TY - JOUR PY - 2022// TI - Comparative outcomes and surgical timing for operative fragility hip fracture patients during the COVID-19 pandemic: a retrospective cohort study JO - Geriatrics (Basel) A1 - Rowe, Katherine A. A1 - Kim, Kiryung A1 - Varady, Nathan H. A1 - Heng, Marilyn A1 - von Keudell, Arvind G. A1 - Weaver, Michael J. A1 - Abdeen, Ayesha A1 - Rodriguez, Edward K. A1 - Chen, Antonia F. SP - e84 EP - e84 VL - 7 IS - 4 N2 - The COVID-19 pandemic had wide-reaching effects on healthcare delivery, including care for hip fractures, a common injury among older adults. This study characterized factors related to surgical timing and outcomes, length-of-stay, and discharge disposition among patients treated for operative hip fractures during the first wave of the COVID-19 pandemic, compared to historical controls. A retrospective, observational cohort study was conducted from 16 March-20 May 2020 with a consecutive series of 64 operative fragility hip fracture patients at three tertiary academic medical centers. Historical controls were matched based on sex, surgical procedure, age, and comorbidities. Primary outcomes included 30-day mortality and time-to-surgery. Secondary outcomes included 30-day postoperative complications, length-of-stay, discharge disposition, and time to obtain a COVID-19 test result. There was no difference in 30-day mortality, complication rates, length-of-stay, anesthesia type, or time-to-surgery, despite a mean time to obtain a final preoperative COVID-19 test result of 17.6 h in the study group. Notably, 23.8% of patients were discharged to home during the COVID-19 pandemic, compared to 4.8% among controls (p = 0.003). On average, patients received surgical care within 48 h of arrival during the COVID-19 pandemic. More patients were discharged to home rather than a facility with no change in complications, suggesting an opportunity for increased discharge to home.

Language: en

LA - en SN - 2308-3417 UR - http://dx.doi.org/10.3390/geriatrics7040084 ID - ref1 ER -