Surgical treatment for fragility hip fractures during the COVID-19 pandemic resulted in lower short-term postoperative functional outcome and a higher complication rate compared to the pre-pandemic period.
COVID-19 pandemic
Fragility hip fracture
In-hospital complication
Pre-pandemic
Short-term functional outcomes
Journal
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
ISSN: 1433-2965
Titre abrégé: Osteoporos Int
Pays: England
ID NLM: 9100105
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
10
02
2022
accepted:
21
06
2022
pubmed:
10
7
2022
medline:
12
10
2022
entrez:
9
7
2022
Statut:
ppublish
Résumé
The COVID-19 pandemic adversely affected the functional outcomes of fragility hip fracture patients. This study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among patients treated during the pandemic. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods. This study aims to investigate the in-hospital complication rate and short-term postoperative functional outcomes of fragility hip fracture (FHF) patients compared between during the COVID-19 pandemic and the same 14-month time period 1 year prior to the pandemic. Using data from the Siriraj Fracture Liaison Service registry, FHF patients treated during the COVID-19 pandemic (1 March 2020 to 30 April 2021) were time-matched with FHF patients treated during the pre-pandemic period (1 March 2018 to 30 April 2019). We collected the rate of in-hospital postoperative complications and the postoperative functional outcomes at discharge and 3 months as measured by the Barthel Index (BI) and EuroQol visual analog scale (EQ-VAS). Functional outcome measures were compared between the pre-pandemic and pandemic periods. There were 197 and 287 patients in the pre-pandemic and pandemic groups, respectively. At the 3-month postoperative follow-up, the mean postoperative BI score and change in BI score were both significantly lower in the pandemic group indicating poorer postoperative function. Moreover, FHF patients treated during the pandemic had significantly more in-hospital complications (36.6% vs. 22.8%, p = 0.002). There was no significant difference in the 3-month EQ-VAS or change in the EQ-VAS between groups. The results of this study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among FHF patients treated during the COVID-19 pandemic compared to the pre-pandemic period. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods.
Identifiants
pubmed: 35809122
doi: 10.1007/s00198-022-06485-w
pii: 10.1007/s00198-022-06485-w
pmc: PMC9540207
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2217-2226Informations de copyright
© 2022. The Author(s).
Références
Arch Gerontol Geriatr. 2020 Jul - Aug;89:104086
pubmed: 32388336
JAMA. 2022 Jan 25;327(4):387-388
pubmed: 34967845
J Orthop Surg Res. 2021 Feb 24;16(1):155
pubmed: 33627153
Clin Orthop Relat Res. 2005 Jul;(436):208-15
pubmed: 15995443
J Med Internet Res. 2019 Jul 24;21(7):e14418
pubmed: 31342907
J Am Acad Orthop Surg. 2020 Jun 1;28(11):436-450
pubmed: 32304401
Geriatr Orthop Surg Rehabil. 2016 Mar;7(1):3-8
pubmed: 26929850
Int Orthop. 2020 Oct;44(10):1887-1895
pubmed: 32772318
J Gerontol Nurs. 2003 Jun;29(6):24-31
pubmed: 12830653
Heart. 2019 Jan;105(2):122-129
pubmed: 30150328
BMJ Open. 2022 Jan 18;12(1):e054919
pubmed: 35042707
Arch Osteoporos. 2017 Dec;12(1):27
pubmed: 28283937
Sci Rep. 2018 Sep 17;8(1):13933
pubmed: 30224765
Arch Orthop Trauma Surg. 2018 Dec;138(12):1671-1677
pubmed: 30094561
Bone Jt Open. 2020 Sep 04;1(9):530-540
pubmed: 33215151
J Orthop Trauma. 2020 Oct;34(10):e371-e376
pubmed: 32658022
Md State Med J. 1965 Feb;14:61-5
pubmed: 14258950
Geriatr Orthop Surg Rehabil. 2021 Jul 09;12:21514593211024509
pubmed: 34290897
Geriatr Orthop Surg Rehabil. 2021 Mar 31;12:21514593211006692
pubmed: 33868768
Int J Environ Res Public Health. 2021 May 20;18(10):
pubmed: 34065523
Curr Phys Med Rehabil Rep. 2016 Dec;4(4):312-319
pubmed: 28603663
Int J Environ Res Public Health. 2021 Feb 23;18(4):
pubmed: 33672294
J Orthop Trauma. 2020 Aug;34(8):403-410
pubmed: 32482977
Bone Joint J. 2020 Sep;102-B(9):1219-1228
pubmed: 32634029
J Orthop Trauma. 2002 Jan;16(1):34-8
pubmed: 11782631
Geriatr Gerontol Int. 2017 Dec;17(12):2369-2375
pubmed: 28621029
Br J Anaesth. 2021 Jul;127(1):15-22
pubmed: 33965205
Anaesthesia. 2020 Oct;75(10):1350-1363
pubmed: 32344456
BMJ Glob Health. 2021 Jul;6(7):
pubmed: 34285042
Geriatr Orthop Surg Rehabil. 2021 Mar 18;12:21514593211003077
pubmed: 33796344
JAMA Neurol. 2019 Sep 01;76(9):1079-1087
pubmed: 31233135
J Frailty Aging. 2021;10(3):286-289
pubmed: 34105714
Bone Jt Open. 2021 Jun;2(6):380-387
pubmed: 34139876
Osteoporos Int. 2020 Oct;31(10):2057-2058
pubmed: 32488291
Orthopedics. 2021 Sep-Oct;44(5):293-298
pubmed: 34590943
Arch Osteoporos. 2020 Oct 7;15(1):156
pubmed: 33026586
J Back Musculoskelet Rehabil. 2021;34(3):337-342
pubmed: 33896813
J Telemed Telecare. 2021 Feb 1;:1357633X21990997
pubmed: 33525951
Front Robot AI. 2021 May 24;8:612834
pubmed: 34109220
Orthop Trauma. 2016 Apr;30(2):117-122
pubmed: 27418950
Clin Orthop Relat Res. 2021 Feb 1;479(2):335-345
pubmed: 33044314
BMJ Open. 2021 Mar 16;11(3):e045343
pubmed: 33727273
Clin Orthop Relat Res. 2004 Aug;(425):64-71
pubmed: 15292789
J Aging Health. 2015 Aug;27(5):827-42
pubmed: 25649676
Arch Gerontol Geriatr. 2015 May-Jun;60(3):457-63
pubmed: 25682536
Disabil Rehabil. 2000 May 20;22(8):345-51
pubmed: 10896094