Impact of the COVID-19 Pandemic on the Mortality of the Elderly Patient with a Hip Fracture

Overview

Journal Rev Esp Anestesiol Reanim (Engl Ed)

Date 2021 Jan 19

PMID 33461768

Citations 8

Authors

A Biarnes-Sune

B Sola-Enriquez

M A Gonzalez Posada

J Teixidor-Serra

Y Garcia-Sanchez

S Manrique Munoz

Affiliations

Soon will be listed here.

Abstract

Methods: This is a descriptive, retrospective study of all patients over the age of 65 diagnosed with a hip fracture that came to the emergency room of Vall d'Hebron University Hospital in the COVID-19 pandemic period, from the 11th of March to the 24th of April 2020. They were followed up during their hospital stay and 30 days after the fracture.

Results: A total of 63 patients were included, 18 (28.6%) of whom had a positive RT-qPCR for COVID-19. Four could not be operated on due to the severity of the disease they presented with upon admission, dying a few days afterwards. Three of these patients had COVID-19. The 83.3% of the patients with positive RT-qPCR presented respiratory symptoms during their hospitalization. The length of hospital stays of patients with a positive RT-qPCR (18.25±8.99 days) was longer than that of patients that were RT-qPCR negative (10.9±4.52 days) (P=.01). In-hospital mortality in operated patients was 20% in patients with a positive RT-qPCR, compared with 2.3% in the group of patients who tested negative (P=.018). Mortality at 30 days was 40% in the group with positive RT-qPCR vs 6.8% in patients not infected by SARS-CoV-2 (P=.002).

Conclusion: SARS-CoV-2 infection in elderly patients with hip fractures increases both the length of hospital stay, as well as in-hospital and 30-day mortality.

Citing Articles

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Hip Fracture Care during COVID-19: Evolution through the Pandemic.

Konda S, Esper G, Meltzer-Bruhn A, Ganta A, Egol K Cureus. 2023; 15(7):e42696.

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Comparing the 30-Day Mortality for Hip Fractures in Patients with and without COVID-19: An Updated Meta-Analysis.

Hwang S, Ahn C, Won M J Pers Med. 2023; 13(4).

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One year later: How outcomes of hip fractures treated during the "first wave" of the COVID-19 pandemic were affected.

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IMPACT OF COVID-19 ON MORTALITY AND HOSPITALIZATION IN OLDER ADULTS WITH HIP FRACTURE.

Santos D, Barros E, Hosni N, Scatigna B, Falotico G, Takata E Acta Ortop Bras. 2022; 30(5):e255298.

PMID: 36451792 PMC: 9670779. DOI: 10.1590/1413-785220223005e255298.

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