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. 2023 Dec;107(4):471-479.
doi: 10.1007/s12306-023-00796-9. Epub 2023 Sep 2.

Operational strategies to deal with the COVID-19 emergency: recommendations from the Italian national society SIAGASCOT following the introduction of vaccines against the SARS-CoV-2 infection

Riccardo Compagnoni  1   2 , Davide Cucchi  3 , Raymond Klumpp  4 , Mario Ronga  5 , Massimo Berruto  1 , Giovanni Di Giacomo  6 , Pietro S Randelli  1   7 ; SIAGASCOT “Guidelines” Work-group
Collaborators, Affiliations

Operational strategies to deal with the COVID-19 emergency: recommendations from the Italian national society SIAGASCOT following the introduction of vaccines against the SARS-CoV-2 infection

Riccardo Compagnoni et al. Musculoskelet Surg. 2023 Dec.

Abstract

Background: This article aims to present the operational recommendations adopted by the Italian national society for orthopaedic surgery, arthroscopy, and sports medicine (SIAGASCOT) in managing patients eligible to undergo elective orthopaedic surgery during the COVID-19 pandemic after the beginning of a national vaccination campaign.

Materials and methods: An extensive literature search, analysing medical databases and scientific societies protocols, was performed to support this document. A four-step approach was used: 1-definition of priorities; 2-definition of significant clusters of interventions; 3-extraction of recommendations from international literature; and 4-adaptation of the recommendations to the specific features of the Italian healthcare system.

Results: Three operational priorities were defined ("continuity of care and containment of the virus spread", "examination of waiting lists", and "definition of the role of vaccines"), six significant clusters of intervention were identified, and recommendations regarding the risk management for healthcare staff and hospital facility as well as the preoperative, in-hospital, and postoperative management were produced. Patient selection, preoperative screening, and pre-hospitalization procedures, which are regarded as pivotal roles in the safe management of patients eligible to undergo elective orthopaedic surgery, were analysed extensively.

Conclusions: This document presents national-wide recommendations for managing patients eligible to undergo elective orthopaedic surgery with the beginning of the vaccination campaign. This paper could be the basis for similar documents adapted to the local healthcare systems in other countries.

Level of evidence: Level IV.

Keywords: Coronavirus; Management; Orthopaedic; Pathways; Priorities; SARS-CoV-2; Strategies; Traumatology; Vaccine.

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Conflict of interest statement

Authors RC, DC, RK, MR, MB, GG declare that they have no conflict of interest. Author PSR declare consultancy for Arthrex, Microport, Depuy (Johnson&Johnson), and Medacta outside the submitted work.

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