Impact of COVID-19 Pandemic on Orthopaedic Practice

• Conditions: Trauma; Morality; Orthopedic Disorder; Covid19; Anesthesia
• Interventions: Other: type of treatment

• Registration Number: NCT05026788
• Lead Sponsor: Imperial College Healthcare NHS Trust

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.

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 Timeline

• Study Start: 2020-03-17
• Primary Completion: 2020-04-30
• Study First Submitted: 2021-08-26
• Study First Submitted QC: 2021-08-26
• Study First Posted: 2021-08-30
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-09
• Last Update Posted: 2021-10-18
• Study Completion: 2022-04-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 5000

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.

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Exclusion Criteria

• spinal trauma

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Intra-COVID lockdown	type of treatment	Any patients treated for orthopaedic trauma within the mandatory lockdown due to the pandemic.
Pre/post-COVID lockdown	type of treatment	Any patients treated for orthopaedic trauma either before or after the imposition of lockdown induced by the pandemic.

Primary Outcome Measures

Name	Time	Method
Number of COVID positive patients	duration of study	For patients presenting with orthopaedic trauma regardless of treatment pathway
Treatment	duration of study	Non-operative vs operative management
Mortality rate	duration of study	For patients presenting with orthopaedic trauma

Trial Locations

Locations (1)

Imperial College Healthcare NHS Trust; 🇬🇧 London, United Kingdom