Department of Infectious Diseases, Chung-Ang University Hospital, Seoul, Korea.
Department of Orthopaedic Surgery, Chung-Ang University Hospital, Seoul, Korea.
Clin Orthop Surg. 2021 Dec;13(4):474-481. doi: 10.4055/cios21123. Epub 2021 Nov 15.
The purpose of this study was to introduce a screening system for coronavirus disease 2019 (COVID-19), to evaluate the overall orthopedic management in hip fracture patients during the COVID-19 pandemic in South Korea, and to compare the surgical results in hip fracture patients during the COVID-19 pandemic with those of the previous year.
Hip fracture patients who visited emergency rooms were screened at the screening clinics before admission. The medical management was carried out with the medical staff wearing surgical masks, meticulous hand hygiene observed, and a minimum distance of 2 m between patients maintained. The demographics, operative parameters, and surgical results of patients treated during the pandemic were compared with those from the previous year.
From January 2020 to July 21, 2020, 119 patients with hip fractures (33 men and 86 women) were admitted to our institution for surgical treatment. Five patients showed symptoms of pneumonia, but no patient was positive for COVID-19. The mortality rate during the study period was 4.2%, and none of the patients died due to COVID-19. The interval between admission and surgery and the length of hospital stay were significantly shorter ( = 0.008, = 0.002) and the proportion of spinal anesthesia was greater in hip fracture patients during the COVID-19 pandemic compared to those from the previous year ( = 0.011).
The COVID-19 screening system for hip fracture patients has proven to be effective in preventing intrahospital spread of the disease. Hip fracture surgery performed during the COVID-19 pandemic has shown comparable results without any COVID-19 infection and COVID-19-related mortality.
本研究旨在引入一种针对 2019 年冠状病毒病（COVID-19）的筛查系统，评估韩国 COVID-19 大流行期间髋部骨折患者的整体骨科管理情况，并比较 COVID-19 大流行期间髋部骨折患者的手术结果与前一年的结果。
在进入筛查诊所之前，在筛查诊所对急诊室就诊的髋部骨折患者进行筛查。医护人员佩戴手术口罩进行医疗管理，严格遵守手部卫生，并保持患者之间的最小距离为 2 米。将大流行期间治疗的患者的人口统计学，手术参数和手术结果与前一年进行比较。
从 2020 年 1 月至 2020 年 7 月 21 日，我院收治了 119 例髋部骨折患者（33 名男性和 86 名女性）接受手术治疗。有 5 例患者出现肺炎症状，但没有患者 COVID-19 检测呈阳性。研究期间的死亡率为 4.2%，没有患者因 COVID-19 死亡。与前一年相比，COVID-19 大流行期间髋部骨折患者的入院至手术时间间隔和住院时间明显缩短（=0.008，=0.002），并且脊髓麻醉的比例更高（=0.011）。
髋部骨折患者的 COVID-19 筛查系统已被证明可有效防止医院内疾病传播。在 COVID-19 大流行期间进行的髋部骨折手术在没有任何 COVID-19 感染和 COVID-19 相关死亡的情况下，结果相当。
