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Perioperative mortality and morbidity of hip fractures among COVID-19 infected and non-infected patients: A systematic review and meta-analysis

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Chinese Journal of Traumatology 2023年第3期26卷 162-173页

作者： Sujit Kumar Tripathy Paulson Varghese Sibasish Panigrahi Bijnya Birajita Panda Anand Srinivasan Ramesh Kumar Sen Department of Orthopedics All India Institute of Medical SciencesBhubaneswar751019India Department of Ophthalmology Srirama Chandra Bhanja Medical College and HospitalCuttack753007India Department of Pharmacology All India Institute of Medical SciencesBhubaneswar751019India Department of Orthopaedics Max HospitalMohali160055India

Purpose:Hip fractures among elderly patients are surgical *** COVID-19 pandemic time,many such patients could not be operated at early time because of the limitation of the medical resources,the risk of infection and redirection of medical attention to a severe infective health ***:A search of electronic databases(PubMed,Medline,CINAHL,EMBASE and the Cochrane Central Register of Controlled Trials)with the keywords"COVID","COVID-19","SARS-COV-2","Corona","pandemic","hip fracture","trochanteric fracture"and"neck femur fracture"revealed 64 studies evaluating treatment of hip fracture in elderly patients during COVID-19 pandemic *** 30-day mortality rate,inpatient mortality rate,critical care/special care need,readmission rate and complications rate in both groups were *** were analyzed using Review Manager(RevMan)***:After screening,7 studies were identified that described the mortality and morbidity in hip fractures in both COVID-19 infected(COVID-19+)and non-infected(COVID-19-)*** were significantly increased risks of 30-day mortality(32.23%COVID-19+deathvs.8.85%COVID-19-death)and inpatient mortality(29.33%vs.2.62%)among COVID-19+patients with odds ratio(OR)of 4.84(95%CI:3.13-7.47,pfracture patients who are COVID-19+.The chances of developing pn

关键词： Hip fracture femur neck fracture Mortality COVID-19 Pandemic

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Thirty-day mortality of patients with hip fracture during COVID-19 pandemic and pre-pandemic periods:A systematic review and metaanalysis

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World Journal of Orthopedics 2021年第1期12卷 35-50页

作者： Sujit Kumar Tripathy Paulson Varghese Sibasish Panigrahi Bijnya Birajita Panda Sandeep Velagada Samrat Smrutiranjan Sahoo Monappa A Naik Sharath K Rao Department of Orthopedics All India Institute of Medical SciencesBhubaneswar 751019India Department of Orthopedics All India Institute of Medical SciencesBhubaneswarBhubaneswar 751019India Department of Ophthalmology SCB Medical CollegeCuttack 753007India Department of Orthopedics All India Institute of Medical SciencesNagpur 441108India Department of Orthopedics Kasturba Medical CollegeManipal Academy of Higher EducationManipalUdupiKarnataka 576104India Department of Orthopedics Kasturba Medical CollegeManipal Academy of Higher EducationManipalUdupiKarnatakaManipal 576104India

BACKGROUND Timely intervention in hip fracture is essential to decrease the risks of perioperative morbidity and ***,limitations of the resources,risk of disease transmission and redirection of medical attention to a more severe infective health problem during coronavirus disease 2019(COVID-19)pandemic period have affected the quality of care even in a surgical *** To compare the 30-d mortality rate and complications of hip fracture patients treated during COVID-19 pandemic and pre-pandemic *** The search of electronic databases on 1st August 2020 revealed 45 studies related to mortality of hip fracture during the COVID-19 pandemic and pre-pandemic *** careful screening,eight studies were eligible for quantitative and qualitative analysis of *** The pooled data of eight studies(n=1586)revealed no significant difference in 30-d mortality rate between the hip fracture patients treated during the pandemic and pre-pandemic periods[9.63%vs 6.33%;odds ratio(OR),0.62;95%CI,0.33,1.17;P=0.14].Even the 30-d mortality rate was not different between COVID-19 non-infected patients who were treated during the pandemic time,and all hip fracture patients treated during the pre-pandemic period(OR,1.03;95%CI,0.61,1.75;P=0.91).A significant difference in mortality rate was observed between COVID-19 positive and COVID-19 negative patients(OR,6.99;95%CI,3.45,14.16;Pfracture patients treated during the pandemic and pre-pandemic ***,the mortality risk was higher in COVID-19 positive patients compared to COVID-19 negativ

关键词： Hip fracture femur neck fracture Trochanter fracture Mortality Pandemic COVID-19

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