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10.1007/s43465-021-00386-6

http://scihub22266oqcxt.onion/10.1007/s43465-021-00386-6
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suck abstract from ncbi


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pmid33678822      Indian+J+Orthop 2021 ; 55 (3): 571-581
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  • 30-Day Mortality Rate in Hip Fractures Among the Elderly with Coexistent COVID-19 Infection: A Systematic Review #MMPMID33678822
  • Kumar P; Jindal K; Aggarwal S; Kumar V; Rajnish RK
  • Indian J Orthop 2021[Jun]; 55 (3): 571-581 PMID33678822show ga
  • PURPOSE: Hip fractures in the elderly require a multi-disciplinary approach and are associated with increased morbidity and mortality. The current COVID-19 pandemic has affected substantially this high-risk population group. This present review was done to ascertain whether or not the pandemic has affected the 30-day mortality and outcomes of hip fracture in the elderly. RESEARCH QUESTION: Does the coexistence of COVID-19 infection and hip fractures in the elderly increase the mortality rates? METHODOLOGY: A systematic review and meta-analysis were conducted using three databases (PubMed, EMBASE and SCOPUS) to compare the mortality rates between COVID-19 positive/suspect and COVID-19 negative patients. The secondary outcomes included comparison of in-hospital mortality, complication rate and length of hospital stay. Risk of bias assessment was done using the MINORS tool. RESULTS: The present review included 20 studies. Primary outcome: A significantly higher 30 day mortality rate was seen in COVID-19 positive/suspect patients with an Odds ratio of 6.09 (95% CI 4.75-8.59, p < 0.00001). Secondary outcome: We observed significantly higher rates of inpatient mortality [OR 18.22, (95% CI 7.10-46.75], complication rate (OR 9.28, 95% CI 4.46-19.30), and length of hospital stay (MD: 4.96, 95% CI 2.86-7.05) in COVID-19 positive/suspect patients as compared to COVID-19 negative patients. CONCLUSION: COVID-19 has deteriorated the outcomes in elderly patients with hip fractures and associated with higher rates of mortality in the short term. A multidisciplinary approach is needed to contain this "pandemic within a pandemic" and improve the overall outcome to survival.
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