PDF(Pubmed)
Abstract：
The real psychological impact of COVID-19 remains difficult to quantify and may differ between hospital sizes and levels. Taiwan\'s response to COVID-19 differed in that it successfully prevented its spread, without implementing any lockdowns before May 2021. Patients\' fear would be the major reason for the reduction of surgeries. The daily data for patients who underwent total knee arthroplasty (TKA), total hip arthroplasty, and hemiarthroplasty were collected from two major joint surgery centers of a university hospital and a community hospital in Taiwan. Compared with the previous year, the initial impact of the pandemic evidently reduced the total number of patients (outpatient: 20-29%; admission: 22-37%; surgery: 18-35%) in both hospitals. During the study period, the total number of TKAs decreased by 56-61% in both hospitals. The reduction in arthroplasty surgeries was attributable to patients\' fear. Even with confirmed COVID-19 cases, the university hospital experienced less impact than the community hospital. The TKA was the most affected of all surgery types. Even without local epidemics and restrictions in Taiwan, the worldwide pandemic inevitably led to a reduction of approximately 60% of the total TKA operation volume, especially for community hospitals. The surgery scheduling strategies helped maintain the routine arthroplasty services.
摘要：
COVID-19的真正心理影响仍然难以量化，并且可能因医院规模和级别而异。台湾对COVID-19的反应不同，因为它成功地阻止了它的传播，在2021年5月之前没有实施任何封锁。患者的恐惧将是减少手术的主要原因。接受全膝关节置换术（TKA）的患者的每日数据，全髋关节置换术,半髋关节置换术是从台湾一所大学医院和一所社区医院的两个主要关节手术中心收集的。与上一年相比，大流行的最初影响明显减少了两家医院的患者总数(门诊:20-29%;入院:22-37%;手术:18-35%).在学习期间,两家医院的TKA总数下降了56-61%。关节成形术手术的减少归因于患者的恐惧。即使确诊了COVID-19病例，大学医院的影响小于社区医院。TKA是所有手术类型中受影响最大的。即使没有台湾当地的流行和限制,全球大流行不可避免地导致TKA总手术量减少约60%，尤其是社区医院。手术计划策略有助于维持常规的关节成形术服务。
