ArticleIrish journal of medical science2021
Hip fracture care during Covid-19: a regional trauma centre's experience.
Article in Irish journal of medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Performance indicators for evaluating and optimising hospital services during COVID-19: a scoping review.BMJ open · 2026Article
- Key Performance Indicators Applied in Medicine.International archives of otorhinolaryngology · 2025Article
- One year later: How outcomes of hip fractures treated during the "first wave" of the COVID-19 pandemic were affected.Musculoskeletal surgery · 2023Article
- 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
- Article
- 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
- Increasing hip fracture volume following repeated lockdowns: an Irish multicentre study of periods pre-Covid, during Covid lockdown and following vaccination.Irish journal of medical science · 2023Article
- Changes in trends of orthopedic services due to the COVID-19 pandemic: A review.World journal of orthopedics · 2022Review
- Article
- Impact of the COVID-19 pandemic on osteoporotic hip fractures in Chile.Archives of osteoporosis · 2022Article
- Comparative Outcomes and Surgical Timing for Operative Fragility Hip Fracture Patients during the COVID-19 Pandemic: A Retrospective Cohort Study.Geriatrics (Basel, Switzerland) · 2022Article
- Letter to the Editor: "Failure to Medically Optimize Before Total Hip Arthroplasty: Which Modifiable Risk Factor Is the Most Dangerous?"Arthroplasty today · 2021Article
- The Impact of COVID-19 on the Optimal Management of Osteoporosis.Journal of bone metabolism · 2021Article
- Outcomes of COVID-19 Negative Hip Fracture Patients During the Acute and Subacute Pandemic.Geriatric orthopaedic surgery & rehabilitation · 2021Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Covid-19 pandemic has caused worldwide upheaval from early 2020. Trauma and orthopaedic services are no different. A fundamentally important and significant portion of trauma services is the treatment of fragility fractures of the proximal femur, otherwise known as hip fractures. The hip fracture "Blue book Standards", the key performance indicators (KPIs) associated with appropriate hip fracture care are challenging during non-crisis times. We aim to review Blue Book compliance during the Covid-19 crisis and review outcomes of hip fractures, including Covid-19 infection rates.
methodsWe retrospectively reviewed IHFD data to collection demographic data, IHFD standards of care, 30-day mortality rates and complications between 23rd March and 20th May 2020 and 2019. Covid-19 rates in 2020 were also recorded.
resultsA total of 36 hip fractures were recorded in 2020, compared with 45 in 2019, resulting in a 20% reduction in presentations. Thirty-day mortality in hip fractures during the Covid-19 crisis was 8.3% compared with 2.2% in 2020. Covid-19 infection was statistically associated with 30-day mortality in the 2020 cohort. Statistically significant improvements in time-dependent KPIs (time to ward and time to surgery) were noted in the 2020 cohort.
conclusionsDespite improvements in hip fracture care KPIs, the Covid-19 crisis was associated with increased 30-day mortality in hip fracture patients. A positive Covid-19 swab was associated with higher mortality. These observations are of paramount importance to ensure adequate service planning and provision in the face of a potential "second wave" of Covid-19 infections leading into the winter months of 2020.
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