Correction to: Thirty-day mortality following surgical management of hip fractures during the COVID-19 pandemic: findings from a prospective multi-centre UK study

Narang, Ashish; Chan, Gareth; Aframian, Arash; Ali, Zaid Al‐sheikh; Carr, Alastair; Goodier, Henry; Morgan, Catrin; Park, C; Sugand, Kapil; Walton, Thomas J.; Wilson, Michael; Belgaumkar, Ajay; Gallagher, Kieran; Ghosh, Koushik; Gibbons, Charles; Keightley, A.; Nawaz, Zuhair; Wakeling, Christopher; Sarraf, Khaled M; Rogers, Benedict A.; Kieffer, W K M

doi:10.1007/s00264-020-04824-2

Cited by 28 publications

(8 citation statements)

References 15 publications

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“…Controversy remains regarding the management of patients suffering a hip fracture with coronavirus infectious disease-19 in the acute preoperative phase, especially concerning the timing of surgery and perioperative measures. Narang [ 25 ] had a lower surgical delay for COVID-19( +) patients compared to those without infection (59.2% in < 36 h vs. 77.9%, respectively); Egol [ 26 ] reported a longer surgical delay among cases confirmed or suspected to have COVID-19, as in our series. Other authors had surgical delays comparable to or lower than previous years [ 7 , 27 ].…”

Section: Discussionsupporting

confidence: 62%

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

et al. 2021

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Key summary points Aim What were the effects of the COVID-19 pandemic and patient cohorting on the mortality and care provided for patients with hip fractures? Findings Mortality due to COVID-19 infection was higher before patient cohorting, and no nosocomial infections were detected after cohorting. Survival of patients treated in the COVID-19 circuit was similar to non-COVID-19 controls, in spite of longer surgical delay and length of stay. Message Separate circuits for COVID-19 and non-COVID-19 patients allows adequate hip fracture care, without observing increased mortality when delaying surgery until stabilization among patients with severe respiratory illness. Supplementary Information The online version contains supplementary material available at 10.1007/s41999-021-00455-x.

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Section: Discussionsupporting

confidence: 62%

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

et al. 2021

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“…Seventeen studies were excluded as per the exclusion criteria and a total of 20 studies [ 1 , 7 , 8 , 12 – 28 ] were included for qualitative analysis. Comparative meta-analysis was performed from 14 studies [ 1 , 8 , 15 , 16 , 19 – 28 ] for 30 days mortality, from 4 studies [ 8 , 16 , 17 , 22 ] for in-hospital mortality, and 6 each for the length of hospital stay [ 1 , 8 , 15 , 17 , 25 , 28 ] and number of complications. [ 1 , 8 , 14 , 18 , 22 , 26 ]…”

Section: Resultsmentioning

confidence: 99%

“…Of the 20 studies, 16 were retrospective [ 1 , 7 , 13 – 18 , 21 – 28 ] and 4 were prospective [ 8 , 12 , 19 , 20 ] studies. Nine studies were multicentric trials [ 1 , 7 , 15 , 17 , 19 , 21 , 23 , 25 , 28 ]. A total of 3211 patients were included in the review; of these, the pooled analysis was done for 3157 patients in 18 studies [ 1 , 7 , 8 , 14 – 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…There were 15 nonrandomized comparative study [ 1 , 8 , 15 – 20 , 22 – 28 ] and rest 5 [ 7 , 12 – 14 , 21 ] were observational studies/case series. MINORS tool Score was ≥ 19 for 13 nonrandomized comparative studies [ 1 , 8 , 15 – 17 , 19 , 22 – 28 ] while ≥ 12 for all 5 noncomparative studies [ 7 , 12 – 14 , 21 ].

Fig.…”

Section: Resultsmentioning

confidence: 99%

“…30-days mortality rates: This was compared between the 2 groups in 14 studies [ 1 , 8 , 15 , 16 , 19 – 28 ] and showed a significantly high mortality rate in COVID-19 positive/suspect patients with an Odds ratio of 6.09 (95% CI 4.75,7.81, p < 0.00001) (Fig. 4 ).…”

Section: Resultsmentioning

confidence: 99%

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30-Day Mortality Rate in Hip Fractures Among the Elderly with Coexistent COVID-19 Infection: A Systematic Review

Kumar

Jindal

Aggarwal

et al. 2021

IJOO

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Purpose Hip fractures in the elderly require a multi-disciplinary approach and are associated with increased morbidity and mortality. The current COVID-19 pandemic has affected substantially this high-risk population group. This present review was done to ascertain whether or not the pandemic has affected the 30-day mortality and outcomes of hip fracture in the elderly. Research Question Does the coexistence of COVID-19 infection and hip fractures in the elderly increase the mortality rates? Methodology A systematic review and meta-analysis were conducted using three databases (PubMed, EMBASE and SCOPUS) to compare the mortality rates between COVID-19 positive/suspect and COVID-19 negative patients. The secondary outcomes included comparison of in-hospital mortality, complication rate and length of hospital stay. Risk of bias assessment was done using the MINORS tool. Results The present review included 20 studies. Primary outcome : A significantly higher 30 day mortality rate was seen in COVID-19 positive/suspect patients with an Odds ratio of 6.09 (95% CI 4.75–8.59, p < 0.00001). Secondary outcome : We observed significantly higher rates of inpatient mortality [OR 18.22, (95% CI 7.10–46.75], complication rate (OR 9.28, 95% CI 4.46–19.30), and length of hospital stay (MD: 4.96, 95% CI 2.86–7.05) in COVID-19 positive/suspect patients as compared to COVID-19 negative patients. Conclusion COVID-19 has deteriorated the outcomes in elderly patients with hip fractures and associated with higher rates of mortality in the short term. A multidisciplinary approach is needed to contain this “pandemic within a pandemic” and improve the overall outcome to survival.

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The impact of COVID-19 pandemic on the mortality and morbidity of patients undergoing trauma surgery: a report from the UK Corona TRAUMA Surge (UKCoTS) study

Imam

Yiu

Elgebaly

et al. 2023

International Orthopaedics (SICOT)

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Correction to: Thirty-day mortality following surgical management of hip fractures during the COVID-19 pandemic: findings from a prospective multi-centre UK study

Cited by 28 publications

References 15 publications

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

30-Day Mortality Rate in Hip Fractures Among the Elderly with Coexistent COVID-19 Infection: A Systematic Review

The impact of COVID-19 pandemic on the mortality and morbidity of patients undergoing trauma surgery: a report from the UK Corona TRAUMA Surge (UKCoTS) study

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