2022
DOI: 10.1177/24730114221077282
|View full text |Cite
|
Sign up to set email alerts
|

Ankle Fracture and Length of Stay in US Adult Population Using Data From the National COVID Cohort Collaborative

Abstract: Background: The National COVID Cohort Collaborative (N3C) is an innovative approach to integrate real-world clinical observations into a harmonized database during the time of the COVID-19 pandemic when clinical research on ankle fracture surgery is otherwise mostly limited to expert opinion and research letters. The purpose of this manuscript is to introduce the largest cohort of US ankle fracture surgery patients to date with a comparison between lab-confirmed COVID-19–positive and COVID-19–negative. Methods… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
4
1

Citation Types

0
6
1

Year Published

2022
2022
2024
2024

Publication Types

Select...
5

Relationship

0
5

Authors

Journals

citations
Cited by 6 publications
(7 citation statements)
references
References 29 publications
0
6
1
Order By: Relevance
“…In the literature, revision THAs have a higher risk (adjusted relative risk, 18.49; p < 0.001) of postoperative sepsis compared with primary THA 41 . Our results contradict those reported by Pitts et al 23 , who found no significant difference in sepsis between COVID-19-positive and negative patients undergoing ankle surgery, although another study showed increased odds (OR, 3.67) for sepsis when compared with COVID-19-negative patients 42 .…”
Section: Discussioncontrasting
confidence: 99%
See 1 more Smart Citation
“…In the literature, revision THAs have a higher risk (adjusted relative risk, 18.49; p < 0.001) of postoperative sepsis compared with primary THA 41 . Our results contradict those reported by Pitts et al 23 , who found no significant difference in sepsis between COVID-19-positive and negative patients undergoing ankle surgery, although another study showed increased odds (OR, 3.67) for sepsis when compared with COVID-19-negative patients 42 .…”
Section: Discussioncontrasting
confidence: 99%
“…Other available COVID-19 studies showing mortality rates have been associated with ankle or hip fractures. One study using the same N3C Data Enclave determined that COVID-19-positive patients had a greater 30-day mortality rate at the time of ankle surgery compared with negative controls 23 . Kayani et al found that COVID-19-positive patients had greater postoperative mortality rates at 30.5% than COVID-19-negative patients at 10.3% (p < 0.001), but these results were for hip fractures, with only 18.3% of the patients undergoing a hemiarthroplasty or TJA 24 .…”
Section: Discussionmentioning
confidence: 99%
“…Our study expands upon this with over 3 years of data, from September 2020 through October 2023, and includes patients who received COVID-19 vaccinations as well. A second study using the N3C cohort, conducted by Pitts et al, 20 examined patients undergoing ankle fracture fixation and noted increased 30-day mortality rates in patients who underwent surgery within the 7 days before or 30 days after a COVID-19 inpatient hospitalization, but found no difference in rates of surgical site infection, acute kidney injury, deep vein thrombosis, or sepsis. The absence of a difference in nonmortality complication rates may be attributed to the inherently less invasive and outpatient nature of ankle fracture fixation compared with spine surgery.…”
Section: Discussionmentioning
confidence: 99%
“…A second study using the N3C cohort, by Pitts et al. [20] , studied patients undergoing ankle fracture fixation and found that patients who underwent surgery within the 7 days before or 30 days after a COVID-19 inpatient hospitalization had increased 30-day mortality rates but found no difference in rates of surgical site infection, acute kidney injury, deep vein thrombosis, or sepsis [20] . The lack of difference in nonmortality complication rates may be attributed to the fact that ankle fracture fixation is an inherently less invasive surgery than lumbar fusion and is typically an outpatient procedure.…”
Section: Discussionmentioning
confidence: 99%