Evaluation of the SARS-CoV-2 infection rate in patients undergoing Total Hip Arthroplasty by the Anterior Approach using a Rapid Recovery Protocol during a COVID-19 pandemic in a Public Hospital in the State of São Paulo

Abstract

The World Health Organization (WHO) declared, on January 30, 2020, that the outbreak of the disease caused by the new Coronavirus (COVID-19) constitutes a Public Health Emergency of International Importance - the highest level of alert of the Organization, as provided for in the International Health Regulations. On March 11, 2020, COVID-19 was characterized by the WHO as a pandemic and since then the world has been going through an unprecedented period. The pandemic is interfering with all aspects of everyday life, especially in the area of ​​health. Surgical practice was directly affected by the suspension of elective procedures and the prioritization of urgent and emergency surgeries as a way to free up beds for patients infected with the disease. New coronavirus. The script for resumption of elective surgery after this COVID-19 pandemic must be progressive and cautious. Elective surgery should be performed in COVID-free facilities and the hospital stay should be as short as possible. For safety reasons, patients considered for surgery should be carefully selected according to status/exposure to COVID-19 infection, age, ASA physical status/risk factor classification system, socio-professional status and surgical indication. Therefore, in this study, we will demonstrate the positive impact on surgical resumption using a rapid recovery protocol combined with a minimally invasive technique (AMIS) for total hip arthroplasty during the period of worldwide pandemic for SARS-CoV-2.