新冠疫情对髋部骨折数量、处置情况及再入院率的影响。
Effects of the COVID-19 pandemic on hip fracture volume, disposition, and readmission rates.
作者信息
Helal Asad, Botros David, Qureshi Fahad, Alhreish Khalid, Dutcher Lincoln, Teel Jordan, Dawkins Jonathon, Rizkalla James
机构信息
Department of Orthopedic Surgery, Baylor University Medical Center, Dallas, Texas.
Johns Hopkins University School of Medicine, Baltimore, Maryland.
出版信息
Proc (Bayl Univ Med Cent). 2022 Mar 22;35(4):444-446. doi: 10.1080/08998280.2022.2046418. eCollection 2022.
Our study aimed to assess the effects COVID had on the incidence of hip fractures. Hip fracture cases (from March 1 to September 1) were compared in 2018, 2019, and 2020. Data were analyzed for surgical volume, discharge location, and readmission rates. There was a statistically significant decrease in hip fractures during 2020 ( < 0.01) and a decrease in patients placed in skilled nursing facilities ( = 0.04), with no increase in 30-day readmission ( = 0.776). Findings suggest that COVID-19 has impacted the volume and composition of hip fracture cases. Although additional research on the subsequent survival impact is necessary, these placement patterns of hip fracture patients into facilities may be an opportunity to optimize cost and care.
我们的研究旨在评估新冠疫情对髋部骨折发病率的影响。对2018年、2019年和2020年（3月1日至9月1日）的髋部骨折病例进行了比较。分析了手术量、出院地点和再入院率的数据。2020年髋部骨折病例有统计学意义的下降（<0.01），入住专业护理机构的患者数量减少（=0.04），30天再入院率没有增加（=0.776）。研究结果表明，新冠病毒肺炎已经影响了髋部骨折病例的数量和构成。尽管有必要对后续生存影响进行更多研究，但髋部骨折患者入住机构的这些模式可能是优化成本和护理的一个契机。
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