Yalamchi Fatemeh, Khalagi Kazem, Fahimfar Noushin, Tabrizian Pouria, Sanjari Mahnaz, Mansourzadeh Mohammad Javad, Ostovar Afshin, Asadi-Lari Mohsen
Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
BMC Geriatr. 2024 Apr 23;24(1):359. doi: 10.1186/s12877-024-04839-z.
The COVID-19 pandemic affected the control of many chronic conditions, including hip fractures, worldwide. This study was to examine the impact of the COVID-19 pandemic on the management of hip fractures in a referral orthopedic hospital in Iran. By understanding how the pandemic has influenced the care of hip fracture patients, we can gain valuable insights into the challenges, adaptations, and potential improvements in orthopedic healthcare during such public health crises.
Data was collected on hip fracture patients aged 50 and above who were admitted to the hospital before and during the pandemic. The number of admissions and operations, length of hospital stay, and time from admission to surgery were recorded from the hospital information system (HIS) and compared between the two periods.
The median number of admitted hip fracture patients per month increased slightly during the pandemic (11%), although this increase was not statistically significant (p = 0.124). After adjusting for potential confounders, the mean length of hospital stay was significantly lower during the pandemic period, indicating that patients were discharged sooner (p = 0.019) and the time from admission to surgery was shorter during the pandemic (p = 0.004). Although the increase in the number of hip fracture surgeries per month during the pandemic was not statistically significant (P = 0.132), a higher percentage of patients underwent surgery during the pandemic compared to before (84.8% VS. 79.4%).
The study suggests that the COVID-19 pandemic did not have a negative impact on hip fracture management in the investigated orthopedic hospital in Iran. further research is needed to explore the effects of the pandemic on other aspects of healthcare services, particularly in general hospitals.
2019年冠状病毒病（COVID-19）大流行影响了全球许多慢性病的控制，包括髋部骨折。本研究旨在探讨COVID-19大流行对伊朗一家转诊骨科医院髋部骨折管理的影响。通过了解大流行如何影响髋部骨折患者的护理，我们可以深入了解在此类公共卫生危机期间骨科医疗保健面临的挑战、调整措施和潜在改进。
收集了大流行之前和期间入院的50岁及以上髋部骨折患者的数据。从医院信息系统（HIS）记录入院和手术数量、住院时间以及从入院到手术的时间，并在两个时期之间进行比较。
大流行期间每月髋部骨折入院患者的中位数略有增加（11%），尽管这一增加无统计学意义（p = 0.124）。在调整潜在混杂因素后，大流行期间的平均住院时间显著缩短，表明患者出院更快（p = 0.019），且大流行期间从入院到手术的时间更短（p = 0.004）。尽管大流行期间每月髋部骨折手术数量的增加无统计学意义（P = 0.132），但与之前相比，大流行期间接受手术的患者比例更高（84.8%对79.4%）。
该研究表明，COVID-19大流行对伊朗被调查的骨科医院的髋部骨折管理没有负面影响。需要进一步研究以探索大流行对医疗服务其他方面的影响，特别是在综合医院。
