PDF(Pubmed)
Abstract：
UNASSIGNED: A novel virus, SARS-CoV-2 has caused a fatal global pandemic which particularly affects the elderly and those with co-morbidities. Hip fractures affect elderly populations, necessitate hospital admissions, and place this group at particular risk from COVID-19 infection. This study investigates the effect of COVID-19 infection on 30-day hip fracture mortality.
UNASSIGNED: Data related to seventy-five adult hip fractures admitted to two units during March and April 2020 was reviewed. The mean age was 83.5 years (range 65-98 years) and most (53, 70.7%) were females. The primary outcome measure was 30-day mortality associated with COVID-19 infection.
UNASSIGNED: The COVID-19 infection rate was 26.7% (20 patients), with a significant difference in the 30-day mortality rate in COVID-19 positive group (10/20, 50%) compared to COVID-19 negative group (4/55, 7.3%), with mean time to death of 19.8 days (95% confidence interval 17.0-22.5). The mean time from admission to surgery was 43.1 hours and 38.3 hours, in COVID-19 positive and COVID-19 negative groups, respectively. All COVID-19 positive patients had shown symptoms of fever and cough, and all ten cases who died were from hypoxia. Seven (35%) cases had radiological lung findings consistent with viral pneumonitis which resulted in mortality (70% of mortality). 30% (n = 6) contracted the COVID-19 infection in the community and 70% (n = 14) developed symptoms after hospital admission.
UNASSIGNED: Hip fractures associated with COVID-19 infection have a high 30-day mortality. COVID-19 testing and chest x-ray for patients presenting with hip fractures, helps in early planning of high-risk surgeries and allows counselling of the patients and family using realistic prognosis.
UNASSIGNED: Data related to seventy-five adult hip fractures admitted to two units during March and April 2020 was reviewed. The mean age was 83.5 years (range 65-98 years) and most (53, 70.7%) were females. The primary outcome measure was 30-day mortality associated with COVID-19 infection.
UNASSIGNED: The COVID-19 infection rate was 26.7% (20 patients), with a significant difference in the 30-day mortality rate in COVID-19 positive group (10/20, 50%) compared to COVID-19 negative group (4/55, 7.3%), with mean time to death of 19.8 days (95% confidence interval 17.0-22.5). The mean time from admission to surgery was 43.1 hours and 38.3 hours, in COVID-19 positive and COVID-19 negative groups, respectively. All COVID-19 positive patients had shown symptoms of fever and cough, and all ten cases who died were from hypoxia. Seven (35%) cases had radiological lung findings consistent with viral pneumonitis which resulted in mortality (70% of mortality). 30% (n = 6) contracted the COVID-19 infection in the community and 70% (n = 14) developed symptoms after hospital admission.
UNASSIGNED: Hip fractures associated with COVID-19 infection have a high 30-day mortality. COVID-19 testing and chest x-ray for patients presenting with hip fractures, helps in early planning of high-risk surgeries and allows counselling of the patients and family using realistic prognosis.
摘要：
■一种新型病毒，SARS-CoV-2引起了致命的全球大流行，特别影响老年人和患有合并症的人。髋部骨折影响老年人群，需要住院，并将这一人群置于COVID-19感染的特殊风险中。这项研究调查了COVID-19感染对30天髋部骨折死亡率的影响。
■回顾了2020年3月和4月两个单位收治的75例成人髋部骨折的相关数据。平均年龄为83.5岁（65-98岁），大多数（53，70.7％）是女性。主要结局指标是与COVID-19感染相关的30天死亡率。
■COVID-19感染率为26.7%（20例），COVID-19阳性组（10/20，50%）与COVID-19阴性组（4/55，7.3%）的30天死亡率差异显著，平均死亡时间为19.8天（95％置信区间17.0-22.5）。从入院到手术的平均时间为43.1小时和38.3小时，在COVID-19阳性和COVID-19阴性组中，分别。所有COVID-19阳性患者均出现发热和咳嗽症状，死亡的10例都是缺氧。7例（35％）病例的放射学肺部检查结果与病毒性肺炎一致，导致死亡（占死亡率的70％）。30%(n=6)在社区感染了COVID-19感染，70%(n=14)在入院后出现症状。
■与COVID-19感染相关的髋部骨折具有较高的30天死亡率。髋部骨折患者的COVID-19检测和胸部X光检查，有助于高风险手术的早期计划，并允许使用现实预后为患者和家庭提供咨询。
■回顾了2020年3月和4月两个单位收治的75例成人髋部骨折的相关数据。平均年龄为83.5岁（65-98岁），大多数（53，70.7％）是女性。主要结局指标是与COVID-19感染相关的30天死亡率。
■COVID-19感染率为26.7%（20例），COVID-19阳性组（10/20，50%）与COVID-19阴性组（4/55，7.3%）的30天死亡率差异显著，平均死亡时间为19.8天（95％置信区间17.0-22.5）。从入院到手术的平均时间为43.1小时和38.3小时，在COVID-19阳性和COVID-19阴性组中，分别。所有COVID-19阳性患者均出现发热和咳嗽症状，死亡的10例都是缺氧。7例（35％）病例的放射学肺部检查结果与病毒性肺炎一致，导致死亡（占死亡率的70％）。30%(n=6)在社区感染了COVID-19感染，70%(n=14)在入院后出现症状。
■与COVID-19感染相关的髋部骨折具有较高的30天死亡率。髋部骨折患者的COVID-19检测和胸部X光检查，有助于高风险手术的早期计划，并允许使用现实预后为患者和家庭提供咨询。
