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Morbidity and mortality in hip surgery patients due to fracture during the COVID-19 pandemic.
Rincón-Hoyos, Jairo Alonso; Vallejo-Yepes, Pablo; Restrepo-Giraldo, José Nicolás; Torres-Valencia, Heiller; Buitrago-Vanegas, Martha; Valencia-Rivas, Mario; Casas-Galindo, Jorge; López-Trujillo, Juan Carlos.
Afiliación
  • Rincón-Hoyos JA; Hip and Orthopedic Trauma Surgeon, Clínica Universitaria Colombia, Bogotá, Colombia. Electronic address: jairoarinconh@yahoo.com.
  • Vallejo-Yepes P; Hip and Orthopedic Trauma Surgeon, Los Cobos Medical Center, Bogotá, Colombia.
  • Restrepo-Giraldo JN; Orthopedic and Trauma Surgeon, Hospital Universitario Departamental de Nariño, Pasto, Colombia.
  • Torres-Valencia H; Orthopedic and trauma surgeon, Hospital Departamental Universitario San Juan de Dios, Armenia, Colombia.
  • Buitrago-Vanegas M; Orthopedic and Trauma Surgeon, Hospital Santa Clara, Bogotá, Colombia.
  • Valencia-Rivas M; Orthopedic and Trauma Surgeon, Hospital Santa Clara, Bogotá, Colombia.
  • Casas-Galindo J; Hip and Orthopedic Trauma Surgeon, Clínica Universitaria Colombia, Bogotá, Colombia.
  • López-Trujillo JC; Hip and Orthopedic Trauma Surgeon, Los Cobos Medical Center, Bogotá, Colombia.
Injury ; 54 Suppl 6: 110731, 2023 Nov.
Article en En | MEDLINE | ID: mdl-37085352
BACKGROUND: The COVID-19 epidemic generated major changes in general surgical management protocols. The literature has reported high mortality rates for hip fracture surgery in patients with COVID-19. This study describes the morbidity and mortality in patients undergoing surgery due to hip fractures in 12 Colombian institutions between March and September 2020. METHODOLOGY: This was a retrospective observational descriptive study. Medical records of 12 hospitals were reviewed. Consecutive patients who underwent hip fracture surgery from March 6 to September 6, 2020, were included. Data collected were sociodemographic profile, type of fracture, surgical treatment, complications, and early (1 month) or mid-term (1-6 months) mortality associated or not with COVID-19. RESULTS: Five hundred twenty patients with hip fractures requiring surgery in the 12 institutions were included. 364 (70%) were women; mean age was 77.7 years (SD: 13.8), mean BMI was 25.1, 91.73% of patients had at least one comorbidity, 60.38% were classified as ASA II and 25.77% as ASA III. There were 267 (51.34%) pertrochanteric fractures, 227 (43.65%) femoral neck fractures, and 26 (5.0%) subtrochanteric fractures. 274 (52.69%) patients were treated with osteosynthesis, 244 (46.92%) with arthroplasty, and 2 (0.38%) with girdlestone. Surgery was performed less than 24 h after the fracture for 115 (22.11%) patients, between 24 and 72 h for 208 (40.0%) patients, and more than 72 h for 197 (37.88%) patients. One hundred six patients in total suffered a medical or surgical complication throughout the different follow-up stages, amongst the most frequent were respiratory failure, coronary events, surgical site infection, cutting-out and peri­implant fracture. 25 (4.8%) patients required attention in the Intensive Care Unit (ICU). 13 patients had COVID-19 throughout the follow-up period. 27 patients died due to any cause, and 3 of them had reported a positive COVID-19 test any time during follow-up period, of which one died during the first month, and two died between 1 and 6 months. Statistically significant associations were found between age older than 75 years old, ASA classification, ICU requirement, and death. CONCLUSION: 520 patients received surgical treatment for hip fracture during the first six months of the COVID-19 pandemic in 12 medical centers in Colombia. 21.10% suffered a complication during the early stage (30 days) and 4.77% during the midterm stage (1-6 months). 4.8% were admitted in the ICU during the early stage. All-cause death was 27 patients, early death was 11 (40.74%) and midterm death was 16 (59.25%). 13 patients were positive for COVID-19, 3 died, one (1/5=20%) on the first 30 days and the other two (2/8=25%) from month 1 to 6.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / COVID-19 / Fracturas de Cadera Tipo de estudio: Guideline Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Injury Año: 2023 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / COVID-19 / Fracturas de Cadera Tipo de estudio: Guideline Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Injury Año: 2023 Tipo del documento: Article