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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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