Evidence map›Paper›PMID 37489320›Full record

ArticleGeriatrics (Basel, Switzerland)2023

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.

Ilias D Iliopoulos, Ioanna Lianou, Angelos Kaspiris, Dimitrios Ntourantonis, Christine Arachoviti, Christos P Zafeiris, George I Lambrou, Efstathios Chronopoulos

Abstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2023. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Article
  4. Surgical timing and clinical factor predicting in-hospital mortality in older adults with hip fractures: a neuronal network analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Observational
  5. 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

8 authors.

Ilias D IliopoulosLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 10679 Athens, Greece.ORCID 0000-0002-4814-1449
Ioanna LianouDepartment of Orthopaedic Surgery, "Rion" University Hospital and Medical School, School of Health Sciences, University of Patras, 26504 Patras, Greece.ORCID 0000-0002-4014-889X
Angelos KaspirisLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 10679 Athens, Greece.ORCID 0000-0003-3265-5522
Dimitrios NtourantonisAccident and Emergency Department, "Rion" University Hospital and Medical School, School of Health Sciences, University of Patras, 26504 Patras, Greece.ORCID 0000-0002-0736-8794
Christine ArachovitiOrthopedics Department, General Hospital of Patras "Agios Andreas", 26332 Patras, Greece.
Christos P ZafeirisLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 10679 Athens, Greece.
George I LambrouLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 10679 Athens, Greece.ORCID 0000-0001-8389-1360
Efstathios ChronopoulosLaboratory for Research of the Musculoskeletal System, School of Medicine, National and Kapodistrian University of Athens, 10679 Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since December 2019, the COVID-19 pandemic has had a significant impact on healthcare systems worldwide, prompting policymakers to implement measures of isolation and eventually adopt strict national lockdowns, which affected mobility, healthcare-seeking behavior, and services, in an unprecedented manner. This study aimed to analyze the effects of these lockdowns on hip-fracture epidemiology and care services, compared to nonpandemic periods in previous years. We retrospectively collected data from electronic patient records of two major hospitals in Western Greece and included patients who suffered a fragility hip fracture and were admitted during the two 5-week lockdown periods in 2020, compared to time-matched patients from 2017-2019. The results showed a drop in hip-fracture incidence, which varied among hospitals and lockdown periods, and conflicting impacts on time to surgery, time to discharge after surgery, and total hospitalization time. The study also found that differences between the two differently organized units were exaggerated during the COVID-19 lockdown periods, highlighting the impact of compliance with social-distancing measures and the reallocation of resources on the quality of healthcare services. Further research is needed to fully understand the specific variations and patterns of geriatric hip-fracture care during emergency health crises characterized by limited resources and behavioral changes.

Indexed as

coronavirusCOVID-19dischargehip fracturelockdownpandemicsurgical timing

Identifiers

PMID37489320
PMCPMC10366837

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.