Impact of COVID-19 Pandemic on Orthopaedic Practice (COVERT)

Imperial College Healthcare NHS Trust

Status: Unknown

Conditions: Orthopedic Disorder; Morality; Trauma; Covid19; Anesthesia

Treatments: Other: type of treatment

Study type: Observational

Funder types: Other

Identifiers

NCT05026788

1414607

Details and patient eligibility

About

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.

Full 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.

Enrollment: 5,000 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

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.

Exclusion criteria

• spinal trauma

Trial design

5,000 participants in 2 patient groups

Intra-COVID lockdown

Description:

Any patients treated for orthopaedic trauma within the mandatory lockdown due to the pandemic.

Treatment:

Other: type of treatment

Pre/post-COVID lockdown

Description:

Any patients treated for orthopaedic trauma either before or after the imposition of lockdown induced by the pandemic.

Treatment:

Other: type of treatment