
Edward R. Floyd
Twin Cities Orthopedics, USATitle: Orthopaedic surgery in ambulatory surgery centers during the covid-19 pandemic: incidence of infection in patients, surgeons and staff
Abstract
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.
Biography
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.