The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China
Jinhui Zhao,1,2,* Qianying Cai,2,* Dajun Jiang,1,2 Lingtian Wang,1,2 Haiyan He,2 Shengbao Chen,2 Weitao Jia,1,2 Changqing Zhang1,2 1Department of Orthopedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China; 2Shangh...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-07-01
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| Series: | Clinical Interventions in Aging |
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| Online Access: | https://www.dovepress.com/the-impact-of-covid-19-on-sarscov-2-negative-elderly-patients-with-hip-peer-reviewed-fulltext-article-CIA |
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| author | Zhao J Cai Q Jiang D Wang L He H Chen S Jia W Zhang C |
| author_facet | Zhao J Cai Q Jiang D Wang L He H Chen S Jia W Zhang C |
| author_sort | Zhao J |
| collection | DOAJ |
| description | Jinhui Zhao,1,2,* Qianying Cai,2,* Dajun Jiang,1,2 Lingtian Wang,1,2 Haiyan He,2 Shengbao Chen,2 Weitao Jia,1,2 Changqing Zhang1,2 1Department of Orthopedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China; 2Shanghai Institute of Microsurgery on Extremities, and Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weitao Jia; Changqing Zhang, Department of Orthopedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China, Tel +86-18930173388 ; +86-21-64701361, Email jiaweitao@shsmu.edu.cn; zhangcq@sjtu.edu.cnPurpose: Coronavirus disease 2019 (COVID-19) has brought an unprecedented change in wellbeing globally. The spread of the pandemic reportedly reduced the incidence of activity-related trauma, while that of fragility fractures remained stable. Here, we aimed to identify the risk factors associated with the prognosis of SARS-CoV-2 negative elderly patients with hip fractures.Patients and Methods: This retrospective study included elderly patients with hip fractures between 1st January and 9th May during the COVID-19 pandemic (Experiment group) and the same period from 2017 to 2019 (Control group). Perioperative mortality, complications, and functional recovery were compared between two groups of different time frame in the total cohort and patients who received surgical treatment. Multiple linear regression was carried out to identify the risk factors influencing the prognosis of COVID-negative elderly patients with hip fractures.Results: The proportion of patients with admission time less than 24 hours and the 6-month postoperative Parker score were significantly decreased during COVID-19 compared with the pre-COVID-19 period (p < 0.001). Multiple linear regression demonstrated that TTA (defined as time from injury to admission), rehabilitation after discharge and outpatient follow-up were associated with the 6-month Parker score in the total population (p < 0.001) and in patients who received surgical treatment (p < 0.001).Conclusion: Elderly patients with hip fractures had a poorer prognosis in epidemic period despite being COVID-19 negative. Factors including timely admission, postoperative follow-up, and rehabilitation could optimize safety and significantly improve the prognosis of elderly COVID-19 negative patients with hip fractures, even during a pandemic.Keywords: COVID-19, COVID-negative, elderly hip fracture, Parker score |
| first_indexed | 2024-04-12T10:09:45Z |
| format | Article |
| id | doaj.art-327032ed03774c67a5bc8b2074eef6e6 |
| institution | Directory Open Access Journal |
| issn | 1178-1998 |
| language | English |
| last_indexed | 2024-04-12T10:09:45Z |
| publishDate | 2022-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Interventions in Aging |
| spelling | doaj.art-327032ed03774c67a5bc8b2074eef6e62022-12-22T03:37:20ZengDove Medical PressClinical Interventions in Aging1178-19982022-07-01Volume 1799199976290The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, ChinaZhao JCai QJiang DWang LHe HChen SJia WZhang CJinhui Zhao,1,2,* Qianying Cai,2,* Dajun Jiang,1,2 Lingtian Wang,1,2 Haiyan He,2 Shengbao Chen,2 Weitao Jia,1,2 Changqing Zhang1,2 1Department of Orthopedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China; 2Shanghai Institute of Microsurgery on Extremities, and Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weitao Jia; Changqing Zhang, Department of Orthopedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, 200233, People’s Republic of China, Tel +86-18930173388 ; +86-21-64701361, Email jiaweitao@shsmu.edu.cn; zhangcq@sjtu.edu.cnPurpose: Coronavirus disease 2019 (COVID-19) has brought an unprecedented change in wellbeing globally. The spread of the pandemic reportedly reduced the incidence of activity-related trauma, while that of fragility fractures remained stable. Here, we aimed to identify the risk factors associated with the prognosis of SARS-CoV-2 negative elderly patients with hip fractures.Patients and Methods: This retrospective study included elderly patients with hip fractures between 1st January and 9th May during the COVID-19 pandemic (Experiment group) and the same period from 2017 to 2019 (Control group). Perioperative mortality, complications, and functional recovery were compared between two groups of different time frame in the total cohort and patients who received surgical treatment. Multiple linear regression was carried out to identify the risk factors influencing the prognosis of COVID-negative elderly patients with hip fractures.Results: The proportion of patients with admission time less than 24 hours and the 6-month postoperative Parker score were significantly decreased during COVID-19 compared with the pre-COVID-19 period (p < 0.001). Multiple linear regression demonstrated that TTA (defined as time from injury to admission), rehabilitation after discharge and outpatient follow-up were associated with the 6-month Parker score in the total population (p < 0.001) and in patients who received surgical treatment (p < 0.001).Conclusion: Elderly patients with hip fractures had a poorer prognosis in epidemic period despite being COVID-19 negative. Factors including timely admission, postoperative follow-up, and rehabilitation could optimize safety and significantly improve the prognosis of elderly COVID-19 negative patients with hip fractures, even during a pandemic.Keywords: COVID-19, COVID-negative, elderly hip fracture, Parker scorehttps://www.dovepress.com/the-impact-of-covid-19-on-sarscov-2-negative-elderly-patients-with-hip-peer-reviewed-fulltext-article-CIAcovid-19covid-negativeelderly hip fractureparker score |
| spellingShingle | Zhao J Cai Q Jiang D Wang L He H Chen S Jia W Zhang C The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China Clinical Interventions in Aging covid-19 covid-negative elderly hip fracture parker score |
| title | The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China |
| title_full | The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China |
| title_fullStr | The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China |
| title_full_unstemmed | The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China |
| title_short | The Impact of COVID-19 on SARSCoV-2-Negative Elderly Patients with Hip Fractures: A Single-Center Retrospective Study from Shanghai, China |
| title_sort | impact of covid 19 on sarscov 2 negative elderly patients with hip fractures a single center retrospective study from shanghai china |
| topic | covid-19 covid-negative elderly hip fracture parker score |
| url | https://www.dovepress.com/the-impact-of-covid-19-on-sarscov-2-negative-elderly-patients-with-hip-peer-reviewed-fulltext-article-CIA |
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