Evidence map›Paper›PMID 41262833›Full record

ArticleCureus2025

Elderly Patients With Proximal Femoral Fractures and SARS-CoV-2 Infection: An Observational Study on 30-Day Postoperative Mortality.

Luigi Meccariello, Giuseppina Casolaro, Vincenzo Boniello, Giovanna Di Salvio, Pascasio Di Blasio, Andrea Balzano, Pietro Crocco, Melania D'Agostino, Federica Innaurato, Luigi Matera

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Luigi MeccarielloDepartment of Orthopedics and Traumatology, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Giuseppina CasolaroFinancial and Management Department, Azienda Sanitaria Locale (ASL) Benevento, Benevento, ITA.
Vincenzo BonielloNeuroreanimation Unit, Department of Neuroscience, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Giovanna Di SalvioNeuroreanimation Unit, Department of Neuroscience, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Pascasio Di BlasioNeuroreanimation Unit, Department of Neuroscience, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Andrea BalzanoNeuroreanimation Unit, Department of Neuroscience, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Pietro CroccoAnesthesiology and Reanimation Unit, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Melania D'AgostinoAnesthesiology and Reanimation Unit, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Federica InnauratoAnesthesiology and Reanimation Unit, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.
Luigi MateraDepartment of Orthopedics and Traumatology, Azienda Ospedaliera (AO) San Pio, Benevento, ITA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHip fractures in older adults require multidisciplinary care and are associated with high morbidity and mortality. The COVID-19 pandemic has particularly impacted this vulnerable population. This study evaluated the 30-day outcomes of elderly patients with hip fractures and SARS-CoV-2 infection treated in a single center.

methodsWe conducted a retrospective cohort study including patients admitted between July 2020 and December 2022 with proximal femoral fractures. Demographic data, comorbidities, COVID-19 status, and postoperative outcomes were collected from electronic records. Patients were categorized into four groups according to COVID-19 status and surgical timing (≤48 h vs. >48 h). Mortality, complications, and hospital stay were analyzed.

resultsA total of 185 patients (mean age 80 years) were included; 56 (30.3%) tested positive for COVID-19. COVID-19-positive patients had significantly higher comorbidity scores and required postoperative oxygen therapy more frequently. Thirty-day mortality was markedly higher among infected patients (OR 7.01; 95% CI 4.94-8.77; p<0.00001). They also showed increased in-hospital mortality, complications, and prolonged hospitalization.

conclusionSARS-CoV-2 infection significantly worsened short-term outcomes in elderly patients with hip fractures. A coordinated multidisciplinary approach remains crucial to reduce mortality and improve survival in this fragile population.

Indexed as

covid-19geriatrichipinfectionmortalityoutcomes

Identifiers

PMID41262833
PMCPMC12624095

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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.