Mortality Increase after Hip Fracture in Aged Patients during the First 6 Months of the COVID-19 Epidemic

被引:1
作者
Zamora-Lozano, Marta [1 ]
Lorenzo, Raul [1 ]
Chueca, Alvaro [1 ]
Embarba, Maria [1 ]
Burillo-Fuertes, Pilar [2 ]
Albareda, Jorge [1 ,3 ,4 ]
Garcia-Alvarez, Felicito [1 ,3 ,4 ,5 ]
机构
[1] Hosp Clin Univ Lozano Blesa, Dept Orthoped Surg & Traumatol, Zaragoza, Spain
[2] Hosp Clin Univ Lozano Blesa, Dept Med, Zaragoza, Spain
[3] Inst Invest Sanitaria Aragon, Zaragoza, Spain
[4] Univ Zaragoza, Zaragoza, Spain
[5] Hosp Clin Univ Lozano Blesa, Avda San Juan Bosco,15, Zaragoza 50009, Spain
关键词
COVID-19; aged; hip fracture; mortality; IMPACT;
D O I
10.6890/IJGE.202301_17(1).0007
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: The COVID-19 pandemic modified hospital functioning, social mobility and assistance to the elderly. These factors may alter hip fracture evolution.Methods: Retrospective study of patients > 65 years suffering hip fracture from the 1st of March to the 31st of August of 2020, and compared with patients from the same period of 2019; 199 patients from 2019 (79.4% women) (mean age: 84.9 +/- 7.72 years), and 203 patients from 2020 (69.5% women) (mean age: 85.37 +/- 8.13 years). Extracapsular fractures were 57.3% in 2019, and 58.6% in 2020. Follow-up was made until death or 6 months after surgery.Results: In 2019,44 patients (22.1%) died in the six postoperative months, and 61 patients (30%) in 2020 (OR 1.513; 95% CI 0.96-2.37; p = 0.199). There were no significant differences in mortality during postfracture hospitalization (11.1% in 2019; 11.82% in 2020) and in the first postoperative month (16.6% in 2019; 22.66% in 2020). Four patients died during hip fracture hospitalization over 8 patients presenting PCR+. In 30 patients SARS-CoV-2 infection was diagnosed during the six months after hip fracture in 13 patients this was the cause of death (21.3% of causes). Dementia was associated with high mortality in patients with a SARS-CoV-2 diagnosis (6 out of 13 patients died with SARS-CoV-2 infection and dementia).Conclusions: An increase in the 6 postoperative months mortality in 2020 compared with the same period in 2019 was observed. An important cause of death was SARS-CoV-2 infection.
引用
收藏
页码:35 / 38
页数:4
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