Edward R. FloydTwin Cities Orthopedics, USA
Title: Orthopaedic surgery in ambulatory surgery centers during the covid-19 pandemic: Incidence of infection in patients, surgeons and staff
Background: The COVID-19 pandemic has presented tremendous difficulties to the healthcare system; ambulatory surgery centers (ASCs) have been challenged to find ways to function safely and maintain operations.
Methods: A universal screening protocol was implemented in the ASCs of a large United States orthopedic surgery practice during the early pandemic for the eight-month period from 4/28/2020-12/31/2020. All ASC personnel including surgeons had symptoms tracked daily and were rapid tested every two weeks. All patients were screened and tested before they entered the ASC.
Results: A total of 70 out of 12,115 patients and 41 out of 642 ASC personnel tested positive for COVID-19, resulting in infection rates of 0.6% and 6.4%, respectively. Individual symptoms, age, American Society of Anesthesiologists (ASA) scoring, and comorbidities are given, with no one factor being common among positive (+) tests.
Conclusions: The implementation of universal screening and symptom reporting procedures were associated with a very low rate of infections among ASC patients, staff and surgeons, and provided a reproducible framework from which to continue orthopedic outpatient operations in an ASC during ongoing iterations of the COVID-19 pandemic.
Edward Floyd (Rand) completed his MD and MS from Georgetown University School of Medicine in Washington, DC, USA. He is currently an Orthopedic Surgery resident at the University of North Dakota/Sanford Orthopedics & Sports Medicine. He completed a one-year research internship with Dr. Robert LaPrade, MD, PhD at Twin Cities Orthopedics in Minneapolis, MN, prior to starting residency, and is highly interested in sports medicine and orthopedic research. He completed his undergraduate studies at the University of the South in Sewanee, TN, double-majoring in Biochemistry and German Language and Literature and is originally from Augusta, GA, USA.