30-day outcomes in hip fracture patients during the COVID-19 pandemic compared to the preceding year

Bone & Joint Open
Alistair R M MaceyBilal Jamal

Abstract

To establish if COVID-19 has worsened outcomes in patients with AO 31 A or B type hip fractures. Retrospective analysis of prospectively collected data was performed for a five-week period from 20 March 2020 and the same time period in 2019. The primary outcome was mortality at 30 days. Secondary outcomes were COVID-19 infection, perioperative pulmonary complications, time to theatre, type of anaesthesia, operation, grade of surgeon, fracture type, postoperative intensive care admission, venous thromboembolism, dislocation, infection rates, and length of stay. In all, 76 patients with hip fractures were identified in each group. All patients had 30-day follow-up. There was no difference in age, sex, American Society of Anesthesiologists (ASA) classification or residence at time of injury. However, three in each group were not fit for surgery. No significant difference was found in 30-day mortality; ten patients (13%) in 2019 and 11 patients (14%) in 2020 (p = 0.341). In the 2020 cohort, ten patients tested positive for COVID-19, two (20%) of whom died. There was no significant increase in postoperative pulmonary complications. Median time to theatre was 20 hours (interquartile range (IQR) 16 to 25) in 2019 versus 23 hours (IQR ...Continue Reading

Associated Clinical Trials

May 12, 2021·Mattia Morri, Mattia Morri

Citations

Jan 6, 2021·Journal of Clinical Orthopaedics and Trauma·Michael Anthonius LimRaymond Pranata
Jan 26, 2021·The Bone & Joint Journal·Andrew J HallAndrew D Duckworth
Mar 9, 2021·Indian Journal of Orthopaedics·Prasoon KumarRajesh Kumar Rajnish
Mar 12, 2021·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Thomas S W GreensmithStephen Dalgleish
Apr 3, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Alireza K NazemiNicholas Divaris
Jun 2, 2021·The Bone & Joint Journal·Antony Johansen, Dominic S Inman

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Methods Mentioned

BETA
PCR

Software Mentioned

R
R Institute for Statistical Computing

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