Changes in Orthopedic Services in Two Indonesian Tertiary-referral Hospitals during the Coronavirus-19 Pandemic

Sholahuddin Rhatomy; Krisna Yuarno  Phatama; Faiz Alam  Rasyid; Edi  Mustamsir

doi:10.3889/oamjms.2020.5491

Authors

Sholahuddin Rhatomy Department of Orthopaedics and Traumatology, Dr Soeradji Tirtonegoro General Hospital, Faculty Of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Krisna Yuarno Phatama Department of Orthopaedics and Traumatology, Dr Saiful Anwar General Hospital, Faculty of Medicine, Brawijaya University, Malang, Indonesia
Faiz Alam Rasyid Soeradji Tirtonegoro Sport Center and Research Unit, Dr Soeradji Tirtonegoro General Hospital, Klaten, Indonesia
Edi Mustamsir Department of Orthopaedics and Traumatology, Dr Saiful Anwar General Hospital, Faculty of Medicine, Brawijaya University, Malang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.5491

Keywords:

Coronavirus-19, Orthopedic service, Tertiary healthcare center, Indonesia

Abstract

BACKGROUND: Many countries report decreasing on the number of hospital visit even on the emergency cases.

AIM: This study aims to reveal the important data on how big the impact of coronavirus-19 pandemic on orthopedic services in two Government’s tertiary-referral hospitals.

METHODS: This research is a comparison study to measure the trend of orthopedic services, the monthly orthopedic surgical load and outpatient visit were examined during the period of March to May 2020 (the early pandemic period) then compared to the same period in the 2019.

RESULTS: The lowest number of outpatient visits occurred during May 2020 with 715 total number of outpatient visit. The lowest number of orthopedic surgery occurred during May 2020 with 167 total number of orthopedic surgery. Significant decrease of outpatient visits is recorded in 3 months of early pandemic period compared to the same period in 2019 (p < 0.005). Regarding the orthopedic surgical loads, the data show significant decrease in number of orthopedic surgeries in early pandemic period compared to those months in 2019 (p < 0.005). The largest declines were in visits for post-operative control patient (–179), spinal problem (–127,33), and osteoarthritis (–91,33).

CONCLUSION: There was a significant difference in outpatient visit and orthopedic surgery number in the early pandemic period compared to the period before the pandemic occur.

The largest drops in outpatient visit were in visits for post–operative control patient and spinal problem.

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References

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun 2020;109:102433. https://doi.org/10.1016/j.jaut.2020.102433 PMid:32113704 DOI: https://doi.org/10.1016/j.jaut.2020.102433

Bahl P, Doolan C, de Silva C, Chughtai AA, Bourouiba L, MacIntyre CR. Airborne or droplet precautions for health workers treating coronavirus disease 2019? J Infect Dis 2020;1:189. https://doi.org/10.1093/infdis/jiaa189 PMid:32301491 DOI: https://doi.org/10.1093/infdis/jiaa189

MacIntyre CR. Global spread of COVID-19 and pandemic potential. Glob Biosecur 2020;1:55. DOI: https://doi.org/10.31646/gbio.55

Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits United States, January 1, 2019- May 30, 2020. MMWR Morb Mortal Wkly Rep 2020;69(23):699- 704. https://doi.org/10.15585/mmwr.mm6923e1 PMid:32525856 DOI: https://doi.org/10.15585/mmwr.mm6923e1

Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health 2020;4(5):e10-1. https://doi.org/10.1016/s2352-4642(20)30108-5 PMid:32278365 DOI: https://doi.org/10.1016/S2352-4642(20)30108-5

Metzler B, Siostrzonek P, Binder RK, Bauer A, Reinstadler SJ. Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J 2020;41(19):1852-3. https://doi.org/10.1093/eurheartj/ehaa314 PMid:32297932 DOI: https://doi.org/10.1093/eurheartj/ehaa314

Tam CF, Cheung KS, Lam S, Wong A, Yung A, Sze M, et al. Impact of coronavirus disease 2019 (COVID-19) outbreak on st-segment-elevation myocardial infarction care in Hong Kong, China. Circ Cardiovasc Qual Outcomes 2020;13(4):e006631. https://doi.org/10.1161/circoutcomes.120.006631 DOI: https://doi.org/10.1161/CIRCOUTCOMES.120.006631

Wong LE, Hawkins JE, Langness S, Murrell KL, Iris P, Sammann A. Where are all the patients? Addressing Covid- 19 Fear to Encourage Sick Patients to Seek Emergency Care. NEJM Catalyst Innovations in Care Delivery; 2020. p. 3.

Thornton J. Covid-19: A&E visits in England fall by 25% in week after lockdown. BMJ 2020;369:m1401. https://doi.org/10.1136/bmj.m1401 PMid:32253175 DOI: https://doi.org/10.1136/bmj.m1401