Modification of a Validated Risk Stratification Tool to Characterize Geriatric Hip Fracture Outcomes and Optimize Care in a Post-COVID-19 World

Abstract

Supplemental Digital Content is Available in the Text.

Periprocedural complications in patients with SARS-CoV-2 infection compared to those without infection: A nationwide propensity-matched analysis

“…There are limited studies on the risk of postprocedural adverse events attributable to COVID-19 after adjusting for important covariates. Available reports have three main limitations: 1) They compare COVID-19 positive patients to pre-pandemic patients 2 , 19 , 20 , 21 , 22 ; 2) they do not include elective surgery 2 , 16 , 21 , 23 ; or 3) they do not adjust for comorbidity burden. 2 , 16 , 22 , 23 Propensity score-matching offers an opportunity to compare outcomes between COVID-19 positive and negative patients with similar demographic features and comorbidities undergoing similar operations (emergency or elective).…”

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

“…Patients wore KF 94 face masks throughout the entire surgical procedure, except when they were intubated under general anesthesia. 15 Fracture types and surgery have also been mentioned by Maniscalco et al 18 Fadulelmola et al 27 Konda et al 30 Thakrar A et al 31 Chui K et al, and Sobti et al 51 (Tables 1 and 2A and 2B).…”

“…Apart from these, 20 studies reported mortality and other relevant statistics on hip fracture patients with and without COVID -19 {reporting 4123 hip fracture patients in the year 2020e21, out of which 560 had or were suspected to be having COVID-19}, but individual patient data was not reported. 15e18, 27,28,30,31,44,51 (Tables 2A and 2B). Study quality of these was accessed using the Newcastle Ottawa scale (Table 3).…”

“…Patients should be reassessed for surgical treatment versus conservative care. 30 Segarra et al reported surgery in two hip fractures; none of them received intensive care unit support. One patient expired, and the other recovered after 48 h of supportive care and was discharged.…”

Mask-Related Glasses Fogging: A Predisposing Mechanism of Falls during the COVID-19 Pandemic

“…One of the immediate threats from the virus was its impact on patients undergoing both emergent and elective orthopedic surgery. Previous work demonstrated that an active symptomatic COVID-19 infection predicted poor outcomes for patients with a traumatic musculoskeletal injury [ 1 ]. Indeed, infection with the virus was found to increase mortality and complication rates for patients admitted with a hip fracture [ 2 ].…”