Hip Fractures in the Elderly During the COVID-19 Pandemic: A Latin-American Perspective With a Minimum 90-Day Follow-Up

Simple item page
dc.contributor.authorZamora T.
dc.contributor.authorDemandes H.
dc.contributor.authorSerrano J.
dc.contributor.authorLira M.J.
dc.contributor.authorKlaber I.
dc.contributor.authorCarmona M.
dc.contributor.authorBotello E.
dc.contributor.authorSchweitzer D.
dc.contributor.authorZamora T.
dc.contributor.authorKlaber I.
dc.contributor.authorSandoval F.
dc.contributor.authorCarmona M.
dc.contributor.authorGonzalez J.
dc.date.accessioned2024-01-10T13:10:12Z
dc.date.available2024-01-10T13:10:12Z
dc.date.issued2021
dc.description.abstract© The Author(s) 2021.Introduction: Hip fracture patients have been severely affected by the COVID-19 pandemic; however, the sub acute effects of a concomitant SARS-CoV-2 infection and the outcomes in highly exposed developing countries are still unknown. Our objective is to describe the morbidity and mortality of elderly patients admitted for a hip fracture during the COVID-19 pandemic in Chile, with a minimum 90-day follow-up. Also, to elucidate predictors for mortality and to compare mortality results with the pre-pandemic era. Material and Methods: Multicentric retrospective review of patients admitted for a fragility hip fracture in 3 hospitals during the COVID-19 pandemic, and during the same time in 2019. All clinical information and images were recorded, and patients were followed for a minimum of 90-days. Morbidity and mortality were the primary outcomes. Uni/multivariable models were performed to elucidate predictors for mortality utilizing the Weibull’s regression. Results: Three hundred ninety-one cases were included. From the 2020 cohort (162 patients), 24 (15%) had a concomitant SARS-CoV-2 infection. Fourteen patients (58%) tested positive after admission. The COVID-19(+) group had a higher risk of in-hospital, 30-day, and 90-day mortality (p < 0.001). They also had a prolonged hospital stay and presented with more complications and readmissions (p < 0.05). Only COVID-19(+) status and older age were independent predictors for mortality with a HR = 6.5 (p = < 0.001) and 1.09 (p = 0.001), respectively. The 2020 cohort had twice the risk of mortality with a HR = 2.04 (p = 0.002) compared to the 2019 cohort. However, comparing only the COVID-19 (-) patients, there was no difference in mortality risk, with a HR = 1.30 (p = 0.343). Discussion: The COVID-19 pandemic has significantly affected healthcare systems and elderly patients. Conclusions: Hip fracture patients with a concomitant SARS-CoV-2 virus infection were associated with increased morbidity and mortality throughout the first 3 months. COVID-19 status and older age were significant predictors for mortality. Efforts should be directed into nosocomial infection reduction and prompt surgical management. Level of evidence: Level III.
dc.fechaingreso.objetodigital2024-05-09
dc.fuente.origenScopus
dc.identifier.doi10.1177/21514593211024509
dc.identifier.eissn21514593
dc.identifier.issn21514593 21514585
dc.identifier.pubmedidMEDLINE:34290897
dc.identifier.scopusidSCOPUS_ID:85109701913
dc.identifier.urihttps://doi.org/10.1177/21514593211024509
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77802
dc.identifier.wosidWOS:000688063200001
dc.information.autorucFacultad de Medicina; Lira Salas, Maria Jesus; S/I; 195663
dc.language.isoen
dc.nota.accesoSin adjunto
dc.publisherSAGE Publications Inc.
dc.revistaGeriatric Orthopaedic Surgery and Rehabilitation
dc.rightsregistro bibliográfico
dc.subjectCOVID-19
dc.subjectfragility fracture
dc.subjecthip fracture
dc.subjectsurvival analysis
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHip Fractures in the Elderly During the COVID-19 Pandemic: A Latin-American Perspective With a Minimum 90-Day Follow-Up
dc.typeartículo
dc.volumen12
sipa.codpersvinculados195663
sipa.indexWos
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Hip Fractures in the Elderly During the.pdf
Size:
221.41 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Artículos de revistas