Abstract：
The COVID-19 pandemic adversely affected the functional outcomes of fragility hip fracture patients. This study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among patients treated during the pandemic. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods.
BACKGROUND: This study aims to investigate the in-hospital complication rate and short-term postoperative functional outcomes of fragility hip fracture (FHF) patients compared between during the COVID-19 pandemic and the same 14-month time period 1 year prior to the pandemic.
METHODS: Using data from the Siriraj Fracture Liaison Service registry, FHF patients treated during the COVID-19 pandemic (1 March 2020 to 30 April 2021) were time-matched with FHF patients treated during the pre-pandemic period (1 March 2018 to 30 April 2019). We collected the rate of in-hospital postoperative complications and the postoperative functional outcomes at discharge and 3 months as measured by the Barthel Index (BI) and EuroQol visual analog scale (EQ-VAS). Functional outcome measures were compared between the pre-pandemic and pandemic periods.
RESULTS: There were 197 and 287 patients in the pre-pandemic and pandemic groups, respectively. At the 3-month postoperative follow-up, the mean postoperative BI score and change in BI score were both significantly lower in the pandemic group indicating poorer postoperative function. Moreover, FHF patients treated during the pandemic had significantly more in-hospital complications (36.6% vs. 22.8%, p = 0.002). There was no significant difference in the 3-month EQ-VAS or change in the EQ-VAS between groups.
CONCLUSIONS: The results of this study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among FHF patients treated during the COVID-19 pandemic compared to the pre-pandemic period. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods.
BACKGROUND: This study aims to investigate the in-hospital complication rate and short-term postoperative functional outcomes of fragility hip fracture (FHF) patients compared between during the COVID-19 pandemic and the same 14-month time period 1 year prior to the pandemic.
METHODS: Using data from the Siriraj Fracture Liaison Service registry, FHF patients treated during the COVID-19 pandemic (1 March 2020 to 30 April 2021) were time-matched with FHF patients treated during the pre-pandemic period (1 March 2018 to 30 April 2019). We collected the rate of in-hospital postoperative complications and the postoperative functional outcomes at discharge and 3 months as measured by the Barthel Index (BI) and EuroQol visual analog scale (EQ-VAS). Functional outcome measures were compared between the pre-pandemic and pandemic periods.
RESULTS: There were 197 and 287 patients in the pre-pandemic and pandemic groups, respectively. At the 3-month postoperative follow-up, the mean postoperative BI score and change in BI score were both significantly lower in the pandemic group indicating poorer postoperative function. Moreover, FHF patients treated during the pandemic had significantly more in-hospital complications (36.6% vs. 22.8%, p = 0.002). There was no significant difference in the 3-month EQ-VAS or change in the EQ-VAS between groups.
CONCLUSIONS: The results of this study revealed a higher in-hospital complication rate and lower postoperative function at 3 months among FHF patients treated during the COVID-19 pandemic compared to the pre-pandemic period. Therefore, modified in-hospital and post-discharge protocols should be developed for implementation during pandemic crisis periods.
摘要：
COVID-19大流行对脆性髋部骨折患者的功能预后产生不利影响。这项研究显示，在大流行期间接受治疗的患者中，院内并发症发生率较高，术后3个月功能较低。因此,应制定经修改的住院和出院后协议，以便在大流行危机时期实施。
背景：本研究旨在调查脆性髋部骨折（FHF）患者在COVID-19大流行期间与大流行前1年相同14个月时间段之间的院内并发症发生率和短期术后功能结局。
方法：使用来自Siriraj断裂联络服务注册表的数据，在COVID-19大流行期间（2020年3月1日至2021年4月30日）接受治疗的FHF患者与在大流行前期间（2018年3月1日至2019年4月30日）接受治疗的FHF患者进行时间匹配。我们通过Barthel指数（BI）和EuroQol视觉模拟量表（EQ-VAS）收集了住院术后并发症的发生率以及出院时和3个月的术后功能结局。比较了大流行前和大流行时期的功能结果指标。
结果：在大流行前和大流行组中分别有197和287名患者，分别。术后3个月随访,大流行组的平均术后BI评分和BI评分变化均显著较低,表明术后功能较差.此外，大流行期间接受治疗的FHF患者住院并发症明显增多（36.6%vs.22.8%,p=0.002)。组间3个月EQ-VAS或EQ-VAS变化无显著差异。
结论：这项研究的结果表明，与大流行前相比，在COVID-19大流行期间接受治疗的FHF患者在3个月时的院内并发症发生率较高，术后功能较低。因此,应制定经修改的住院和出院后协议，以便在大流行危机时期实施。
背景：本研究旨在调查脆性髋部骨折（FHF）患者在COVID-19大流行期间与大流行前1年相同14个月时间段之间的院内并发症发生率和短期术后功能结局。
方法：使用来自Siriraj断裂联络服务注册表的数据，在COVID-19大流行期间（2020年3月1日至2021年4月30日）接受治疗的FHF患者与在大流行前期间（2018年3月1日至2019年4月30日）接受治疗的FHF患者进行时间匹配。我们通过Barthel指数（BI）和EuroQol视觉模拟量表（EQ-VAS）收集了住院术后并发症的发生率以及出院时和3个月的术后功能结局。比较了大流行前和大流行时期的功能结果指标。
结果：在大流行前和大流行组中分别有197和287名患者，分别。术后3个月随访,大流行组的平均术后BI评分和BI评分变化均显著较低,表明术后功能较差.此外，大流行期间接受治疗的FHF患者住院并发症明显增多（36.6%vs.22.8%,p=0.002)。组间3个月EQ-VAS或EQ-VAS变化无显著差异。
结论：这项研究的结果表明，与大流行前相比，在COVID-19大流行期间接受治疗的FHF患者在3个月时的院内并发症发生率较高，术后功能较低。因此,应制定经修改的住院和出院后协议，以便在大流行危机时期实施。
