Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study

The real psychological impact of COVID-19 remains difficult to quantify and may differ between hospital sizes and levels. Taiwan’s response to COVID-19 differed in that it successfully prevented its spread, without implementing any lockdowns before May 2021. Patients’ fear would be the major reason...

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Autores principales: Chia-Hao Hsu, Nin-Chieh Hsu
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:3ee5123069e249aeac81bde080a437a32021-11-25T18:02:23ZImpact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study10.3390/jcm102253922077-0383https://doaj.org/article/3ee5123069e249aeac81bde080a437a32021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5392https://doaj.org/toc/2077-0383The real psychological impact of COVID-19 remains difficult to quantify and may differ between hospital sizes and levels. Taiwan’s response to COVID-19 differed in that it successfully prevented its spread, without implementing any lockdowns before May 2021. Patients’ fear would be the major reason for the reduction of surgeries. The daily data for patients who underwent total knee arthroplasty (TKA), total hip arthroplasty, and hemiarthroplasty were collected from two major joint surgery centers of a university hospital and a community hospital in Taiwan. Compared with the previous year, the initial impact of the pandemic evidently reduced the total number of patients (outpatient: 20–29%; admission: 22–37%; surgery: 18–35%) in both hospitals. During the study period, the total number of TKAs decreased by 56–61% in both hospitals. The reduction in arthroplasty surgeries was attributable to patients’ fear. Even with confirmed COVID-19 cases, the university hospital experienced less impact than the community hospital. The TKA was the most affected of all surgery types. Even without local epidemics and restrictions in Taiwan, the worldwide pandemic inevitably led to a reduction of approximately 60% of the total TKA operation volume, especially for community hospitals. The surgery scheduling strategies helped maintain the routine arthroplasty services.Chia-Hao HsuNin-Chieh HsuMDPI AGarticleCOVID-19pandemicpsychological effectfearlockdownrestrictionMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5392, p 5392 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
pandemic
psychological effect
fear
lockdown
restriction
Medicine
R
spellingShingle COVID-19
pandemic
psychological effect
fear
lockdown
restriction
Medicine
R
Chia-Hao Hsu
Nin-Chieh Hsu
Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
description The real psychological impact of COVID-19 remains difficult to quantify and may differ between hospital sizes and levels. Taiwan’s response to COVID-19 differed in that it successfully prevented its spread, without implementing any lockdowns before May 2021. Patients’ fear would be the major reason for the reduction of surgeries. The daily data for patients who underwent total knee arthroplasty (TKA), total hip arthroplasty, and hemiarthroplasty were collected from two major joint surgery centers of a university hospital and a community hospital in Taiwan. Compared with the previous year, the initial impact of the pandemic evidently reduced the total number of patients (outpatient: 20–29%; admission: 22–37%; surgery: 18–35%) in both hospitals. During the study period, the total number of TKAs decreased by 56–61% in both hospitals. The reduction in arthroplasty surgeries was attributable to patients’ fear. Even with confirmed COVID-19 cases, the university hospital experienced less impact than the community hospital. The TKA was the most affected of all surgery types. Even without local epidemics and restrictions in Taiwan, the worldwide pandemic inevitably led to a reduction of approximately 60% of the total TKA operation volume, especially for community hospitals. The surgery scheduling strategies helped maintain the routine arthroplasty services.
format article
author Chia-Hao Hsu
Nin-Chieh Hsu
author_facet Chia-Hao Hsu
Nin-Chieh Hsu
author_sort Chia-Hao Hsu
title Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
title_short Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
title_full Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
title_fullStr Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
title_full_unstemmed Impact and Strategies on Joint Surgery Centers without Lockdowns during the Peak of the COVID-19 Pandemic: A Multicenter Cross-Sectional Study
title_sort impact and strategies on joint surgery centers without lockdowns during the peak of the covid-19 pandemic: a multicenter cross-sectional study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3ee5123069e249aeac81bde080a437a3
work_keys_str_mv AT chiahaohsu impactandstrategiesonjointsurgerycenterswithoutlockdownsduringthepeakofthecovid19pandemicamulticentercrosssectionalstudy
AT ninchiehhsu impactandstrategiesonjointsurgerycenterswithoutlockdownsduringthepeakofthecovid19pandemicamulticentercrosssectionalstudy
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