Introduction A novel virus, SARS-CoV-2 has caused a fatal global pandemic which particularly affects the elderly and those with co-morbidities. Hip fractures affect elderly populations, necessitate hospital admissions, and place this group at particular risk from COVID-19 infection. This study investigates the effect of COVID-19 infection on 30-day hip fracture mortality. Method Data related to seventy-five adult hip fractures admitted to two units during March and April 2020 was reviewed. The mean age was 83.5 years (range 65-98 years) and most (53, 70.7%) were females. The primary outcome measure was 30-day mortality associated with COVID-19 infection. Results The COVID-19 infection rate was 26.7% (20 patients), with a significant difference in the 30-day mortality rate in COVID-19 positive group (10/20, 50%) compared to COVID-19 negative group (4/55, 7.3%), with mean time to death of 19.8 days (95% confidence interval 17.0-22.5). The mean time from admission to surgery was 43.1 hours and 38.3 hours, in COVID-19 positive and COVID-19 negative groups, respectively. All COVID-19 positive patients had shown symptoms of fever and cough, and all ten cases who died were from hypoxia. Seven (35%) cases had radiological lung findings consistent with viral pneumonitis which resulted in mortality (70% of mortality). 30% (n = 6) contracted the COVID-19 infection in the community and 70% (n = 14) developed symptoms after hospital admission. Conclusion Hip fractures associated with COVID-19 infection have a high 30-day mortality. COVID-19 testing and chest x-ray for patients presenting with hip fractures, helps in early planning of high-risk surgeries and allows counselling of the patients and family using realistic prognosis.
【저자키워드】 COVID-19, 30-Day mortality, Hip fractures, 【초록키워드】 SARS-CoV-2, Mortality, Prognosis, hypoxia, Infection, lung, risk, Symptom, cough, virus, global pandemic, COVID-19 testing, COVID-19 infection, Chest, Fever, Patient, death, Community, age, Hospital admission, Admission, patients, co-morbidities, Hospital admissions, hip, significant difference, 95% confidence interval, help, primary outcome measure, positive, Affect, females, populations, radiological, 30-day mortality rate, Result, shown, caused, died, the patient, groups, presenting, COVID-19 negative, COVID-19 positive patient, with COVID-19, 【제목키워드】 COVID-19 infection,