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英国一家高容量髋部骨折治疗中心在新冠疫情期间对髋部骨折的管理。

Management of hip fractures during the COVID-19 pandemic at a high-volume hip fracture unit in the United Kingdom.

作者信息

Malik-Tabassum Khalid, Crooks Melissa, Robertson Alastair, To Christopher, Maling Lucy, Selmon Guy

机构信息

Conquest Hospital, East Sussex Healthcare NHS Trust, Hastings, TN37 7RD, UK.

出版信息

J Orthop. 2020 Jul 2;20:332-337. doi: 10.1016/j.jor.2020.06.018. eCollection 2020 Jul-Aug.

DOI:10.1016/j.jor.2020.06.018
PMID:32665751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7330585/
Abstract

This study aimed to compare the treatment pathway and 30-day outcomes of hip fracture patients admitted during the COVID-19 pandemic with the pre-pandemic period. Three periods were retrospectively analysed: period C = 23/03/2020-11/05/2020, period A = 23/03/2018-11/05/2018, period B = 23/03/2019-11/05/2019. No statistically significant differences in time to surgery, type of treatment, complications, and mortality rates were noted. A significant reduction (p = 0.021) in the time to orthogeriatric assessment and length of inpatient stay (p < 0.001) was found in period C. Institutional adaptions to facilitate prompt treatment in hip fractures during the pandemic resulted in favourable outcomes.

摘要

本研究旨在比较2019冠状病毒病大流行期间收治的髋部骨折患者与大流行前时期的治疗途径和30天预后情况。对三个时期进行了回顾性分析:时期C = 2020年3月23日至2020年5月11日,时期A = 2018年3月23日至2018年5月11日,时期B = 2019年3月23日至2019年5月11日。在手术时间、治疗类型、并发症和死亡率方面未发现统计学上的显著差异。在时期C中,发现骨科老年病评估时间显著缩短(p = 0.021),住院时间显著缩短(p < 0.001)。在大流行期间,机构采取的促进髋部骨折及时治疗的调整措施带来了良好的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/0e29dce50f33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/e1204cce7320/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/c9a374695ad0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/9a40c39c3b68/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/0e29dce50f33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/e1204cce7320/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/c9a374695ad0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/9a40c39c3b68/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/038a/7338575/0e29dce50f33/gr4.jpg

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J Bone Joint Surg Am. 2020 Jul 1;102(13):e69. doi: 10.2106/JBJS.20.00686.
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Treatment of Proximal Femoral Fragility Fractures in Patients with COVID-19 During the SARS-CoV-2 Outbreak in Northern Italy.意大利北部 SARS-CoV-2 爆发期间 COVID-19 患者股骨近端脆弱性骨折的治疗。
J Bone Joint Surg Am. 2020 Jun 17;102(12):e58. doi: 10.2106/JBJS.20.00617.
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Covid-19: death rate is 0.66% and increases with age, study estimates.
新型冠状病毒肺炎大流行前后老年患者髋部骨折的变化:日本一项回顾性多中心研究
BMC Musculoskelet Disord. 2024 Dec 6;25(1):1006. doi: 10.1186/s12891-024-08050-4.
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Medicina (Kaunas). 2024 Mar 30;60(4):573. doi: 10.3390/medicina60040573.
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The process of hip fracture management before and during the COVID-19 pandemic in Iran.伊朗在2019冠状病毒病大流行之前及期间髋部骨折的治疗过程。
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