Evidence-based Risk Stratification for Sport Medicine Procedures During the COVID-19 Pandemic

J Am Acad Orthop Surg Glob Res Rev. 2020 Oct 1;4(10):e20.00083. doi: 10.5435/JAAOSGlobal-D-20-00083.

Abstract

Orthopaedic practices have been markedly affected by the emergence of the COVID-19 pandemic. Despite the ban on elective procedures, it is impossible to define the medical urgency of a case solely on whether a case is on an elective surgery schedule. Orthopaedic surgical procedures should consider COVID-19-associated risks and an assimilation of all available disease dependent, disease independent, and logistical information that is tailored to each patient, institution, and region. Using an evidence-based risk stratification of clinical urgency, we provide a framework for prioritization of orthopaedic sport medicine procedures that encompasses such factors. This can be used to facilitate the risk-benefit assessment of the timing and setting of a procedure during the COVID-19 pandemic.

MeSH terms

  • Athletic Injuries / surgery
  • COVID-19 / epidemiology*
  • Elective Surgical Procedures / statistics & numerical data
  • Evidence-Based Medicine
  • Humans
  • Orthopedic Procedures / statistics & numerical data*
  • Pandemics*
  • Risk Assessment*
  • SARS-CoV-2
  • Sports Medicine / statistics & numerical data*