ArticleThe bone & joint journal2020
IMPACT-Scot report on COVID-19 and 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 81 papers, 5 of them syntheses that pooled it.
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Who cites it
81 citing papers in PubMed, 5 syntheses or guidelines pooled 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
- 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
- Postoperative mortality in the COVID-positive hip fracture patient, a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 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
- Meta-analysis and metaregression of risk factors associated with mortality in hip fracture patients during the COVID-19 pandemic.Scientific reports · 2021Pooled it
- Indoor falls-related hip and femur fractures decreased during the social distancing period of COVID-19 in South korea: a single-center retrospective cohort study using propensity score matching.Aging clinical and experimental research · 2025Article
- One year later: How outcomes of hip fractures treated during the "first wave" of the COVID-19 pandemic were affected.Musculoskeletal surgery · 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
- Article
- Impact of COVID-19 Pandemic on Fragility Fractures of the Hip: An Interrupted Time-Series Analysis of the Lockdown Periods in Western Greece and Review of the Literature.Geriatrics (Basel, Switzerland) · 2023Article
- The total number of patients with any of four major fragility fractures decreased during the first wave of the COVID-19 epidemic in Japan, commencing before the state of emergency declaration, which was not as enforceable as lockdown.Archives of osteoporosis · 2023Article
- Implications of COVID-19 on hip fracture care discharge locations during the early stages of the pandemic.OTA international : the open access journal of orthopaedic trauma · 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
- Impact of COVID-19 Pandemic on Treatment and Outcome of Fragility Hip Fractures In Non-COVID Patients: Comparison Between the Lockdown Period, a Historical Series and the "Pandemic Normality" in a Single Institution.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- Decreasing incidence rates of osteoporotic hip fractures in Ecuador during the COVID-19 pandemic.Archives of osteoporosis · 2022Article
- IMPACT-Global Hip Fracture Audit: Nosocomial infection, risk prediction and prognostication, minimum reporting standards and global collaborative audit: Lessons from an international multicentre study of 7,090 patients conducted in 14 nations during the COVID-19 pandemic.The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2022Article
- Risk Factors of 120-Day Mortality Among Hip Fractures With Concomitant COVID-19 Infection.Cureus · 2022Article
- Changes in trends of orthopedic services due to the COVID-19 pandemic: A review.World journal of orthopedics · 2022Review
- Surgical treatment for fragility hip fractures during the COVID-19 pandemic resulted in lower short-term postoperative functional outcome and a higher complication rate compared to the pre-pandemic period.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
21 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe primary aim was to assess the independent influence of coronavirus disease (COVID-19) on 30-day mortality for patients with a hip fracture. The secondary aims were to determine whether: 1) there were clinical predictors of COVID-19 status; and 2) whether social lockdown influenced the incidence and epidemiology of hip fractures.
methodsA national multicentre retrospective study was conducted of all patients presenting to six trauma centres or units with a hip fracture over a 46-day period (23 days pre- and 23 days post-lockdown). Patient demographics, type of residence, place of injury, presentation blood tests, Nottingham Hip Fracture Score, time to surgery, operation, American Society of Anesthesiologists (ASA) grade, anaesthetic, length of stay, COVID-19 status, and 30-day mortality were recorded.
resultsOf 317 patients with acute hip fracture, 27 (8.5%) had a positive COVID-19 test. Only seven (26%) had suggestive symptoms on admission. COVID-19-positive patients had a significantly lower 30-day survival compared to those without COVID-19 (64.5%, 95% confidence interval (CI) 45.7 to 83.3 vs 91.7%, 95% CI 88.2 to 94.8; p < 0.001). COVID-19 was independently associated with increased 30-day mortality risk adjusting for: 1) age, sex, type of residence (hazard ratio (HR) 2.93; p = 0.008); 2) Nottingham Hip Fracture Score (HR 3.52; p = 0.001); and 3) ASA (HR 3.45; p = 0.004). Presentation platelet count predicted subsequent COVID-19 status; a value of < 217 × 10
conclusionCOVID-19 was independently associated with an increased 30-day mortality rate for patients with a hip fracture. Notably, most patients with hip fracture and COVID-19 lacked suggestive symptoms at presentation. Platelet count was an indicator of risk of COVID-19 infection. These findings have implications for the management of hip fractures, in particular the need for COVID-19 testing. Cite this article:
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