Experience of Orthopaedic and Spine Center Pakistan During COVID-19

NCT04516824 | Completed

• 1 other identifier: 30
• Study Type: observational
• Target: 2,160
• Locations: 1 country
• Sites: 1

Brief Summary

After the frightful outbreak in the city of Wuhan, China and its evidence of being contagious, governments around the world particularly United States in an effort to stop the transmission- imposed travel restrictions to and from China. Though it's a novel virus and little is known about it, the spread was drastic across the world. In fact the spread was so rapid that by end of February 2020, the number of new cases outside China had leveled up to 13 fold as compared to the number of cases in China. Moreover, the number of infected countries with COVID-19 tripled. The first two reported cases in Pakistan were from Karachi and Islamabad on 27 February 2020. These two cases presented with a recent travel history from Iran. The current statistics showed the confirmed cases in Pakistan reached upto 284,121 till 9 August 2020. During the lockdown period most of the public hospitals and trust closed their Outpatient departments and started to deal with emergency cases only. However even in such situation there are some trust hospitals worth mentioning who never closed their services and worked day and night to entertain their patients by observing all the precautions and safety measures. Ghurki trust teaching hospital is one of them. This hospital adopted a SMART STRATEGY or SMART hospital lockdown. Since 19th March 2020 till 13th July 2020, the period of lockdown, two thousand one hundred and sixty surgeries were performed by the orthopaedic team of Ghurki hospital. The breakup of surgeries during lockdown was as follows: 1514 cases of trauma, 173 procedures of spine, 51 for arthroplasty, 51 for arthroscopy, 21 for tumors and 350 miscellaneous. The team was available 24 hours, 7 days a week under the supervisor of Professor Amer Aziz, to play their part in these terrible circumstances.

Conditions

Orthopaedic Disorders

Keywords

COVID 19; Orthopaedic conditions; Orthopaedic Surgeries; Pakistan

Outcome Measures

Primary Outcomes (1)

• Clinical and functional characteristics

  Describe the clinical and functional level of patients after surgery, hospitalized during lockdown period in our hospital

  [Through study period, average 3 months]

Secondary Outcomes (1)

• Patient's journey

  [Through study period, average 3 months]

Study Arms (1)

Trauma,Spine cases,Arthroplasty,Arthroscopy, Miscellaneous

Procedure: Orthopaedic Surgical Procedures

Interventions

Orthopaedic Surgical Procedures PROCEDURE

Intramedullary nails, Dynamic Compression Plate, Dynamic Hip Screw, Manipulation Under Anaesthesia POP, Ilizarov, Cannulated Screw Fixators, Bipolar Hemiarthroplasty, Locking Compression Plate, AO External fixators, Tension Band Wiring Patella, Pelvis and Acetabulum Fixations, Elbow Reconstructions, K wiring, Disc Excision, Spine Fracture i-e TPSF, Posterior Cervical Decompression and LMS, Dura repair, AD cage,Bilateral Total Hip Replacement, Unilateral Total Hip Replacement, Bilateral Total Knee Replacement, Unilateral Total Knee Replacement, Knee Arthroscopy for Mensicectomy, Arthroscopic Anterior Cruciate Ligament reconstruction,Removal of Implant, Amputations, VAC dressings,Wound wash, Arthrotomy for Septic Arthritis, Biopsy

Trauma,Spine cases,Arthroplasty,Arthroscopy, Miscellaneous

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient ≥ 18 years old in which urgent elective and emergency orthopaedic surgical procedures were needed during COVID-19 lock down period in Pakistan.

You may qualify if:

• Patients indicated for surgical procedure
• Less affording patients coming from remote areas with the need of immediate orthopaedic surgery
• Urgent elective and emergency procedures

You may not qualify if:

• Elective surgery cases which were not urgent
• Patients in whom conservative management could be considered.

Sponsors & Collaborators

• Ghurki Trust and Teaching Hospital: lead

Study Sites (1)

Ghurki trust hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Study Officials

• Prof Amer Aziz

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY DIRECTOR

• Prof. Atiq Uz Zaman

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY CHAIR

• Prof Rizwan Akram

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY CHAIR

• Prof. Ijaz Ahmad

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY CHAIR

• Dr. Ashfaq Jadoon

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY CHAIR

• Dr. Majid Cheema

  Orthopaedic and Spine Center Ghurki Trust Hospital Lahore Pakistan

  STUDY CHAIR

• Dr. Samreen Sadiq

  Lahore College of Physical Therapy LMDC GTTH

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 16, 2020
• First Posted: August 18, 2020
• Study Start: March 19, 2020
• Primary Completion: July 13, 2020
• Study Completion: August 15, 2020
• Last Updated: August 18, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)