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Lessons from lockdown: virtual clinics and service reorganisation in fracture management during COVID 19 experience of an Irish Regional Trauma Unit

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dc.contributor.author Stanley, Ciaran
dc.contributor.author Kelly, Martin
dc.contributor.author Elzaki, Mohamed
dc.contributor.author Butler, Audrey
dc.contributor.author Condon, Finbarr
dc.contributor.author Lenehan, Brian
dc.date.accessioned 2021-03-26T11:06:12Z
dc.date.issued 2021
dc.identifier.uri http://hdl.handle.net/10344/9928
dc.description peer-reviewed en_US
dc.description The full text of this article will not be available in ULIR until the embargo expires on the 04/03/2022
dc.description.abstract Background Trauma places a burden on healthcare services accounting for a large proportion of Emergency Department presentations. COVID-19 spread rapidly affecting over 30 million worldwide. To manage trauma presentations the Department of Trauma & Orthopaedic Surgery reorganised service delivery. Aim To assess the impact of service reorganisation and Virtual Clinics on patients in a Regional Unit in Ireland. Methods A retrospective review of trauma activity following introduction of Virtual Fracture Clinics and Theatre COVID Pathways for a 10 week period in comparison with the same 2019 period. All patients underwent both nasopharyngeal and oropharyngeal swabs PCR testing prior to operations. Theatre and outpatient activity were evaluated. Clinic data were accumulated using the Integrated Patient Management System. Results Theatre Activity. 242 patients underwent surgery in our trauma unit (mean 2.98 per list) during the COVID- 19 period. 29 cases were performed in repurposed elective hospital giving a total of 271 during the 2020 study period. 371 cases were performed in the same 2019 period (mean 4.58 per list). Outpatient Activity. We noted a 25.86% fracture clinic referral reduction during the COVID 19 period compared to 2019. There was a 150.77% increase in patients managed through Trauma Assessment Clinic. 639 patients were managed through the Virtual Fracture Clinic Pathway during COVID 19 period. Conclusions Over one in four fracture clinic patients can be managed virtually. A new dedicated Acute Fracture Unit within our institution permitted streamlining of care and social distancing. The “Non-COVID” pathway for ambulatory trauma was essential in managing the growing presentations of these injuries. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Surgeon; 19 (6), pp. e325-e330
dc.relation.uri https://doi.org/10.1016/j.surge.2021.02.006
dc.rights This is the author’s version of a work that was accepted for publication in Surgeon. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Surgeon,https://doi.org/10.1016/j.surge.2021.02.006 en_US
dc.subject Covid-19 en_US
dc.subject coronavirus trauma en_US
dc.subject orthopaedics en_US
dc.subject virtual Clinics en_US
dc.title Lessons from lockdown: virtual clinics and service reorganisation in fracture management during COVID 19 experience of an Irish Regional Trauma Unit en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1016/j.surge.2021.02.006
dc.date.embargoEndDate 2022-03-04
dc.embargo.terms 2022-03-04 en_US
dc.rights.accessrights info:eu-repo/semantics/embargoedAccess en_US


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