Malik-Tabassum Khalid, Crooks Melissa, Robertson Alastair, To Christopher, Maling Lucy, Selmon Guy
Conquest Hospital, East Sussex Healthcare NHS Trust, Hastings, TN37 7RD, UK.
J Orthop. 2020 Jul 2;20:332-337. doi: 10.1016/j.jor.2020.06.018. eCollection 2020 Jul-Aug.
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.
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。