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
نویسندگان
چکیده
Objectives: Hip fractures in the elderly are common injuries that need timely surgical management. Since beginning of pandemic, patients with a proximal femoral fracture (PFF) experienced delay time to surgery. The primary aim this study was evaluate possible variation mortality PFF when comparing COVID-19 negative versus positive. Methods: This is multicentric and retrospective including 3232 who underwent variables taken into account were age, gender, elapsed between arrival at emergency room intervention, pre-operative American Society Anesthesiology score, cardiovascular respiratory disease, 10-day/1-month/6-month mortality. For 2020, we had an additional column, “COVID-19 swab positivity.” Results: infection represents independent risk factor PFFs. Despite time-to-surgery occurring no statistically significant terms detected. Within our sample, difference not detected 6 months, operated within beyond 48 h, as well those or after 12/24/72 h. rate among subjects tested positive for significantly higher than tested. positivity resulted PFF. Conclusion: most recent literature recommending operating soon possible, found before h from diagnosis.
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ژورنال
عنوان ژورنال: Journal of musculoskeletal surgery and research
سال: 2022
ISSN: ['2589-1219', '2589-1227']
DOI: https://doi.org/10.25259/jmsr_36_2022