PMC:7275124 / 16457-20050 JSONTXT 8 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T140 0-10 Sentence denotes Discussion
T141 11-278 Sentence denotes In view of the current health crisis due to COVID-19, the suspension of elective surgery and all non-urgent activities is a fundamental measure both to limit the spread of the infection and to relocate medical and nursing staff to COVID-19-dedicated departments [18].
T142 279-436 Sentence denotes Other fundamental measures are the drafting of precise national and intra-hospital protocols, the training of personnel, and the supply of all necessary PPE.
T143 437-638 Sentence denotes Nonetheless, there are still significant differences between protocols in different countries regarding the organization of departments, patient management, and rules for healthcare professionals [19].
T144 639-872 Sentence denotes Orthopaedic surgeons are at the forefront of this emergency, and numerous cases of SARS-CoV-2 infection have been recorded among them; a Chinese study showed an incidence of COVID-19 between 1.5 and 20.7% in eight hospitals in Wuhan.
T145 873-1031 Sentence denotes The most suspected places for exposure to the virus were the wards, public places in hospitals, operating rooms, intensive care units, and outpatient clinics.
T146 1032-1176 Sentence denotes A quarter of the infected orthopaedic surgeons passed on the virus to other people, including family members, friends, colleagues, and patients.
T147 1177-1320 Sentence denotes Severe fatigue has proven to be a risk factor for COVID-19, so an optimal organization of health workers’ shifts is of crucial importance [20].
T148 1321-1397 Sentence denotes In Italy we are experiencing a high number of COVID-19 deaths among doctors.
T149 1398-1521 Sentence denotes Many surgeons feel exposed to a high risk of contagion, and the supply of PPE is not always adequate in all hospitals [21].
T150 1522-1651 Sentence denotes Thanks to the organization and protocols described above, the health workers of our unit are provided with all the necessary PPE.
T151 1652-1807 Sentence denotes In addition, since we enabled these measures, we have not recorded new cases of infection among doctors and nurses in orthopedic wards and operating rooms.
T152 1808-2000 Sentence denotes In recent months, due to national measures to contain the infection, road accidents have decreased in Italy, and most of the fractures occur in elderly patients with significant comorbidities.
T153 2001-2071 Sentence denotes These patients are also those most severely affected by COVID-19 [22].
T154 2072-2282 Sentence denotes Considering the high risk of rapid deterioration of their health conditions [23], it is necessary to carefully evaluate these patients to decide whether or not to undergo surgery for the treatment of fractures.
T155 2283-2543 Sentence denotes The flow chart created by our anaesthesiology team (Fig. 2) is currently guiding us in the management of these patients; the measures we have adopted for our surgical activity are in accordance with the latest indications of the scientific literature [24, 25].
T156 2544-2680 Sentence denotes Although we do not yet have the numbers to demonstrate the effectiveness of this system, we are recording the data for further analysis.
T157 2682-2693 Sentence denotes Limitations
T158 2694-2750 Sentence denotes We have been adapting to a rapidly changing environment.
T159 2751-2804 Sentence denotes These strategies proved to be practical and feasible.
T160 2805-2887 Sentence denotes Having a well thought plan helps to provide for the most robust response possible.
T161 2888-2945 Sentence denotes However, this strategy has several important limitations.
T162 2946-3033 Sentence denotes First, we have not yet been able to study the effectiveness of our proposed strategies.
T163 3034-3135 Sentence denotes Second, our contingency plan is a temporary emergency plan that could not resist long-scale outbreak.
T164 3136-3249 Sentence denotes This plan was rapidly developed and continues to be modified and updated at “Spedali Civili” Hospital in Brescia.
T165 3250-3434 Sentence denotes Finally, the isolation OR workflow and clinical care guidelines are institution- and department-specific; hence, our recommendations may not be applicable to all healthcare facilities.
T166 3435-3593 Sentence denotes Nonetheless, we thought that it would be useful to share our early experience to help other institutions conducting and adapting such strategies more quickly.