Ortopedik cerrahlar olarak ne öğrendik? Cerrahi tedavi gören kırık hastalarının pandemik sürveyansı

Taşcı M., duman s., Ozdamar İ.

ANADOLU KLİNİĞİ TIP BİLİMLERİ DERGİSİ, cilt.30, sa.1, ss.54-61, 2025 (TRDizin)

Özet

Amaç: Pandeminin ilk dalgası sırasında ameliyat edilen hastaların epidemiyolojik ve demografik verilerini araştırmak ve pandeminin ortopedik cerrahlara neler öğrettiğini analiz etmek Yöntemler: Bu retrospektif analizde kliniğimizde ameliyat edilen 90 hasta incelendi. Demografik veriler, yaralanma mekanizması, kırık bölgesi, anestezi tipi, başvurudan sonraki konsültasyon sayısı, eşlik eden hastalıklar, ilk başvurudan hastaneye yatışa kadar geçen ortalama süre, yoğun bakım ünitesinde (YBÜ) kalış süresi ve nötrofil-lenfosit oranı (NLO) incelendi. Bulgular: COVID-pozitif hastalarda daha yüksek kalça kırığı insidansı gözlenmiştir (p
Aim: To investigate the epidemiological and demographic data of the patients operated on during the first wave of the pandemic, and to analyze what the pandemic has taught orthopedic surgeons Methods: In this retrospective analysis, 90 patients who were operated in our clinic were analyzed. Demographic data, injury mechanism, fracture site, anesthesia type, the number of consultations after admission, the comorbidities, average time between first admission to hospitalization, the length of stay in the intensive care unit (ICU), and neutrophil-lymphocyte ratio (NLR) were inves- tigated. Results: Higher incidence of hip fractures was observed in COVID-positive patients (p<0.001). The number of two or more consultations requested was significantly higher in COVID-positive patients (p=0.034). As the number of consultations requested increased, the mean time between the first admission and hospitalization also increased (p=0.036). Moreover, there was a significant associa- tion between COVID-positivity and the need for ICU follow-up (p=0.001). When the postoperative NLR was compared, it was found to be significantly different in COVID-positive patients compared to COVID-negative patients (p=0.005). Conclusion: During the heart of disasters, patients with high comorbidity should not be made to wait for long periods in the emergency department. It is important to inform them and their rela- tives about the prognosis and possible ICU follow-up of these patients. It is important to consider that domestic injuries may increase. Additionally, it is important to note that parameters such as NLR, which are commonly used in routine follow-up, may be affected by infections.