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10.1007/s00264-020-04769-6

http://scihub22266oqcxt.onion/10.1007/s00264-020-04769-6
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32772318!7414899!32772318
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suck abstract from ncbi


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pmid32772318      Int+Orthop 2020 ; 44 (10): 1887-1895
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  • Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology #MMPMID32772318
  • Slullitel PA; Lucero CM; Soruco ML; Barla JD; Benchimol JA; Boietti BR; Zanotti G; Comba F; Taype-Zamboni DR; Carabelli GS; Piccaluga F; Sancineto CF; Diehl M; Buttaro MA
  • Int Orthop 2020[Oct]; 44 (10): 1887-1895 PMID32772318show ga
  • PURPOSE: To analyse the impact of prolonged mandatory lockdown due to COVID-19 on hip fracture epidemiology. METHODS: Retrospective case-control study of 160 hip fractures operated upon between December 2019 and May 2020. Based on the date of declaration of national lockdown, the cohort was separated into two groups: 'pre-COVID time' (PCT), including 86 patients, and 'COVID time' (CT), consisting of 74 patients. All CT patients tested negative for SARS-CoV-2. Patients were stratified based on demographic characteristics. Outcome measures were 30-day complications, readmissions and mortality. A logistic regression model was run to evaluate factors associated with mortality. RESULTS: Age, female/male ratio, body mass index and American Society of Anaesthesia score were similar between both groups (p > 0.05). CT patients had a higher percentage of Charlson >/= 5 and Rockwood Frailty Index >/= 5 scores (p < 0.05) as well as lower UCLA and Instrumental Activities of Daily Living scores (p < 0.05). This translated into a higher hemiarthroplasty/total hip arthroplasty ratio during CT (p = 0.04). Thromboembolic disease was higher during CT (p = 0.02). Readmissions (all negative for SARS-CoV-2) were similar between both groups (p = 0.34). Eight (10.8%) casualties were detected in the CT group, whereas no deaths were seen in the control group. Logistic regression showed that frailer (p = 0.006, OR 10.46, 95%CI 8.95-16.1), less active (p = 0.018, OR 2.45, 95%CI 1.45-2.72) and those with a thromboembolic event (p = 0.005, OR 30, 95%CI 11-42) had a higher risk of mortality. CONCLUSION: Despite testing negative for SARS-CoV-2, CT patients were less active and frailer than PCT patients, depicting an epidemiological shift that was associated with higher mortality rate.
  • |*Betacoronavirus[MESH]
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |Activities of Daily Living[MESH]
  • |Arthroplasty, Replacement, Hip[MESH]
  • |COVID-19[MESH]
  • |Case-Control Studies[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Hemiarthroplasty[MESH]
  • |Hip Fractures/*epidemiology/surgery[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Retrospective Studies[MESH]


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