COVID-19 and Management of Orthopedic Emergencies. Producing a Consensus of Experts.
Tunis Med
; 98(5): 348-354, 2020 May.
Article
en En
| MEDLINE
| ID: mdl-32548837
ABSTRACT
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 ANDMETHODS:
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.
Buscar en Google
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Enfermedades Musculoesqueléticas
/
Infecciones por Coronavirus
/
Procedimientos Ortopédicos
/
Urgencias Médicas
Tipo de estudio:
Guideline
País/Región como asunto:
Africa
Idioma:
En
Revista:
Tunis Med
Año:
2020
Tipo del documento:
Article