COVID-19 infection rate after urgent versus elective total hip replacement among unvaccinated individuals: A multicenter prospective cohort amid the COVID-19 pandemic

Sheikhbahaei, Erfan; Salimi, Maryam; Mirghaderi, Seyed Reza; Ahmadi, Negar; Moharrami, Alireza; Motififard, Mehdi; Mortazavi, Seyed Mohammad Javad

doi:10.1016/j.amsu.2022.104307

Cited by 8 publications

(5 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…85 The type, date, and dosage schedule of vaccination had a bearing on the decision-making for the planned surgical intervention. 81,86 The fragility fractures of the hip accounted for the majority of trauma patients susceptible to Covid-19 poor outcomes with higher mortality. The rates of Covid-19 positivity in the patient after arthroplasty were similar to the general population, even without vaccination.…”

Section: Late Phase Of Post-vaccination Surgical Managementmentioning

confidence: 99%

See 1 more Smart Citation

Surgical management during three phases of covid-19 pandemic with changing role of thoracic computerized tomography imaging in orthopaedic patient management: Lessons learned by orthopaedic surgeon

Govil

Tomar

Dhawan

2023

IJOR

View full text Add to dashboard Cite

The coronavirus (Covid-19) pandemic has ravaged the whole world. It had affected the allied surgical branches that had to reinvent the protocols for patient management. Trauma being inevitable, needed urgent attention. The changing perspectives had a defining role in the direction of arthroplasty too.The pandemic has been considered into three different phases: 1. The acute phase of the lockdown; 2. The intermediate phase of surgical prioritization; 3. The late phase of surgical management post-vaccination.We deliberate on the impact of the pandemic on orthopaedic surgery and the role of Thoracic computerized tomography (Th-CT) imaging during Covid-19 on the surgical practice of orthopaedic surgeons. Th-CT had been useful imaging during the acute phase of lockdown in the pandemic to identify the asymptomatic Covid-19 infection and to gauge the severity of viral infection. We reviewed the guidelines formulated during each step and identified the lessons learned by the practicing orthopaedic surgeon. We further elaborate on the changes in the usage of Th-CT in the subsequent intermediate and late phases of the pandemic for orthopaedic surgeons. The critical consideration remained to achieve an uneventful recovery during the orthopaedic surgical management, to avoid the transmissibility of infection to the surgeon, and to protect the patient from the high morbidity and mortality of Covid-19 related illness. The Covid-19 pandemic has instigated orthopaedists to develop a holistic approach to deal with the new challenges during this pandemic era.

show abstract

Section: Late Phase Of Post-vaccination Surgical Managementmentioning

confidence: 99%

“…85 And even after vaccination, the operated surgical patients needed reasonable perioperative precautions to achieve favourable outcomes and avoid Covid-19 infectivity. 86 2.2.3.3. Insignificant role of Th-CT .…”

Section: Late Phase Of Post-vaccination Surgical Managementmentioning

confidence: 99%

Surgical management during three phases of covid-19 pandemic with changing role of thoracic computerized tomography imaging in orthopaedic patient management: Lessons learned by orthopaedic surgeon

Govil

Tomar

Dhawan

2023

IJOR

View full text Add to dashboard Cite

show abstract

“…Hip fracture is the common injuries among the elderly population in China [1,2]. Patients with hip fractures are usually elderly, and have limited physical reserves, most patients have multiple medical comorbidities, which may increase the risk of postoperative complications and mortality [3][4][5][6]. Despite advances in multidisciplinary care, implants, anesthesia, antibiotic prophylaxis, and rehabilitation in recent years, the mortality after hip fracture surgery remains high [7,8].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for postoperative medical morbidity and 3-month mortality in elderly patients with hip fracture following hip arthroplasty during COVID-19 pandemic

Shen

Zhang

et al. 2023

J Orthop Surg Res

View full text Add to dashboard Cite

Background The purpose of the current study was to investigate the incidence of postoperative medical complications and 3-month mortality in patients ≥ 70 years old with hip fracture following hip arthroplasty (HA) and independent risk factors associated with postoperative medical complications and 3-month mortality during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods A multicenter retrospective study was conducted, patients ≥ 70 years old with HA for hip fracture under general anesthesia were included during COVID-19 and before COVID-19 pandemic. The outcome was defined as postoperative medical complications and 3-month mortality. The baseline characteristics and risk factors were collected, multivariable logistic regression was used to identify independent risk factors for postoperative medical complications and 3-month mortality. Results A total of 1096 patients were included during COVID-19 pandemic and 1149 were included before COVID-19 pandemic in the study. Patients ≥ 70 years with hip fracture for HA had longer fracture to operation duration (7.10 ± 3.52 vs. 5.31 ± 1.29, P < 0.001), and the incidence of postoperative medical complications (21.90% vs. 12.53%, P < 0.001) and 3-month mortality (5.20% vs. 3.22%, P = 0.025) was higher during COVID-2019 pandemic. Multivariate logistic regression analysis showed that dementia (OR 2.73; 95% CI 1.37–5.44; P = 0.004), chronic obstructive pulmonary disease (COPD) (OR 3.00; 95% CI 1.92–4.71; P < 0.001), longer fracture to operation duration (OR 1.24; 95% CI 1.19–1.30; P < 0.001) were associated with increased risk for postoperative medical complications. COPD (OR 2.10; 95% CI 1.05–4.17; P = 0.035), dementia (OR 3.00; 95% CI 1.11–7.94; P = 0.031), postoperative medical complications (OR 4.99; 95% CI 2.68–9.28; P < 0.001), longer fracture to operation duration (OR 1.11; 95% CI 1.04–1.19; P = 0.002) were associated with increased risk for 3-month mortality. Conclusions In conclusion, we found that postoperative medical morbidity and 3-month mortality in patients with hip fracture underwent HA were 21.90% and 5.20%, respectively, during the COVID-19. COPD, dementia and longer fracture to operation duration were associated with negative outcome in patients with hip fracture underwent HA during the COVID-19.

show abstract

“…As a result of a recent study by our team ( 15 ), 2.4% of unvaccinated patients (18 out of 755) who underwent elective arthroplasty contracted COVID-19 within 30 days of discharge. In urgent cases, the rate may reach 3.3% ( 16 ). Consequently, these patients are at a higher risk of postoperative pulmonary complications, thromboembolic events, and mortality ( 17 , 18 , 19 ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Infection Risk Following Elective Arthroplasty and Surgical Complications in COVID-19-vaccinated Patients: A Multicenter Comparative Cohort Study

Salimi¹,

Moharrami²,

Dolama³

et al. 2022

Arthroplasty Today

Self Cite

View full text Add to dashboard Cite

COVID-19 infection rate after urgent versus elective total hip replacement among unvaccinated individuals: A multicenter prospective cohort amid the COVID-19 pandemic

Cited by 8 publications

References 35 publications

Surgical management during three phases of covid-19 pandemic with changing role of thoracic computerized tomography imaging in orthopaedic patient management: Lessons learned by orthopaedic surgeon

Surgical management during three phases of covid-19 pandemic with changing role of thoracic computerized tomography imaging in orthopaedic patient management: Lessons learned by orthopaedic surgeon

Risk factors for postoperative medical morbidity and 3-month mortality in elderly patients with hip fracture following hip arthroplasty during COVID-19 pandemic

COVID-19 Infection Risk Following Elective Arthroplasty and Surgical Complications in COVID-19-vaccinated Patients: A Multicenter Comparative Cohort Study

Contact Info

Product

Resources

About