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
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
Autoři
GIACOMO, Placella, Giulia BETTINELLI (garant), 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 Česká republika, domácí), Daniel IRA (703 Slovensko, domácí), Martin PETRÁŠ (703 Slovensko, domácí), Luděk RYBA (203 Česká republika, domácí), Robert VYSKOČIL (203 Česká republika, domácí), Dominik PARÍŽEK (703 Slovensko, domácí), 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 a Salini VINCENZO
Vydání
Journal of Musculoskeletal Surgery and Research, India, Scientific Scholar, 2022, 2589-1219
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.
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 a 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, roč. 6, č. 2, s. 154-159. ISSN 2589-1219. Dostupné z: https://dx.doi.org/10.25259/JMSR_36_2022.
@article{2235441, author = {Giacomo, Placella and Bettinelli, Giulia and Alberto, Iacomella and Damiano, Salvato and Alberto, Belluati and Georgoulis, Jim and Zafeiris, Ioannis and Roustemis, Anastasios and Trikoupis, Ioannis and Kontogeorgakos, Vasileios and Bove, Antonio and Orabona, Nicola and Raffaele, Pepe and Adolfo, Cuomo and Roberto, Maddalena and Vincenzo, Caiaffa and Francesco, Ippolito and Giovanni, Palmisciano and Salvatore, Morello and Florio, Enrico Francesco and Giovanni, Colleluori and Stefano, Landi and Daniele, Stomeo and RodriguesandPinto, Ricardo and AmorimandBarbosa, Tiago and Diniz, Sara E and Neves, Nuno and Silva, Miguel Relvas and Lopes, Jorge and Krtička, Milan and Ira, Daniel and Petráš, Martin and Ryba, Luděk and Vyskočil, Robert and Parížek, Dominik and Roselli, Mauro and Montanari, Giuseppina and Giuseppe, Malerba and Mattia, Basilico and Nadia, Bonfiglio and Giulio, Maccauro and Luengo, Gonzalo and Gabardo, Santiago and Crespo, Calvo Emilio and GarciaandCoiradas, J. and BañoandBarragan, L. and SanchezandSaz, J. and ValleandCruz, J. and Omiste, Irene and Anglès, Francesc and Castillón, Pablo and Uriarte, Iker and Jimenez, Iñigo and Urra, Ioar and Nuñez, Jorge H. and Lakhani, Kushal and MinguellandMonyart, Joan and TeixidorandSerra, Jordi and GarciaandSanchez, Yaiza and OleoandTaltavull, Rafael and Kanakaris, Nikolaos and Ikechukwu, Ejiofor and Parkes, Jasmine and Villani, Ciro and Mario, Cecchini Enrico and Giuseppe, Rinonapoli and Carmelinda, Ruggiero and Lorenzo, Monacchini and Pietro, Gregori and Simone, Cerbasi and Carola, Donato and Raffaele, Pascarella and Vincenzo, Salini}, article_location = {India}, article_number = {2}, doi = {http://dx.doi.org/10.25259/JMSR_36_2022}, keywords = {COVID-19 pandemic; Elderly; Fracture; Proximal femur; Time to surgery}, language = {eng}, issn = {2589-1219}, journal = {Journal of Musculoskeletal Surgery and Research}, title = {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}, url = {https://journalmsr.com/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/}, volume = {6}, year = {2022} }
TY - JOUR ID - 2235441 AU - Giacomo, Placella - Bettinelli, Giulia - Alberto, Iacomella - Damiano, Salvato - Alberto, Belluati - Georgoulis, Jim - Zafeiris, Ioannis - Roustemis, Anastasios - Trikoupis, Ioannis - Kontogeorgakos, Vasileios - Bove, Antonio - Orabona, Nicola - Raffaele, Pepe - Adolfo, Cuomo - Roberto, Maddalena - Vincenzo, Caiaffa - Francesco, Ippolito - Giovanni, Palmisciano - Salvatore, Morello - Florio, Enrico Francesco - Giovanni, Colleluori - Stefano, Landi - Daniele, Stomeo - Rodrigues-Pinto, Ricardo - Amorim-Barbosa, Tiago - Diniz, Sara E - Neves, Nuno - Silva, Miguel Relvas - Lopes, Jorge - Krtička, Milan - Ira, Daniel - Petráš, Martin - Ryba, Luděk - Vyskočil, Robert - Parížek, Dominik - Roselli, Mauro - Montanari, Giuseppina - Giuseppe, Malerba - Mattia, Basilico - Nadia, Bonfiglio - Giulio, Maccauro - Luengo, Gonzalo - Gabardo, Santiago - Crespo, Calvo Emilio - Garcia-Coiradas, J. - Baño-Barragan, L. - Sanchez-Saz, J. - Valle-Cruz, J. - Omiste, Irene - Anglès, Francesc - Castillón, Pablo - Uriarte, Iker - Jimenez, Iñigo - Urra, Ioar - Nuñez, Jorge H. - Lakhani, Kushal - Minguell-Monyart, Joan - Teixidor-Serra, Jordi - Garcia-Sanchez, Yaiza - Oleo-Taltavull, Rafael - Kanakaris, Nikolaos - Ikechukwu, Ejiofor - Parkes, Jasmine - Villani, Ciro - Mario, Cecchini Enrico - Giuseppe, Rinonapoli - Carmelinda, Ruggiero - Lorenzo, Monacchini - Pietro, Gregori - Simone, Cerbasi - Carola, Donato - Raffaele, Pascarella - Vincenzo, Salini PY - 2022 TI - 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 JF - Journal of Musculoskeletal Surgery and Research VL - 6 IS - 2 SP - 154-159 EP - 154-159 PB - Scientific Scholar SN - 25891219 KW - COVID-19 pandemic KW - Elderly KW - Fracture KW - Proximal femur KW - Time to surgery UR - https://journalmsr.com/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/ N2 - 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. ER -
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 a 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. \textit{Journal of Musculoskeletal Surgery and Research}. India: Scientific Scholar, 2022, roč.~6, č.~2, s.~154-159. ISSN~2589-1219. Dostupné z: https://dx.doi.org/10.25259/JMSR\_{}36\_{}2022.