Effects of the COVID-19 pandemic on hip fracture volume, disposition, and readmission rates

Helal, Asad; Botros, David; Qureshi, Fahad; Alhreish, Khalid; Dutcher, Lincoln; Teel, Jordan; Dawkins, Jonathon; Rizkalla, James

doi:10.1080/08998280.2022.2046418

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…The decreased placement of patients in nursing facilities may be attributed to the lack of nursing resources, together with the burden of the pandemic on nurses and healthcare providers. 50 Strengths of this study include its large sample size, use of propensity score matching to compare COVID-19positive versus negative patients across a wide breadth of orthopaedic procedures, and use of a highly validated dataset across hundreds of participating hospitals across the USA and Canada. This is the first study to assess perioperative complications associated with COVID-19 positivity using the NSQIP database in orthopaedic surgery.…”

Section: Discussionmentioning

confidence: 99%

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The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

Mercier,

Koucheki,

Lex

et al. 2023

Bone Jt Open

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AimsThis study aimed to investigate the risk of postoperative complications in COVID-19-positive patients undergoing common orthopaedic procedures.MethodsUsing the National Surgical Quality Improvement Programme (NSQIP) database, patients who underwent common orthopaedic surgery procedures from 1 January to 31 December 2021 were extracted. Patient preoperative COVID-19 status, demographics, comorbidities, type of surgery, and postoperative complications were analyzed. Propensity score matching was conducted between COVID-19-positive and -negative patients. Multivariable regression was then performed to identify both patient and provider risk factors independently associated with the occurrence of 30-day postoperative adverse events.ResultsOf 194,121 included patients, 740 (0.38%) were identified to be COVID-19-positive. Comparison of comorbidities demonstrated that COVID-19-positive patients had higher rates of diabetes, heart failure, and pulmonary disease. After propensity matching and controlling for all preoperative variables, multivariable analysis found that COVID-19-positive patients were at increased risk of several postoperative complications, including: any adverse event, major adverse event, minor adverse event, death, venous thromboembolism, and pneumonia. COVID-19-positive patients undergoing hip/knee arthroplasty and trauma surgery were at increased risk of 30-day adverse events.ConclusionCOVID-19-positive patients undergoing orthopaedic surgery had increased odds of many 30-day postoperative complications, with hip/knee arthroplasty and trauma surgery being the most high-risk procedures. These data reinforce prior literature demonstrating increased risk of venous thromboembolic events in the acute postoperative period. Clinicians caring for patients undergoing orthopaedic procedures should be mindful of these increased risks, and attempt to improve patient care during the ongoing global pandemic.Cite this article: Bone Jt Open 2023;4(9):704–712.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

Mercier,

Koucheki,

Lex

et al. 2023

Bone Jt Open

View full text Add to dashboard Cite

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Home Versus Hospital Rehabilitation of Older Adults Following Hip Fracture Yields Similar Patient-Reported Outcome Measures

Schroeder,

Israeli,

Liebergall

et al. 2024

INQUIRY

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The increase in hip fractures (HF) due to aging of the population and the rise in attractiveness of services provided at home following the COVID-19 pandemic, emphasize the need to compare outcomes of home versus hospital HF rehabilitation. To date, studies comparing the 2 services have focused primarily on clinical outcomes rather than patient-reported outcomes (PROs). This longitudinal observational study evaluated PROs of older adults with HF in the 2 settings. The SF36 questionnaire was used to measure PROs 3 times after surgery. The first PRO was retrospective and reflected pre-fracture health status. Descriptive statistics and mixed-effect logistic regression were used. Of 86 patients participating in the study, 41 had home rehabilitation and 45 had hospital rehabilitation. In both groups, the mental and physical scores plummeted 2 weeks after the HF, compared to pre-fracture status. The difference in improvement from pre-fracture status to recovery in both groups, were not significantly ( P < .05) different, except for the pain domain. PROs of home versus hospital rehabilitation were similar, suggesting that rehabilitation at home can be as effective as hospital rehabilitation for suitable patients. This knowledge can improve quality of care in an aging global population.

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Effects of the COVID-19 pandemic on hip fracture volume, disposition, and readmission rates

Cited by 2 publications

References 22 publications

The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

The association between preoperative COVID-19-positivity and acute postoperative complication risk among patients undergoing orthopedic surgery

Home Versus Hospital Rehabilitation of Older Adults Following Hip Fracture Yields Similar Patient-Reported Outcome Measures

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