Peri-operative Outcomes and Predictors of Mortality in COVID-19 Positive Patients with Hip Fractures: A Multicentre Stud
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ORIGINAL ARTICLE
Peri‑operative Outcomes and Predictors of Mortality in COVID‑19 Positive Patients with Hip Fractures: A Multicentre Study in the UK Chiranjit De1 · Alice Wignall2 · Vasileios Giannoudis3 · Andrea Jimenez3 · Simon Sturdee3 · Joseph Aderinto2 · Hemant Pandit2 · Jeya Palan2 · Aashish Gulati1 Received: 4 August 2020 / Accepted: 23 September 2020 © Indian Orthopaedics Association 2020
Abstract Aim This UK based multi-centre study reports clinical characteristics, early outcomes and predictors of mortality in 34 consecutive COVID-19-positive hip fractures so that the lessons learnt could be utilised in other parts of World who are at a different phase of the pandemic. Methods This study analysed patient admitted with hip fractures with COVID positive swabs, between March and May’2020 in three large hospitals covering a population of nearly two million. Data was collected on demographic profile, peri-operative variables, post-operative complications and mortality. The specific aim was to identify any variables, which could predict high 30-day mortality. Results Overall, 12% of hip fractures were COVID positive with the mortality rate of 41.2%. The higher age (p = 0.036) and male gender (p = 0.025) was significantly associated with mortality and most of the deaths were between American Society of Anaesthesiologists (ASA) grade 3 and 4 patients. The patients having intramedullary (IM) nailing were more likely to die (p = 0.02). There was no difference in laboratory parameters but there was significant difference in findings on chest radiographs (p
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