Evidence map›Paper›PMID 32420932›Full record

ArticleActa bio-medica : Atenei Parmensis2020

Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic.

Pietro Maniscalco, Erika Poggiali, Fabrizio Quattrini, Corrado Ciatti, Andrea Magnacavallo, Andrea Vercelli, Marco Domenichini, Enrico Vaienti, Francesco Pogliacomi, Francesco Ceccarelli

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 7 pooled it
2.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 7 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  3. Postoperative mortality in the COVID-positive hip fracture patient, a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Pooled it
  4. Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
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  6. Mortality among hip fracture patients infected with COVID-19 perioperatively.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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  19. The effect of COVID-19 on adult traumatic orthopedic injuries: a database study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Pietro ManiscalcoOrthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Erika PoggialiEmergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Fabrizio QuattriniOrthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Corrado CiattiOrthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Andrea MagnacavalloEmergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Andrea VercelliEmergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy. P.Maniscalco@ausl.pc.it.
Marco DomenichiniOrthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy. P.Maniscalco@ausl.pc.it.
Enrico VaientiOrthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy. P.Maniscalco@ausl.pc.it.
Francesco PogliacomiOrthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy. P.Maniscalco@ausl.pc.it.
Francesco CeccarelliOrthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy. P.Maniscalco@ausl.pc.it.
Guglielmo da Saliceto Hospital · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCoVID-19 (Coronavirus disease) is a worldwide infection which is causing millions of deaths. A significant number of elderly patients require hospitalization and develop serious and sometimes life-threatening complications. The aim of this study is to evaluate the preliminary impact (8 weeks) of CoVID-19, focusing on proximal femur fractures, analyzing data and results compared to the same period of 2019. MATERIALS AND

methodsFrom February 22nd to April 18th, 2020 we surgically treated 121 proximal femur fractures (61 in Piacenza; 60 in Parma, 16 male, 44 female, mean age 81.1). In the same period of 2019, we treated 169 proximal femur fractures (90 in Piacenza, 33 male, 57 female, mean age 81.9; 79 in Parma, 29 males, 50 female, mean age 80.2). We had 21/61 (34.4%) patients resulted positive for COVID-19 and 11/61 in Parma (18.3%), based on nasal-pharyngeal swab, chest CT scan and/or lung US findings.

resultsThe incidence of proximal femur fractures had a significant reduction during CoVID-19 spread in Piacenza and Parma. Authors have noticed an elevated number of deaths within 21 days after surgery. Piacenza: 4 cases in 2019 (4.4%) and 11 in 2020 (18.0%), of which 9 cases CoVID positive. In Parma in 2019 two deaths were encountered; in 2020 6 patients died and 5 cases were CoVID positive.

conclusionIn the first two months of the Italian epidemic, in the cities of Piacenza and Parma over 80% of deaths have occurred in patients over 70 years old. Even if preliminary, our study shows a significant increase in death in elderly patients surgically treated for proximal femur fractures, particularly in the Piacenza Hospital.

Indexed as

Coronavirus InfectionsFemoral FracturesPandemicsPneumonia, ViralAgedAged, 80 and overBetacoronavirusCOVID-19Emergency Medical ServicesFemaleHumansItalyMaleMiddle AgedOrthopedicsSARS-CoV-2

Identifiers

PMID32420932
PMCPMC7569630
OpenAlexW3025172829

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.