20.500.12556/DKUM-89207 The impact of COVID-19 on the orthopaedic patient in Slovenia HIP and knee replacement surgery, 90-day mortality, outpatient visits and waiting times Vpliv pandemije COVID-19 na ortopedskega pacienta v Sloveniji na operacije zamenjave kolka in kolena, smrtnost 90 dni po operaciji, ambulantne preglede in čakalne vrste Introduction The purpose of the study was to analyse the impact of the COVID-19 pandemic on the healthcare of the orthopaedic patient, i.e. numbers of hip and knee replacement surgeries, 90-day mortality, waiting times and outpatient clinic visits. Methods The Hip (HR) and Knee Replacement (KR) records from The National Arthroplasty Registry of Slovenia in the pandemic year 2020 were compared to the year 2019. To compare reasons for revision and 90-day mortality the Chi-square test was used. The median values of the number of operations and waiting times were compared with the 95% confidence intervals. The number of outpatient clinic visits was tested with the Wilcoxon Signed Ranked test. Results All operations fell by 19%, from 7825 to 6335. The number of Primary Total HR declined from 3530 to 2792 (21%) and the number of Primary KR from 3191 to 2423 (24%). The number of hip revisions declined by 10% and knee revisions by 25%. We did not find differences in 90-day mortality (p=0.408). Outpatient clinic visits fell from 228682 to 196582 (14%) per year. Waiting times increased by 15% for HR and by 12% for KR. Conclusion There was an inevitable drop in the number of surgeries and outpatient clinic visits in the spring and autumn lockdown. With the reorganisation of the orthopaedic service in Slovenia, the number of KR and HR stayed at a relatively high level despite the pandemic. An epidemiological model and mechanisms for the reduction of waiting times could overcome the impact of the epidemic. COVID-19 hip replacements knee replacements 90-day mortality outpatient clinics waiting times endoproteze kolka endoproteze kolena smrtnost v 90 dneh ambulantna dejavnost čakalne dobe true false true Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Zavod LRS za zdravstveno varstvo, Republiški zdravstveni center, Univerzitetni zavod za zdravstveno in socialno varstvo, Inštitut za varovanje zdravja Republike Slovenije, Nacionalni inštitut za javno zdravje Angleški jezik Slovenski jezik Znanstveno delo 2024-06-26 12:00:54 2024-06-26 12:16:10 2024-06-27 03:24:30 0000-00-00 00:00:00 2022 0 0 Str. 155-162 Št. 3 Letn. 61 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2021-08-02 2022-05-16 2022-06-28 617.3 113508355 10.2478/sjph-2022-0021 0351-0026 Levasic-2022-The_impact_of_COVID-19_on_the_ort.pdf Levasic-2022-The_impact_of_COVID-19_on_the_ort.pdf 1 BCF74E00DD80D6C13A638D363C22B36F 7931fe98fedfe8cd2d59f6d645ebb0ce0449f48a439ef6009a4b849408056619 e5c5169a-33a4-11ef-9348-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180786 https://doi.org/10.2478/sjph-2022-0021 Prost dostop 0 fdb48927-33a2-11ef-9348-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180785 Medicinska fakulteta 0 0 0