COVID-19 pandemic and hip fractures: impact and lessons learned

Bone & Joint Open
Mohamed ArafaYegappan Kalairajah

Abstract

The coronavirus disease (COVID)-19 pandemic forced an unprecedented period of challenge to the NHS in the UK where hip fractures in the elderly population are a major public health concern. There are approximately 76,000 hip fractures in the UK each year which make up a substantial proportion of the trauma workload of an average orthopaedic unit. This study aims to assess the impact of the COVID-19 pandemic on hip fracture care service and the emerging lessons to withstand any future outbreaks. Data were collected retrospectively on 157 hip fractures admitted from March to May 2019 and 2020. The 2020 group was further subdivided into COVID-positive and COVID-negative. Data including the four-hour target, timing to imaging, hours to operation, anaesthetic and operative details, intraoperative complications, postoperative reviews, COVID status, Key Performance Indicators (KPIs), length of stay, postoperative complications, and the 30-day mortality were compiled from computer records and our local National Hip Fracture Database (NHFD) export data. Hip fractures and inpatient falls significantly increased by 61.7% and 7.2% respectively in the 2020 group. A significant difference was found among the three groups regarding anaestheti...Continue Reading

References

Jun 26, 2012·British Journal of Anaesthesia·I K MoppettC G Moran
Apr 30, 2020·The Journal of Bone and Joint Surgery. American Volume·Francesco CatellaniGennaro Fiorentino
May 8, 2020·The Journal of Bone and Joint Surgery. American Volume·Josep Maria Muñoz VivesUNKNOWN Spanish HIP-COVID Investigation Group

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Citations

Jun 2, 2021·The Bone & Joint Journal·Antony Johansen, Dominic S Inman
Aug 4, 2021·The Journal of Clinical Endocrinology and Metabolism·Sara J Cromer, Elaine W Yu
May 19, 2021·Calcified Tissue International·G HampsonS H Ralston

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International Business Machines Statistical Package for the So...

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