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Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review
BACKGROUND: The COVID-19 pandemic has impacted healthcare in various vulnerable patient subpopulations. However, data are lacking on the impact of COVID-19 on hip fractures, seen mainly in older patients. Using national claims data, we aimed to describe the epidemiology during the first COVID-19 wav...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Journal of Anaesthesia. Published by Elsevier Ltd.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8049451/ https://www.ncbi.nlm.nih.gov/pubmed/33965205 http://dx.doi.org/10.1016/j.bja.2021.04.003 |
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author | Zhong, Haoyan Poeran, Jashvant Liu, Jiabin Wilson, Lauren A. Memtsoudis, Stavros G. |
author_facet | Zhong, Haoyan Poeran, Jashvant Liu, Jiabin Wilson, Lauren A. Memtsoudis, Stavros G. |
author_sort | Zhong, Haoyan |
collection | PubMed |
description | BACKGROUND: The COVID-19 pandemic has impacted healthcare in various vulnerable patient subpopulations. However, data are lacking on the impact of COVID-19 on hip fractures, seen mainly in older patients. Using national claims data, we aimed to describe the epidemiology during the first COVID-19 wave in the USA. METHODS: We compared patients admitted for hip fractures during March and April of 2020 with those admitted in 2019 in terms of patient and healthcare characteristics, COVID-19 diagnosis, and outcomes. An additional comparison was made between COVID-19-positive and -negative patients. Outcomes included length of hospital stay (LOS), admission to an ICU, ICU LOS, use of mechanical ventilation, 30-day readmission, discharge disposition, and a composite variable of postoperative complications. RESULTS: Overall, 16 068 hip fractures were observed in 2019 compared with 7498 in 2020. Patients with hip fractures in 2020 (compared with 2019) experienced earlier hospital discharge and were less likely to be admitted to ICU, but more likely to be admitted to home. Amongst 83 patients with hip fractures with concomitant COVID-19 diagnosis, we specifically observed more non-surgical treatments, almost doubled LOS, a more than 10-fold increased mortality rate, and higher complication rates compared with COVID-19-negative patients. CONCLUSIONS: The COVID-19 pandemic significantly impacted not only volume of hip fractures, but also patterns in care and outcomes. These results may inform policymakers in future outbreaks and how this may affect vulnerable patient populations, such as those experiencing a hip fracture. |
format | Online Article Text |
id | pubmed-8049451 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | British Journal of Anaesthesia. Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80494512021-04-16 Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review Zhong, Haoyan Poeran, Jashvant Liu, Jiabin Wilson, Lauren A. Memtsoudis, Stavros G. Br J Anaesth Clinical Investigation BACKGROUND: The COVID-19 pandemic has impacted healthcare in various vulnerable patient subpopulations. However, data are lacking on the impact of COVID-19 on hip fractures, seen mainly in older patients. Using national claims data, we aimed to describe the epidemiology during the first COVID-19 wave in the USA. METHODS: We compared patients admitted for hip fractures during March and April of 2020 with those admitted in 2019 in terms of patient and healthcare characteristics, COVID-19 diagnosis, and outcomes. An additional comparison was made between COVID-19-positive and -negative patients. Outcomes included length of hospital stay (LOS), admission to an ICU, ICU LOS, use of mechanical ventilation, 30-day readmission, discharge disposition, and a composite variable of postoperative complications. RESULTS: Overall, 16 068 hip fractures were observed in 2019 compared with 7498 in 2020. Patients with hip fractures in 2020 (compared with 2019) experienced earlier hospital discharge and were less likely to be admitted to ICU, but more likely to be admitted to home. Amongst 83 patients with hip fractures with concomitant COVID-19 diagnosis, we specifically observed more non-surgical treatments, almost doubled LOS, a more than 10-fold increased mortality rate, and higher complication rates compared with COVID-19-negative patients. CONCLUSIONS: The COVID-19 pandemic significantly impacted not only volume of hip fractures, but also patterns in care and outcomes. These results may inform policymakers in future outbreaks and how this may affect vulnerable patient populations, such as those experiencing a hip fracture. British Journal of Anaesthesia. Published by Elsevier Ltd. 2021-07 2021-04-15 /pmc/articles/PMC8049451/ /pubmed/33965205 http://dx.doi.org/10.1016/j.bja.2021.04.003 Text en © 2021 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Clinical Investigation Zhong, Haoyan Poeran, Jashvant Liu, Jiabin Wilson, Lauren A. Memtsoudis, Stavros G. Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title | Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title_full | Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title_fullStr | Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title_full_unstemmed | Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title_short | Hip fracture characteristics and outcomes during COVID-19: a large retrospective national database review |
title_sort | hip fracture characteristics and outcomes during covid-19: a large retrospective national database review |
topic | Clinical Investigation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8049451/ https://www.ncbi.nlm.nih.gov/pubmed/33965205 http://dx.doi.org/10.1016/j.bja.2021.04.003 |
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