Mortality increase after hip fracture in aged patients during the first 6 months of the covid-19 epidemic

Zamora-Lozano, Marta (Universidad de Zaragoza) ; Lorenzo, Raúl ; Chueca, Alvaro ; Embarba, María ; Burillo-Fuertes, Pilar ; Albareda, Jorge (Universidad de Zaragoza) ; García-Álvarez García, Felicito Enrique (Universidad de Zaragoza)

Resumen: Background: The COVID-19 pandemic modified hospital functioning, social mobility and assistance to the elderly. These factors may alter hip fracture evolution.
Methods: Retrospective study of patients > 65 years suffering hip fracture fromthe 1st of March to the 31st of August of 2020, and compared with patients from the same period of 2019; 199 patients from 2019 (79.4%women) (mean age: 84.9 ± 7.72 years), and 203 patients from 2020 (69.5%women) (mean
age: 85.37 ± 8.13 years). Extracapsular fractures were 57.3% in 2019, and 58.6% in 2020. Follow-up was made until death or 6 months after surgery.
Results: In 2019, 44 patients (22.1%) died in the six postoperative months, and 61 patients (30%) in 2020 (OR 1.513; 95% CI 0.96–2.37; p = 0.199). There were no significant differences in mortality during postfracture hospitalization (11.1% in 2019; 11.82% in 2020) and in the first postoperative month
(16.6% in 2019; 22.66% in 2020). Four patients died during hip fracture hospitalization over 8 patients presenting PCR+. In 30 patients SARS-CoV-2 infection was diagnosed during the six months after hip fracture in 13 patients thiswas the cause of death (21.3% of causes). Dementiawas associated with high mortality in patients with a SARS-CoV-2 diagnosis (6 out of 13 patients died with SARS-CoV-2 infection and dementia).
Conclusions: An increase in the 6 postoperative months mortality in 2020 compared with the same period in 2019 was observed. An important cause of death was SARS-CoV-2 infection.

Idioma: Inglés

DOI: 10.6890/IJGE.202301_17(1).0007

Año: 2023

Publicado en: International Journal of Gerontology 17, 1 (2023), 35-38
ISSN: 1873-9598

Originalmente disponible en: Texto completo de la revista

Factor impacto JCR: 0.3 (2023)

Categ. JCR: GERIATRICS & GERONTOLOGY rank: 73 / 74 = 0.986 (2023) - Q4 - T3

Factor impacto CITESCORE: 0.6 - Geriatrics and Gerontology (Q4)

Factor impacto SCIMAGO: 0.159 - Geriatrics and Gerontology (Q4)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Traumatología y Ortopedia (Dpto. Cirugía)