, 58% and 77%. CONCLUSION: Relative to its disciplinary and professional specificities, the majority the of orthopedic conditions were still considered as emergencies, during the COVID-19 pandemic, which did not lend to postponement of the surgery. However, their management should obey to the recommendations of "Sorting" and the " COVID-19 Patient Pathway ", established by national authorities. | input | 2 | 80,906 | 44 | 242,310 |
Please summerize the given abstract to a title | instruction | 0 | 80,968 | 44 | 242,494 |
Setting up and maximising the usage of an Urgent Dental Care Centre in Blackpool. Sharing our experiences | output | 1 | 80,968 | 44 | 242,495 |
An integrated Urgent Dental Care Centre with Tier 2 Oral Surgery support was set up in Blackpool starting 24th March 2020. This was in reaction to the COVID-19 pandemic. In the first month 1433 patients had telephone consultations and 713 extractions were performed. The challenges surrounding set up and continuity of care are discussed. | input | 2 | 80,968 | 44 | 242,496 |
Please summerize the given abstract to a title | instruction | 0 | 81,050 | 44 | 242,740 |
Fracture Surgery in Known COVID-19 Infected Patients: What Are the Challenges? | output | 1 | 81,050 | 44 | 242,741 |
Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracture patients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting during the surgical treatment of fracture patients with concomitant COVID-19 infection. Methods: Demographic and fracture related data of 13 fracture patients with concomitant COVID-19 infection who were treated with surgery was collected from three trauma centers in Tehran and Kermanshah cities from 21, February 2020 to April 3, 2020. Results: All patients were male with mean age of 38.6±19.5 years. Eight patients had high energy fracture and seven patients had multiple fractures and trauma. Wrist and hand were the common sites of fracture following hip and pelvis. The mean interval time period between the diagnosis of COVID-19 infection and surgery was 2.3±1.5 days. Before surgery, all patients except one had been admitted to the corona dedicated wards, while two patients were admitted to the intensive care unit (ICU). One of the ICU admitted patients died. All the 12 alive patients remained in home isolation after discharge. Conclusion: Fracture surgery in COVID-19 patients has many challenges such as lack of medical resources, delay of surgery, medial staff fear, and patient isolation. However, a multidisciplinary approach using all potential hospital resources would lead to successful operation and acceptable outcome. | input | 2 | 81,050 | 44 | 242,742 |
Please summerize the given abstract to a title | instruction | 0 | 81,242 | 44 | 243,316 |
The impact of SARS-CoV-2 (COVID-19) pandemic on trauma bay management and guideline adherence in a European level-one-trauma centre | output | 1 | 81,242 | 44 | 243,317 |
PURPOSE: SARS CoV-2 (COVID-19) represents a pandemic that has led to adjustments of routine clinical practices. The initial management in the trauma bay follows detailed international valid algorithms. This study aims to work out potential adjustments of trauma bay algorithms during a global pandemic in order to reduce contamination and to increase safety for patients and medical personnel. METHODS: This retrospective cohort study compared patients admitted to the trauma bay of one academic level-one trauma centre in March and April 2019 with patients admitted in March and April 2020. Based on these datasets, possible adjustments of the current international guidelines of trauma bay management were discussed. RESULTS: Group Pan (2020, n = 30) included two-thirds the number of patients compared with Group Ref (2019, n = 44). The number of severely injured patients comparable amongst these groups: mean injury severity score (ISS) was significantly lower in Group Pan (10.5 ± 4.4 points) compared with Group Ref (15.3 ± 9.2 points, p = 0.035). Duration from admission to whole-body CT was significantly higher in Group Pan (23.8 ± 9.4 min) compared with Group Ref (17.3 ± 10.7 min, p = 0.046). Number of trauma bay admissions decreased, as did the injury severity for patients admitted in March and April 2020. In order to contain spreading of SARS Cov-2, the suggested recommendations of adjusting trauma bay protocols for severely injured patients include (1) minimizing trauma bay team members with direct contact to the patient; (2) reducing repeated examination as much as possible, with rationalized use of protective equipment; and (3) preventing potential secondary inflammatory insults. CONCLUSION: Appropriate adjustments of trauma bay protocols during pandemics should improve safety for both patients and medical personnel while guaranteeing the optimal treatment quality. The above-mentioned proposals have the potential to improve safety during trauma bay management in a time of a global pandemic. | input | 2 | 81,242 | 44 | 243,318 |
Please summerize the given abstract to a title | instruction | 0 | 81,421 | 44 | 243,853 |
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