COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Caeiro-Rey, José Ramón; Ojeda-Thies, Cristina; Cassinello, Concepción; Sáez-López, María Pilar; Etxebarría-Foronda, I.; Pareja‐Sierra, Teresa; Larraínzar-Garijo, Ricardo; Figueroa-Rodríguez, Jesús; Romero, Aurora; Sende-Munin, Noelia; Río-Pombo, Eduardo Del; Carro-Méndez, Beatriz; Mesa-Ramos, Manuel; González‐Macías, Jesús; Tarazona-Santabalbina, Francisco José

doi:10.1016/j.regg.2020.07.001

Cited by 10 publications

(12 citation statements)

References 43 publications

(72 reference statements)

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“…They observed a 28.6% rate of in-hospital mortality in non-operated patients, a 63.6% rate at 30 days, and an 84.4% rate at 1 year. As our mortality rates, like those of other authors 17 , 18 , are lower, we believe it is appropriate for them to undergo surgery as soon as the infection is clinically stable.…”

Section: Discussionsupporting

confidence: 61%

“…The results of our study show that, despite the high rate of mortality in patients with hip fracture and COVID-19, the usual surgical treatment guidelines should be followed in this group of patients. Delay, or even suspension, of surgery in patients with COVID-19 would only be justified if they present high fever, severe respiratory failure or haemodynamic alterations 17 .…”

Section: Discussionmentioning

confidence: 99%

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Impact of the COVID-19 pandemic on the mortality of the elderly patient with a hip fracture

Biarnes-Suñé

Solà-Enríquez

Posada

et al. 2021

Revista Española de Anestesiología y Reanimación (English Editi

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on the mortality of the elderly patient with a hip fracture

Biarnes-Suñé

Solà-Enríquez

Posada

et al. 2021

Revista Española de Anestesiología y Reanimación (English Editi

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“…Five more papers were discovered on hand search. After screening duplicates and excluding unrelated articles based on the title, 65 papers8–72 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 5 with 35 having hip fracture data were finally considered for review after full-text assessment. ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…1 However, early limited evidence published so far suggests poor outcomes with high postoperative mortality in patients with a hip fracture and concomitant COVID-19 infection (available studies indicate a mortality rate greater than 30%). 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 We have undertaken a ...…”

Section: Introductionmentioning

confidence: 99%

Mortality escalates in patients of proximal femoral fractures with COVID-19: A systematic review and meta-analysis of 35 studies on 4255 patients

Patralekh

Jain

Iyengar

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background Concerns have been raised about the escalated mortality in patients of proximal femoral fractures (PPFs) with COVID-19. A meta-analysis to evaluate mortality in patients with PPFs managed during the current COVID-19 pandemic was conducted. Methods A systematic review and meta-analysis of all published studies were conducted with a search on PubMed, Scopus, Web of Science, and Cochrane Library databases using appropriate keywords from January 01, 2020 to January 29, 2021. Results 35 relevant studies reporting 3979 patients with hip fracture in the current ongoing pandemic, out of which 692 patients were COVID -19 positive. Twenty studies reported mortality and other relevant statistics on hip fracture patients with and without COVID 19 (4123 hip fracture patients in the year 2020–21, out of which 560 had or were suspected of having COVID -19). A meta-analysis of mortality statistics in patients with and without COVID revealed increased odds of mortality among COVID patients [odds ratio (OR) 6.31, 95% confidence interval (CI) [5.09, 7.83] and meta-analysis on the subgroup of surgically treated patients also showed markedly increased mortality risk among those with COVID-19 (OR) 5.99, 95% CI [3.88,9.24]. Conclusion The mortality risk is markedly increased in hip fracture with concomitant COVID -19 compared to those without it. This increased risk persisted in those managed surgically. It could be due to the inflammation induced by the fracture or surgery for fracture fixation, further exacerbating inflammation, leading to cytokine storm. It is imperative that such patients are informed regarding increased mortality risk during the consent and shared decision-making process.

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“…A consultant attending surgeon supervised or performed all surgeries. These circuits followed the guidelines of national and international societies for Anaesthesia [21], Surgery [22], Geriatrics and Osteoporotic Fractures [23]. Patients with COVID-19 pneumonia not fit for surgery received iliofascial blocks with 15 ml of 0.125% Levobupivacaine and 4 mg Dexamethasone using anatomic landmarks repeated as necessary and were mobilized out of bed as much as tolerated to improve respiratory function.…”

Section: Treatment Circuits During the Covid-19 Pandemicmentioning

confidence: 99%

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

et al. 2021

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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.

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COVID-19 y fractura por fragilidad de la cadera. Recomendaciones conjuntas de la Sociedad Española de Fracturas Osteoporóticas y la Sociedad Española de Geriatría y Gerontología

Cited by 10 publications

References 43 publications

Impact of the COVID-19 pandemic on the mortality of the elderly patient with a hip fracture

Impact of the COVID-19 pandemic on the mortality of the elderly patient with a hip fracture

Mortality escalates in patients of proximal femoral fractures with COVID-19: A systematic review and meta-analysis of 35 studies on 4255 patients

Hip fracture care and mortality among patients treated in dedicated COVID-19 and non-COVID-19 circuits

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