Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study
Abstract Background The World Health Organization classified Covid-19 as a pandemic during the first months of 2020 as lockdown measures were implemented globally to mitigate the increasing incidence of Covid-19-related morbidity and mortality. The purpose of this study was to evaluate the effect of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05016-2 |
| _version_ | 1819260893154770944 |
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| author | Maria Oulianski Philip J. Rosinsky Ariel Fuhrmann Ruslan Sokolov Roberto Arriola Omri Lubovsky |
| author_facet | Maria Oulianski Philip J. Rosinsky Ariel Fuhrmann Ruslan Sokolov Roberto Arriola Omri Lubovsky |
| author_sort | Maria Oulianski |
| collection | DOAJ |
| description | Abstract Background The World Health Organization classified Covid-19 as a pandemic during the first months of 2020 as lockdown measures were implemented globally to mitigate the increasing incidence of Covid-19-related morbidity and mortality. The purpose of this study was to evaluate the effect of national lockdown measures on proximal femur fracture epidemiology. Our hypothesis was that due to the prolonged period of stay-at-home orders, we would observe a decrease in the incidence of proximal femur fractures during the years 2020–21. Methods A retrospective case–control study of 2784 hip fractures admitted to the emergency department at one hospital between January 1, 2010, and March 31, 2021, was conducted. Cases were stratified weekly, and an analysis was conducted comparing cases occurring during government-imposed lockdown periods of 2020–21 to corresponding periods during 2010–2019. Furthermore, the trend of cases throughout the year of 2020 was observed. Results Of all proximal femur fracture cases included, 2522 occurred between 2010–2019 and 261 during the Covid-19 period. There was no significant difference in age (81.95 vs. 82.09; P = 0.78) or gender (P = 0.12). There was a total decrease of 21.64% in proximal femur fracture per week during the entirety of the Covid-19 pandemic period compared to the previous years (3.64 ± 1.99 vs. 4.76 ± 0.83; P = 0.001). During all three lockdown periods, there was a significant decrease in proximal femur fracture cases per week (3.55 ± 2.60 vs. 4.87 ± 0.95; P = 0.04), and the most pronounced decrease occurred during the third lockdown period (2.89 ± 1.96 vs. 5.23 ± 1.18; P = 0.01). Conclusion We observed a total decrease in the number of proximal femur fractures occurring during the Covid-19 era compared to previous years and specifically a decrease of cases occurring during the government-imposed lockdown periods. The decrease in cases was more pronounced during the second and third lockdown periods. |
| first_indexed | 2024-12-23T19:33:08Z |
| format | Article |
| id | doaj.art-18e6a9e3a59e45e08bb165381e7b0449 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-23T19:33:08Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-18e6a9e3a59e45e08bb165381e7b04492022-12-21T17:33:51ZengBMCBMC Musculoskeletal Disorders1471-24742022-01-012311710.1186/s12891-022-05016-2Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control studyMaria Oulianski0Philip J. Rosinsky1Ariel Fuhrmann2Ruslan Sokolov3Roberto Arriola4Omri Lubovsky5Department of Orthopedic Surgery, Barzilai Medical CenterDepartment of Orthopedic Surgery, Barzilai Medical CenterDepartment of Orthopedic Surgery, Barzilai Medical CenterDepartment of Orthopedic Surgery, Barzilai Medical CenterDepartment of Orthopedic Surgery, Barzilai Medical CenterDepartment of Orthopedic Surgery, Barzilai Medical CenterAbstract Background The World Health Organization classified Covid-19 as a pandemic during the first months of 2020 as lockdown measures were implemented globally to mitigate the increasing incidence of Covid-19-related morbidity and mortality. The purpose of this study was to evaluate the effect of national lockdown measures on proximal femur fracture epidemiology. Our hypothesis was that due to the prolonged period of stay-at-home orders, we would observe a decrease in the incidence of proximal femur fractures during the years 2020–21. Methods A retrospective case–control study of 2784 hip fractures admitted to the emergency department at one hospital between January 1, 2010, and March 31, 2021, was conducted. Cases were stratified weekly, and an analysis was conducted comparing cases occurring during government-imposed lockdown periods of 2020–21 to corresponding periods during 2010–2019. Furthermore, the trend of cases throughout the year of 2020 was observed. Results Of all proximal femur fracture cases included, 2522 occurred between 2010–2019 and 261 during the Covid-19 period. There was no significant difference in age (81.95 vs. 82.09; P = 0.78) or gender (P = 0.12). There was a total decrease of 21.64% in proximal femur fracture per week during the entirety of the Covid-19 pandemic period compared to the previous years (3.64 ± 1.99 vs. 4.76 ± 0.83; P = 0.001). During all three lockdown periods, there was a significant decrease in proximal femur fracture cases per week (3.55 ± 2.60 vs. 4.87 ± 0.95; P = 0.04), and the most pronounced decrease occurred during the third lockdown period (2.89 ± 1.96 vs. 5.23 ± 1.18; P = 0.01). Conclusion We observed a total decrease in the number of proximal femur fractures occurring during the Covid-19 era compared to previous years and specifically a decrease of cases occurring during the government-imposed lockdown periods. The decrease in cases was more pronounced during the second and third lockdown periods.https://doi.org/10.1186/s12891-022-05016-2Covid-19CoronavirusHip fracturesTraumaElderly patientProximal femur fracture |
| spellingShingle | Maria Oulianski Philip J. Rosinsky Ariel Fuhrmann Ruslan Sokolov Roberto Arriola Omri Lubovsky Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study BMC Musculoskeletal Disorders Covid-19 Coronavirus Hip fractures Trauma Elderly patient Proximal femur fracture |
| title | Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study |
| title_full | Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study |
| title_fullStr | Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study |
| title_full_unstemmed | Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study |
| title_short | Decrease in incidence of proximal femur fractures in the elderly population during the Covid-19 pandemic: a case–control study |
| title_sort | decrease in incidence of proximal femur fractures in the elderly population during the covid 19 pandemic a case control study |
| topic | Covid-19 Coronavirus Hip fractures Trauma Elderly patient Proximal femur fracture |
| url | https://doi.org/10.1186/s12891-022-05016-2 |
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