The impact of COVID-19 pandemic on the mortality and morbidity of patients undergoing trauma surgery: a report from the UK Corona TRAUMA Surge (UKCoTS) study

Article

Imam, M., Yiu, A. C. F., Elgebaly, A., Sobti, A., Field, R. E., Jaffry, Z., Ghaith, H., Consigliere, P., Narvani, A. A., Hammad, R., Abdalla, H. and UKCoTS Collaborative 2023. The impact of COVID-19 pandemic on the mortality and morbidity of patients undergoing trauma surgery: a report from the UK Corona TRAUMA Surge (UKCoTS) study. International Orthopaedics. 47 (6), pp. 1397-1405. https://doi.org/10.1007/s00264-023-05718-9
AuthorsImam, M., Yiu, A. C. F., Elgebaly, A., Sobti, A., Field, R. E., Jaffry, Z., Ghaith, H., Consigliere, P., Narvani, A. A., Hammad, R., Abdalla, H. and UKCoTS Collaborative
Abstract

Purpose
To assess the impact of the COVID-19 pandemic on the outcomes of the patients who underwent trauma surgery during the peak of the pandemic.

Methods
The UKCoTS collected the postoperative outcomes of consecutive patients who underwent trauma surgery across 50 centres during the peak of the pandemic (April 2020) and during April 2019.

Results
Patients who were operated on during 2020 were less likely to be followed up within a 30-day postoperative period (57.5% versus 75.6% p <0.001). The 30-day mortality rate was significantly higher during 2020 (7.4% versus 3.7%, p <0.001). Likewise, the 60-day mortality rate was significantly higher in 2020 than in 2019 (p <0.001). Patients who were operated on during 2020 had lower rates of 30-day postoperative complications (20.7% versus 26.4%, p <0.001).

Conclusions
Postoperative mortality was higher during the first wave of the COVID-19 pandemic compared to the same period in 2019, but with lower rates of postoperative complications and reoperation.

JournalInternational Orthopaedics
Journal citation47 (6), pp. 1397-1405
ISSN1432-5195
0341-2695
Year2023
PublisherSpringer Nature
Digital Object Identifier (DOI)https://doi.org/10.1007/s00264-023-05718-9
Publication dates
Online10 Mar 2023
PrintJun 2023
Publication process dates
Accepted29 Jan 2023
Deposited14 Aug 2024
Copyright holder© 2023, The Authors, under exclusive licence to SICOT aisbl.
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