161099 20251017144633.0 doi 10.3389/fmed.2025.1473619 sideral 144225 ART-2025-144225 eng Santander, S. Universidad de Zaragoza (orcid)0000-0002-1275-2600 Epidemiology and factors associated with the perioperative course of patients undergoing hip fracture during the initial phase of the state of emergency declared in 2020 2025 Access copy available to the general public Unrestricted IntroductionCurrently, there is no gold standard anesthetic plan for elderly patients with hip fractures who must undergo surgery. The state of alarm during 2020 due to the COVID-19 pandemic changed certain hospital paradigms, prompting an investigation into differences in anesthetic management and patient survival for hip fracture surgeries using gamma nail osteosynthesis in 2020 compared to 2019.Materials and methodsA historical cohort study was conducted to assess morbidity and mortality, with data obtained from anonymized medical records.ResultsStatistically significant differences were found, notably an increase in Body Mass Index during confinement. A statistically significant decrease in leukocyte and hemoglobin levels was observed after surgery. However, there were no statistically significant differences in mortality between 2019 and 2020. Patients who did not require vasoactive drugs during surgery to maintain blood pressure levels above 90/60 mmHg had a better survival rate.ConclusionDespite the reduction in postoperative hospital surveillance time, no increase in complications was found. This allowed for early patient reintegration into daily life, early functional rehabilitation, and the minimization of economic costs. info:eu-repo/grantAgreement/ES/DGA/A05-23R info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Lanuza, A. Universidad de Zaragoza Longás, J. Universidad de Zaragoza (orcid)0000-0002-3647-5679 Úbeda, F. Marco, C. Luesma, M. J. Universidad de Zaragoza (orcid)0000-0003-4071-1467 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1012 315 Universidad de Zaragoza Dpto. Farmac.Fisiol.y Med.L.F. Área Farmacología 1013 090 Universidad de Zaragoza Dpto. Cirugía Área Cirugía 12 (2025), 1473619 [10 pp.] Front. med. Frontiers in Medicine 2296-858X 555335 http://zaguan.unizar.es/record/161099/files/texto_completo.pdf Versión publicada 2034895 http://zaguan.unizar.es/record/161099/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:161099 articulos driver 2025-10-17-14:27:11 ARTICLE