Re: Peri‑operative Outcomes and Predictors of Mortality in COVID‑19-Positive Patients with Hip Fractures: A Multicentre Study in the UK

Autor: Joseph Aderinto, Chiranjit De, Andrea Jimenez, Jeya Palan, Alice Wignall, Simon Sturdee, A. Gulati, Vasileios P. Giannoudis, Hemant Pandit
Rok vydání: 2021
Předmět:
Zdroj: Indian Journal of Orthopaedics
ISSN: 1998-3727
0019-5413
DOI: 10.1007/s43465-021-00423-4
Popis: Aim This UK based multi-centre study reports clinical characteristics, early outcomes and predictors of mortality in 34 consecutive COVID-19-positive hip fractures so that the lessons learnt could be utilised in other parts of World who are at a different phase of the pandemic. Methods This study analysed patient admitted with hip fractures with COVID positive swabs, between March and May’2020 in three large hospitals covering a population of nearly two million. Data was collected on demographic profile, peri-operative variables, post-operative complications and mortality. The specific aim was to identify any variables, which could predict high 30-day mortality. Results Overall, 12% of hip fractures were COVID positive with the mortality rate of 41.2%. The higher age (p = 0.036) and male gender (p = 0.025) was significantly associated with mortality and most of the deaths were between American Society of Anaesthesiologists (ASA) grade 3 and 4 patients. The patients having intramedullary (IM) nailing were more likely to die (p = 0.02). There was no difference in laboratory parameters but there was significant difference in findings on chest radiographs (p
Databáze: OpenAIRE
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