Abstract
COVID-19 became a threat to the public health system, compromising the health of the population. Patients with hip fractures, due to their age and comorbidity, were high-risk patients in this pandemic. The purpose of this study was to observe how the pandemic affected the management of hip fractures in elderly patients.
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.
Keywords: COVID-19; Fractura de cadera; Hip fracture; Mortalidad; Mortality; Perioperative; Perioperatorio.
【저자키워드】 COVID-19, Mortality, Mortalidad, Fractura de cadera, Hip fracture, Perioperative, Perioperatorio., 【초록키워드】 public health, SARS-CoV-2, pandemic, Hospitalization, SARS-COV-2 infection, COVID-19 pandemic, severity, Comorbidity, elderly patients, Retrospective study, RT-qPCR, Health, management, Patient, age, university, Admission, 30-Day mortality, Elderly patient, Hospital stay, hip, In-hospital, respiratory symptom, positive, high-risk patient, observé, tested, affected, the patient, diagnosed, the disease, increase, Hebron, 【제목키워드】 COVID-19 pandemic, Impact, Patient,