Arvind Kumar; Yawar Haider; Jigyasa Passey; Rizwan Khan; Sahil Gaba; Mukesh Kumar
Volume 9, Issue 2 , April 2021, , Pages 51-59
Abstract
Objective: To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data. Methods: Keywords such as “fracture” and “COVID or COVID-19” were searched through three major databases includes ...
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Objective: To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data. Methods: Keywords such as “fracture” and “COVID or COVID-19” were searched through three major databases includes PubMed, EMBASE, and Google Scholar. Selection criteria were all published reports providing the mortality related information of COVID-19 positive fracture patients. Published papers containing mortality data of COVID-19 positive fracture patients were considered for qualitative review. For meta-analysis, the presenting individual’s data were considered to study the different parameters association with mortality. Results: The rate of mean mortality in COVID-19 positive fracture patients was 34%, and 91.7% of patients had hip fractures. Older age and hip fractures had a significant association with higher mortality rates in COVID-19 positive fracture patients.Conclusion: The mortality rates are considerably higher in COVID-19 positive patients with fractures compared to COVID-19 positive patients without fractures and to the COVID-19 negative fracture patients. Early surgical intervention should be preferred in hip fractures among COVID-19 positive patients for general stabilization and improved respiratory function. Older age and hip fractures are the main predictors of mortality in these patients.
Rizwan Khan; Arvind Kumar; Mukesh Kumar; Javed Jameel
Volume 9, Issue 1 , January 2021, , Pages 46-47
Abstract
The current COVID-19 situation has been taking a high toll on the healthcare workers who are at constant risk of exposure to the contagion, especially those who are involved in treating the COVID-19 infected patients. The risk of exposure is further high during the surgical procedures, considering the ...
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The current COVID-19 situation has been taking a high toll on the healthcare workers who are at constant risk of exposure to the contagion, especially those who are involved in treating the COVID-19 infected patients. The risk of exposure is further high during the surgical procedures, considering the aerosol generation and prolonged contact with the patients. Performing orthopedic surgeries in PPEs (personal-protective-equipment) is not an easy task. Besides the cumbersome body coverage of PPE gown and hood, and the N95 masks which result in early fatigue and exhaustion, a constantly frustrating issue is the fogging of eyewear which limits surgeon’s vision and ability to perform fine tasks [1].
