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Aim To determine if number and characteristics of hip fractures changed during COVD-19 lockdown. Findings The socio-demographic characteristics and baseline status of patients suffering hip fractures during COVID-19 lockdown were similar, but the volume of hip fractures admitted dropped by nearly one quarter. Message The effect of the COVID-19 pandemic fragility hip fractures may depend on the incidence of the disease itself, as well as on the severity of lockdown measures.

Key summary points Aim What were the effects of the COVID-19 pandemic and patient cohorting on the mortality and care provided for patients with hip fractures? Findings Mortality due to COVID-19 infection was higher before patient cohorting, and no nosocomial infections were detected after cohorting. Survival of patients treated in the COVID-19 circuit was similar to non-COVID-19 controls, in spite of longer surgical delay and length of stay. Message Separate circuits for COVID-19 and non-COVID-19 patients allows adequate hip fracture care, without observing increased mortality when delaying surgery until stabilization among patients with severe respiratory illness. Supplementary Information The online version contains supplementary material available at 10.1007/s41999-021-00455-x.