ArticleThe bone & joint journal2020
The effects of COVID-19 on perioperative morbidity and mortality in patients with hip fractures.
Article in The bone & joint journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 5 of them syntheses that pooled it.
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Who cites it
107 citing papers in PubMed, 5 syntheses or guidelines pooled it, 183 citations in OpenAlex.
- Venous thromboembolism and major adverse cardiovascular events in patients with hip fractures suffering from SARS-CoV-2 infection: a systematic review.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Pooled it
- The impact of COVID-19 on mortality in trauma patients undergoing orthopedic surgery: a systematic review and meta-analysis.Clinical and experimental emergency medicine · 2023Pooled it
- Mortality in COVID-19 patients after proximal femur fracture surgery: a systematic review and meta-analysis.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Pooled it
- The Impact of COVID-19 on the Prevalence, Mortality, and Associated Risk Factors for Mortality in Patients with Hip Fractures: A Meta-Analysis.Journal of the American Medical Directors Association · 2023Pooled it
- Mortality among hip fracture patients infected with COVID-19 perioperatively.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Pooled it
- Gender Influences Patient Characteristics, Fracture Pattern, Achievement of Clinical Care Targets and Postoperative Mortality Risk Following a Hip Fracture: A Retrospective Cohort Study.Musculoskeletal care · 2026Article
- The enhancement of medical treatment of proximal femur fracture despite COVID-19 pandemic - a retrospective analysis of a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Assessing the safety of ureteral stent placement for obstructive urolithiasis in patients during the COVID-19 pandemic.Translational andrology and urology · 2024Article
- The effect of COVID-19 vaccination on 30-day mortality after cardiac surgery - Insights from the Israel national registries.Infection prevention in practice · 2024Article
- Vaccination against COVID-19 reduced the mortality risk of COVID-positive hip fracture patients to baseline levels: the nationwide data-linked IMPACT Protect study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- The Impact of the COVID-19 Pandemic on One-Year Mortality in Geriatric Hip Fracture: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Pulmonary Complications and Mortality in Patients with SARS-CoV-2 Undergoing Elective and Emergent Hand Surgery.Journal of hand and microsurgery · 2023Article
- Article
- Surgical management for hip fracture in a COVID-19 patient: A case report and literature review.Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association · 2023Review
- Mid-term Surgery Outcomes in Patients With COVID-19: Results From a Nationwide Analysis.Annals of surgery · 2023Article
- Optimizing post-operative imaging: a retrospective cohort study comparing two methods of lateral hip radiography after cephalomedullary nail surgery.BMC musculoskeletal disorders · 2023Article
- Comparing the 30-Day Mortality for Hip Fractures in Patients with and without COVID-19: An Updated Meta-Analysis.Journal of personalized medicine · 2023Article
- Mortality and outcome in fragility hip fracture care during COVID-19 pandemic in Police General Hospital, Thailand.Osteoporosis and sarcopenia · 2023Article
- Risk Factors of 120-Day Mortality Among Hip Fractures With Concomitant COVID-19 Infection.Cureus · 2022Article
- Complications Following Elective Major Noncardiac Surgery Among Patients With Prior SARS-CoV-2 Infection.JAMA network open · 2022Article
47 more citing papers are in PubMed but not listed here.
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Authors and funding
10 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsDuring the COVID-19 pandemic, many patients continue to require urgent surgery for hip fractures. However, the impact of COVID-19 on perioperative outcomes in these high-risk patients remains unknown. The objectives of this study were to establish the effects of COVID-19 on perioperative morbidity and mortality, and determine any risk factors for increased mortality in patients with COVID-19 undergoing hip fracture surgery.
methodsThis multicentre cohort study included 340 COVID-19-negative patients versus 82 COVID-19-positive patients undergoing surgical treatment for hip fractures across nine NHS hospitals in Greater London, UK. Patients in both treatment groups were comparable for age, sex, body mass index, fracture configuration, and type of surgery performed. Predefined perioperative outcomes were recorded within a 30-day postoperative period. Univariate and multivariate analysis were used to identify risk factors associated with increased risk of mortality.
resultsCOVID-19-positive patients had increased postoperative mortality rates (30.5% (25/82) vs 10.3% (35/340) respectively, p < 0.001) compared to COVID-19-negative patients. Risk factors for increased mortality in patients with COVID-19 undergoing surgery included positive smoking status (hazard ratio (HR) 15.4 (95% confidence interval (CI) 4.55 to 52.2; p < 0.001) and greater than three comorbidities (HR 13.5 (95% CI 2.82 to 66.0, p < 0.001). COVID-19-positive patients had increased risk of postoperative complications (89.0% (73/82) vs 35.0% (119/340) respectively; p < 0.001), more critical care unit admissions (61.0% (50/82) vs 18.2% (62/340) respectively; p < 0.001), and increased length of hospital stay (mean 13.8 days (SD 4.6) vs 6.7 days (SD 2.5) respectively; p < 0.001), compared to COVID-19-negative patients.
conclusionHip fracture surgery in COVID-19-positive patients was associated with increased length of hospital stay, more admissions to the critical care unit, higher risk of perioperative complications, and increased mortality rates compared to COVID-19-negative patients. Risk factors for increased mortality in patients with COVID-19 undergoing surgery included positive smoking status and multiple (greater than three) comorbidities. Cite this article:
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