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10.1016/j.redar.2020.10.003

http://scihub22266oqcxt.onion/10.1016/j.redar.2020.10.003
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suck abstract from ncbi


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pmid33461768      Rev+Esp+Anestesiol+Reanim+(Engl+Ed) 2021 ; 68 (2): 65-72
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  • Impacto de la pandemia COVID-19 en la mortalidad del paciente anciano con fractura de cadera #MMPMID33461768
  • Biarnes-Sune A; Sola-Enriquez B; Gonzalez Posada MA; Teixidor-Serra J; Garcia-Sanchez Y; Manrique Munoz S
  • Rev Esp Anestesiol Reanim (Engl Ed) 2021[Feb]; 68 (2): 65-72 PMID33461768show ga
  • COVID-19 became a threat to the public health system, compromising the health of the population. Patients with hip fractures, due to their age and comorbidity, were high-risk patients in this pandemic. The purpose of this study was to observe how the pandemic affected the management of hip fractures in elderly patients. METHODS: This is a descriptive, retrospective study of all patients over the age of 65 diagnosed with a hip fracture that came to the emergency room of Vall d'Hebron University Hospital in the COVID-19 pandemic period, from the 11th of March to the 24th of April 2020. They were followed up during their hospital stay and 30 days after the fracture. RESULTS: A total of 63 patients were included, 18 (28.6%) of whom had a positive RT-qPCR for COVID-19. Four could not be operated on due to the severity of the disease they presented with upon admission, dying a few days afterwards. Three of these patients had COVID-19. The 83.3% of the patients with positive RT-qPCR presented respiratory symptoms during their hospitalization. The length of hospital stays of patients with a positive RT-qPCR (18.25+/-8.99 days) was longer than that of patients that were RT-qPCR negative (10.9+/-4.52 days) (P=.01). In-hospital mortality in operated patients was 20% in patients with a positive RT-qPCR, compared with 2.3% in the group of patients who tested negative (P=.018). Mortality at 30 days was 40% in the group with positive RT-qPCR vs 6.8% in patients not infected by SARS-CoV-2 (P=.002). CONCLUSION: SARS-CoV-2 infection in elderly patients with hip fractures increases both the length of hospital stay, as well as in-hospital and 30-day mortality.
  • |*Hospital Mortality[MESH]
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19 Nucleic Acid Testing/statistics & numerical data[MESH]
  • |COVID-19/epidemiology/*mortality[MESH]
  • |Female[MESH]
  • |Hip Fractures/*mortality/surgery[MESH]
  • |Humans[MESH]
  • |Length of Stay/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Prevalence[MESH]
  • |Retrospective Studies[MESH]
  • |Sex Factors[MESH]


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