COVERT: Impact of COVID-19 Pandemic on Orthopaedic Practice
Study Details
Study Description
Brief Summary
The COVERT Collaborative is led by a group of academic surgeons that is looking into the impact of the unprecedented COVID-19 pandemic on Trauma and Orthopaedic practice. This will involve both trauma and elective procedures, as well as mortality rates, operative and anaesthetic case mix. The information will help to shape service reconfiguration and enhance patient-specific treatment especially in the threat of potential subsequent waves and future pandemics.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
In response to the health crisis, it is the responsibility of clinicians to audit and collaborate in order to observe the impact of the pandemic on clinical practice. With the restructure of the health infrastructure, there is likely to be changes to the nature of acute referrals to Trauma and Orthopaedics, operative and anaesthetic casemix, polytrauma and open fractures as well as the role of technology to reduce viral transmission. Patient safety ought to be prioritised at all times but a national narrative is required to equip healthcare services to counter the pandemic at various time intervals post-social distancing and lockdown at 1.5, 3, 6, 12, 18 and 24 months. This will act as an audit to compare and contrast if the reconfiguration of healthcare services is abiding by the governmental, DoH, NHS, WHO, RCS and BOA (BOAST) policies and guidelines.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Intra-COVID lockdown Any patients treated for orthopaedic trauma within the mandatory lockdown due to the pandemic. |
Other: type of treatment
pathway of management for conservative treatment, operative treatment and type of anaesthesia used
|
Pre/post-COVID lockdown Any patients treated for orthopaedic trauma either before or after the imposition of lockdown induced by the pandemic. |
Other: type of treatment
pathway of management for conservative treatment, operative treatment and type of anaesthesia used
|
Outcome Measures
Primary Outcome Measures
- Treatment [duration of study]
Non-operative vs operative management
- Mortality rate [duration of study]
For patients presenting with orthopaedic trauma
- Number of COVID positive patients [duration of study]
For patients presenting with orthopaedic trauma regardless of treatment pathway
Eligibility Criteria
Criteria
Inclusion Criteria:
- anyone presenting with orthopaedic trauma to the Emergency Department who has been referred to the on-call Trauma and Orthopaedic team for further management.
Exclusion Criteria:
- spinal trauma
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Imperial College Healthcare NHS Trust | London | United Kingdom |
Sponsors and Collaborators
- Imperial College Healthcare NHS Trust
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1414607