GIACOMO, Placella, Giulia BETTINELLI, Iacomella ALBERTO, Salvato DAMIANO, Belluati ALBERTO, Jim GEORGOULIS, Ioannis ZAFEIRIS, Anastasios ROUSTEMIS, Ioannis TRIKOUPIS, Vasileios KONTOGEORGAKOS, Antonio BOVE, Nicola ORABONA, Pepe RAFFAELE, Cuomo ADOLFO, Maddalena ROBERTO, Caiaffa VINCENZO, Ippolito FRANCESCO, Palmisciano GIOVANNI, Morello SALVATORE, Enrico Francesco FLORIO, Colleluori GIOVANNI, Landi STEFANO, Stomeo DANIELE, Ricardo RODRIGUES-PINTO, Tiago AMORIM-BARBOSA, Sara E DINIZ, Nuno NEVES, Miguel Relvas SILVA, Jorge LOPES, Milan KRTIČKA, Daniel IRA, Martin PETRÁŠ, Luděk RYBA, Robert VYSKOČIL, Dominik PARÍŽEK, Mauro ROSELLI, Giuseppina MONTANARI, Malerba GIUSEPPE, Basilico MATTIA, Bonfiglio NADIA, Maccauro GIULIO, Gonzalo LUENGO, Santiago GABARDO, Calvo Emilio CRESPO, J. GARCIA-COIRADAS, L. BAÑO-BARRAGAN, J. SANCHEZ-SAZ, J. VALLE-CRUZ, Irene OMISTE, Francesc ANGLÈS, Pablo CASTILLÓN, Iker URIARTE, Iñigo JIMENEZ, Ioar URRA, Jorge H. NUÑEZ, Kushal LAKHANI, Joan MINGUELL-MONYART, Jordi TEIXIDOR-SERRA, Yaiza GARCIA-SANCHEZ, Rafael OLEO-TALTAVULL, Nikolaos KANAKARIS, Ejiofor IKECHUKWU, Jasmine PARKES, Ciro VILLANI, Cecchini Enrico MARIO, Rinonapoli GIUSEPPE, Ruggiero CARMELINDA, Monacchini LORENZO, Gregori PIETRO, Cerbasi SIMONE, Donato CAROLA, Pascarella RAFFAELE and Salini VINCENZO. Is it really advantageous to operate proximal femoral fractures within 48 h from diagnosis? – A multicentric retrospective study exploiting COVID pandemic-related delays in time to surgery. Journal of Musculoskeletal Surgery and Research. India: Scientific Scholar, 2022, vol. 6, No 2, p. 154-159. ISSN 2589-1219. Available from: https://dx.doi.org/10.25259/JMSR_36_2022.
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Original name Is it really advantageous to operate proximal femoral fractures within 48 h from diagnosis? – A multicentric retrospective study exploiting COVID pandemic-related delays in time to surgery
Authors GIACOMO, Placella, Giulia BETTINELLI (guarantor), Iacomella ALBERTO, Salvato DAMIANO, Belluati ALBERTO, Jim GEORGOULIS, Ioannis ZAFEIRIS, Anastasios ROUSTEMIS, Ioannis TRIKOUPIS, Vasileios KONTOGEORGAKOS, Antonio BOVE, Nicola ORABONA, Pepe RAFFAELE, Cuomo ADOLFO, Maddalena ROBERTO, Caiaffa VINCENZO, Ippolito FRANCESCO, Palmisciano GIOVANNI, Morello SALVATORE, Enrico Francesco FLORIO, Colleluori GIOVANNI, Landi STEFANO, Stomeo DANIELE, Ricardo RODRIGUES-PINTO, Tiago AMORIM-BARBOSA, Sara E DINIZ, Nuno NEVES, Miguel Relvas SILVA, Jorge LOPES, Milan KRTIČKA (203 Czech Republic, belonging to the institution), Daniel IRA (703 Slovakia, belonging to the institution), Martin PETRÁŠ (703 Slovakia, belonging to the institution), Luděk RYBA (203 Czech Republic, belonging to the institution), Robert VYSKOČIL (203 Czech Republic, belonging to the institution), Dominik PARÍŽEK (703 Slovakia, belonging to the institution), Mauro ROSELLI, Giuseppina MONTANARI, Malerba GIUSEPPE, Basilico MATTIA, Bonfiglio NADIA, Maccauro GIULIO, Gonzalo LUENGO, Santiago GABARDO, Calvo Emilio CRESPO, J. GARCIA-COIRADAS, L. BAÑO-BARRAGAN, J. SANCHEZ-SAZ, J. VALLE-CRUZ, Irene OMISTE, Francesc ANGLÈS, Pablo CASTILLÓN, Iker URIARTE, Iñigo JIMENEZ, Ioar URRA, Jorge H. NUÑEZ, Kushal LAKHANI, Joan MINGUELL-MONYART, Jordi TEIXIDOR-SERRA, Yaiza GARCIA-SANCHEZ, Rafael OLEO-TALTAVULL, Nikolaos KANAKARIS, Ejiofor IKECHUKWU, Jasmine PARKES, Ciro VILLANI, Cecchini Enrico MARIO, Rinonapoli GIUSEPPE, Ruggiero CARMELINDA, Monacchini LORENZO, Gregori PIETRO, Cerbasi SIMONE, Donato CAROLA, Pascarella RAFFAELE and Salini VINCENZO.
Edition Journal of Musculoskeletal Surgery and Research, India, Scientific Scholar, 2022, 2589-1219.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher India
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/22:00127292
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.25259/JMSR_36_2022
Keywords in English COVID-19 pandemic; Elderly; Fracture; Proximal femur; Time to surgery
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 29/11/2022 12:46.
Abstract
OBJECTIVES: Hip fractures in the elderly are common injuries that need timely surgical management. Since the beginning of the pandemic, patients with a proximal femoral fracture (PFF) experienced a delay in time to surgery. The primary aim of this study was to evaluate a possible variation in mortality in patients with PFF when comparing COVID-19 negative versus positive. METHODS: This is a multicentric and retrospective study including 3232 patients with PFF who underwent surgical management. The variables taken into account were age, gender, the time elapsed between arrival at the emergency room and intervention, pre-operative American Society of Anesthesiology score, pre-operative cardiovascular and respiratory disease, and 10-day/1-month/6-month mortality. For 2020, we had an additional column, “COVID-19 swab positivity.” RESULTS: COVID-19 infection represents an independent mortality risk factor in patients with PFFs. Despite the delay in time-to-surgery occurring in 2020, no statistically significant variation in terms of mortality was detected. Within our sample, a statistically significant difference was not detected in terms of mortality at 6 months, in patients operated within and beyond 48 h, as well as no difference between those operated within or after 12/24/72 h. The mortality rate among subjects with PFF who tested positive for COVID-19 was statistically significantly higher than in patients with PFF who tested. COVID-19 positivity resulted in an independent factor for mortality after PFF. CONCLUSION: Despite the most recent literature recommending operating PFF patients as soon as possible, no significant difference in mortality was found among patients operated before or after 48 h from diagnosis.
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