The effect of COVID-19 pandemic on the care of fragility hip fracture patients in the United Kingdom. A case control study in a major trauma centre

Orfanos, Georgios; Kaisi, Kahlan Al; Jaiswal, Anuj; Lim, Justin; Youssef, Bishoy

doi:10.1016/j.surge.2021.01.008

Cited by 7 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Few studies reported a reduced trend of fractures compared to the pre pandemic period [ 63 , 64 ]. Patients who experienced hip fragility fractures in the 2020 pandemic had a greater mortality compared to the same period of the pre pandemic era [ 65 , 66 ]. The 30- and 90-day mortality in positive patients with fragility hip fractures was greater, as was the time span from injury to surgical treatment, and the hospitalisation [ 59 , 67 – 71 ].…”

Section: Resultsmentioning

confidence: 99%

“…The incidence of pressure ulcers in patients following surgery for femoral fractures was 21%, a considerable increase when compared to the 10% of the pre pandemic era [ 88 ]. Overall, patients who experienced hip fragility fractures in the 2020 pandemic had a greater mortality compared to the same period of the pre-pandemic era [ 65 , 66 ]. COVID infection directly contributed to increase the 30- and 90-day mortality following fragility hip fractures, not explained by patient characteristics [ 67 – 70 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Migliorini

Weber

Pappalardo

et al. 2022

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Purpose This study investigated the impact of the Covid-19 pandemic in Europe on consultations, surgeries, and traumas in the field of orthopaedic and trauma surgery. Strategies to resume the clinical activities were also discussed. Methods This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the 2020 PRISMA statement. All the comparative studies reporting data on the impact of Covid-19 in the field of orthopaedic and trauma surgery in Europe were accessed. Only comparative clinical studies which investigated the year 2020 versus 2019 were eligible. Results 57 clinical investigations were included in the present study. Eight studies reported a reduction of the orthopaedic consultations, which decreased between 20.9 and 90.1%. Seven studies reported the number of emergency and trauma consultations, which were decreased between 37.7 and 74.2%. Fifteen studies reported information with regard to the reasons for orthopaedic and trauma admissions. The number of polytraumas decreased between 5.6 and 77.1%, fractures between 3.9 and 63.1%. Traffic accidents admissions dropped by up to 88.9%, and sports-related injuries dropped in a range of 59.3% to 100%. The overall reduction of the surgical interventions ranged from 5.4 to 88.8%. Conclusion The overall trend of consultations, surgeries, and rate of traumas and fragility fractures appear to decrease during the 2020 European COVID pandemic compared to the pre-pandemic era. Given the heterogeneities in the clinical evidence, results from the present study should be considered carefully. Level of evidence Level IV, systematic review.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Migliorini

Weber

Pappalardo

et al. 2022

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

“…Hip fractures have still been very common during this time[ 4 , 25 , 28 ]; however, the pandemic has increased the mortality and complication rate particularly amongst COVID-positive patients[ 5 , 8 , 11 , 16 , 38 ]. The importance of early treatment and proper rehabilitation was strongly emphasized in order to ensure prompt recovery[ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Orfanos et al [ 14 ] performed a retrospective study on geriatric patients aged 60 years and above who sustained hip fracture after a fall in the United Kingdom. Of the 199 patients, 102 were included from the COVID-19 pandemic period and was compared to 97 patients from the same period in 2019.…”

Section: Clinical Presentationsmentioning

confidence: 99%

Changes in trends of orthopedic services due to the COVID-19 pandemic: A review

Obamiro¹,

Trivedi²,

Ahmed³

2022

World J Orthop

View full text Add to dashboard Cite

As of June 10, 2022, the World Health Organization has recorded over 532 million documented coronavirus disease 2019 (COVID-19) [(Coronavirus) SARS-CoV-2] cases and almost 6.3 million deaths worldwide, which has caused strain on medical specialties globally. The aim of this review is to explore the impact that COVID-19 has had on orthopedic practices. Providers observed a rapid decline in the number of orthopedic patients’ admissions due to cancellation of elective procedures; however, emergent cases still required treatment. Various observational studies, case reports, and clinical trials were collected through a PubMed database search. Additional sources were found through Google. The search was refined to publications in English and between the years of 2019 and 2021. The keywords used were “COVID-19” and/or “Orthopedic Injuries”. Thirty-seven studies were retained. The pandemic brought on significant changes to the mechanism of injury, number of admissions, type of injuries, and patient outcomes. Mortality rates significantly increased particularly amongst patients with hip fractures and COVID-19. Road traffic injuries remained a common cause of injury and domestic injuries became more prevalent with lockdown. Social isolation negatively affected mental health resulting in several orthopedic injuries. Telehealth services and separation for COVID-positive and COVID-negative patients benefited both patients and providers. While hospitals and medical facilities are still facing COVID-19 case surges, it is important to understand how this pandemic has impacted preparation, care, and opportunities for prevention education and ongoing care.

show abstract

“…The sudden increased demand on healthcare resources led to a skewed distribution of these services in favour of COVID 19 infections [13]. As a consequence of this redistribution, other health services were impacted [28]. Elective surgical services which was the thrust of our investigation was also affected by various advisories curtailing these procedures as well as the difficulty posed by the various lockdowns which attempted to mitigate the spread of the virus [9] [15].…”

Section: Discussionmentioning

confidence: 99%

The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

Ode¹,

Shitta²,

Peter³

et al. 2021

JBM

View full text Add to dashboard Cite

Background. The COVID 19 pandemic affected healthcare delivery systems worldwide. There was a redistribution of health care resources in order to deal with the effects of the pandemic, with a corresponding consequence on other clinical services rendered. The extent of this effect on other non COVID 19 related services has been reported in other centres worldwide. In our own setting, health care resources are limited with suboptimal access even in normal situations. Objective. We sought to evaluate the effects of the COVID 19 pandemic on elective surgical services in our hospital. Methods. This was a cross sectional comparative study carried out at the Jos University Teaching hospital, (North central, Nigeria) of the elective surgical services rendered during the first wave of the COVID 19 pandemic lockdown covering the period April to June 2020 with a corresponding period of the preceding year 2019. Data was obtained from the hospital records department, theatres and service areas for clinic attendance, elective surgeries and ward occupancy. The paired sample t-test was used to compare the assessed variables across the three months of both years with a level of significance of P < 0.05. Results. There was mean clinic attendance of 2859.33 ± 223.36 covering the three months in 2019 as against a mean attendance of 648.67 ± 578.24 covering a similar period in 2020, P = 0.037. The elective surgical procedures carried out across the surgical specialties over the period in 2019 gave a mean of 352.33 ± 44.60 as opposed to 64.001 ± 7.32 over the corresponding period in 2020, P = 0.018. Ward occupancy over April to June 2019 was a mean 297.33 ± 18.58 across the various surgical wards and 158.33 ± 25.70 in the same period in 2020, P = 0.007. Conclusion. There was a significant reduction in the elective surgical services rendered in the hospital during the first wave of the COVID 19

show abstract

The effect of COVID-19 pandemic on the care of fragility hip fracture patients in the United Kingdom. A case control study in a major trauma centre

Cited by 7 publications

References 13 publications

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Changes in trends of orthopedic services due to the COVID-19 pandemic: A review

The Effect of the COVID 19 Pandemic on Elective Surgical Services in Jos, North Central, Nigeria

Contact Info

Product

Resources

About