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

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076446" target="_blank" >RIV/65269705:_____/22:00076446 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/22:00127292

Výsledek na webu

<a href="https://journalmsr.com/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/" target="_blank" >https://journalmsr.com/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/</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.25259/JMSR_36_2022" target="_blank" >10.25259/JMSR_36_2022</a>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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

Název v anglickém jazyce

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

Popis výsledku anglicky

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

Druh

J_SC - Článek v periodiku v databázi SCOPUS

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Journal of Musculoskeletal Surgery and Research

ISSN

2589-1219

e-ISSN

2589-1227

Svazek periodika

6

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

SA - Království Saúdská Arábie

Počet stran výsledku

6

Strana od-do

154-159

Kód UT WoS článku

—

EID výsledku v databázi Scopus

2-s2.0-85140980402