Evidence map›Paper›PMID 33796344›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2021

Hip Fractures Before and During the COVID-19 Pandemic: Comparative Demographics and Outcomes.

Alireza K Nazemi, Samer M Al-Humadi, Ryan Tantone, Thomas R Hays, Stephen N Bowen, David E Komatsu, Nicholas Divaris

Open access · goldAbstract read
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  5. 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 · 2022
    Article
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

7 authors at 1 institution in 1 country.

Alireza K NazemiDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.ORCID https://orcid.org/0000-0003-1311-507X
Samer M Al-HumadiDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Ryan TantoneDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Thomas R HaysRenaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Stephen N BowenDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
David E KomatsuDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Nicholas DivarisDepartment of Orthopaedic Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, USA.
Stony Brook School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring the height of the COVID-19 pandemic in New York, hip fractures requiring operative management continued to present to Stony Brook University Hospital. Given the novelty of SARS-CoV-2, there is recent interest in the pandemic and its relationship to orthopedic operative outcomes. This retrospective cohort study compared outcomes for operative hip fractures in patients prior to and during the COVID-19 pandemic at a level 1 academic center.

resultsOverall, 159 patients with hip fractures were included in this study, 103 in the 2019 group and 56 in the 2020 group. Within the 2019 group, there was a significantly greater proportion of female patients compared to 2020 (p = 0.0128). The length of hospital stay was shorter for the 2020 group by 1.84 days (p = 0.0138). COVID-19 testing was positive in 4 (7.1%) patients in the 2020 group, negative for 22 patients (39.3%), and the remaining 30 patients in the 2020 group (53.7%) were not tested during their admission. There were no other significant differences in demographics or outcomes between the 2019 and 2020 groups. DISCUSSION: The COVID-19 pandemic did not significantly alter most aspects of care for hip fracture patients at our institution. Interestingly, postoperative pulmonary outcomes were not affected by the pandemic.

conclusionsIn this study, a significantly higher proportion of males presented with hip fractures in the pandemic group. In addition, the average length of hospital stay was shorter during the COVID-19 pandemic. Further research is needed to understand the nuances that may lead to improved care for patients with hip fractures during a pandemic.

Indexed as

COVID-19hip fractureoutcomespandemicpneumonia

Identifiers

PMID33796344
PMCPMC7983432
OpenAlexW3139135696

What OpenQuestion holds

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Registered trials

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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.