Salazar Giuseppe Orsi, Mouraria Guilherme Grisi, Etchebehere Maurício, Pagnano Rodrigo Gonçalves
Hospital das Clinicas da Universidade Estadual de Campinas (Unicamp), Unicamp, Campinas, SP, Brazil.
Acta Ortop Bras. 2024 Oct 7;32(4):e278635. doi: 10.1590/1413-785220243204e278635. eCollection 2024.
Evaluate the prevalence of hospital mortality in older adult patients with femoral fracture undergoing surgical treatment during the COVID-19 pandemic period, and to evaluate whether COVID-19 infection, clinical, and orthopedic factors interfered with mortality.
A retrospective study was conducted by reviewing medical records. Patients over 60 years of age with proximal femoral fracture undergoing surgical treatment were included. Overall mortality was calculated, as well as mortality whose primary or secondary cause was COVID-19 infection, to determine if infection influenced patient mortality. Clinical and orthopedic factors that interfered with mortality were evaluated. Categorical variables were compared using the Chi-square test or Fisher's exact test. Both unpaired t-test (parametric variables) and Mann-Whitney test (non-parametric variables) were used. The Kaplan-Meier mortality curve was constructed.
The mortality of older adult patients with femoral fracture undergoing surgical treatment during the COVID-19 pandemic was 4.2%. Male sex, older age, and those who underwent blood transfusion had higher mortality rates. COVID-infected patients had ten times more chance of death and died twice as fast as the non-infected population.
评估在新冠疫情期间接受手术治疗的老年股骨骨折患者的医院死亡率，并评估新冠病毒感染、临床因素和骨科因素是否会影响死亡率。
通过回顾病历进行一项回顾性研究。纳入60岁以上接受近端股骨骨折手术治疗的患者。计算总体死亡率，以及主要或次要原因是新冠病毒感染的死亡率，以确定感染是否影响患者死亡率。评估影响死亡率的临床和骨科因素。分类变量使用卡方检验或费舍尔精确检验进行比较。同时使用不成对t检验（参数变量）和曼-惠特尼检验（非参数变量）。构建了Kaplan-Meier死亡率曲线。
在新冠疫情期间接受手术治疗的老年股骨骨折患者的死亡率为4.2%。男性、年龄较大以及接受输血的患者死亡率较高。新冠病毒感染患者的死亡几率高出十倍，死亡速度是未感染人群的两倍。
