Incidence of hip fractures in period of covid-19 pandemic
Abstract: INTRODUCTION: Most fractures occur at home as a result of accidental falls, so it was to be expected that the policy of social isolation would not prevent them. For this same reason, a significant reduction in the incidence of fragility fractures of the hip was not anticipat...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34922 |
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I10-R327-article-34922 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
incidence hospitalization hip fracture Covid-19 pandemic incidencia internación fractura de cadera Covid-19 pandemia . |
| spellingShingle |
incidence hospitalization hip fracture Covid-19 pandemic incidencia internación fractura de cadera Covid-19 pandemia . Coronel, JR Aliaga, M Quinteros , M Simondi , N Palenque Paputsachis , F Sanchez Carpio , D Incidence of hip fractures in period of covid-19 pandemic |
| topic_facet |
incidence hospitalization hip fracture Covid-19 pandemic incidencia internación fractura de cadera Covid-19 pandemia . |
| author |
Coronel, JR Aliaga, M Quinteros , M Simondi , N Palenque Paputsachis , F Sanchez Carpio , D |
| author_facet |
Coronel, JR Aliaga, M Quinteros , M Simondi , N Palenque Paputsachis , F Sanchez Carpio , D |
| author_sort |
Coronel, JR |
| title |
Incidence of hip fractures in period of covid-19 pandemic |
| title_short |
Incidence of hip fractures in period of covid-19 pandemic |
| title_full |
Incidence of hip fractures in period of covid-19 pandemic |
| title_fullStr |
Incidence of hip fractures in period of covid-19 pandemic |
| title_full_unstemmed |
Incidence of hip fractures in period of covid-19 pandemic |
| title_sort |
incidence of hip fractures in period of covid-19 pandemic |
| description |
Abstract:
INTRODUCTION:
Most fractures occur at home as a result of accidental falls, so it was to be expected that the policy of social isolation would not prevent them.
For this same reason, a significant reduction in the incidence of fragility fractures of the hip was not anticipated a priori during this period. However, while several authors have observed a general decrease of up to 40% in the number of care for fracture, noting at the same time the non-decrease in the incidence of fragility fractures in general or of hip fractures in particular, Others have identified a specific reduction in the incidence of this type of fracture, although recognizing that a late presentation may have occurred in the temporal evolution of the pandemic. In any case, its surgery has been, is and will be one of the most commonly performed operations during the entire time of the pandemic, reaching more than 50% of hospitalization surgeries for several clinical series.
OBJECTIVE:
The objective of this study is to demonstrate the incidence of hip fractures in times of pandemic with quarantine restrictions that are hospitalized and with corresponding treatment, comparing data with the last two years without quarantine restrictions.
MATERIALS AND METHODS:
longitudinal and comparative retrospective study in patients of both sexes, admitted to the Italian hospital in Córdoba between 45 and 96 years old, with an average age of 70 years with surgical conduct fractures in the years 2018, 2019 without pandemic restriction, comparing their data with the year 2020 affected by the COVID-19 Pandemic and its quarantine status. We used exclusion criteria for scheduled surgeries and only emergency admissions with a diagnosis of hip fracture were included. The patients were followed from admission to hospital discharge.
RESULTS:
Comparing emergency trauma consultation periods, a significant reduction in the number of emergency visits was identified in the 2020 period, which had approximately a quarter of trauma admissions of any other period studied. No statistically significant differences were found in the category of admissions for hip fracture, when we compared the different periods (p = 0.2). In the periods studied, hip fracture was the most common reason for hospital admissions. In addition, the number of hospital admissions for hip fracture remained relatively stable during these periods: 236 patients in the 2018 period, 244 in the 2019 period, 252 in the 2020 period with a slight increase in it during the period of preventive social isolation and Mandatory during the COVID-19 pandemic.
CONCLUSION:
The most important finding identified in the present study is that the absolute volume of admissions for hip fracture remained stable during the 2020 pandemic period. Despite the restrictions, no variations were recorded in epidemiological or pathological data regarding hip fractures.
When developing contingency plans to reallocate resources during states of emergency, care must be taken not to assume that all trauma presentations will diminish. Health problems such as hip fractures can, in fact, remain stable in incidence during those times or even increase. In addition, since fractures disproportionately affect an elderly population with multiple comorbidities, operative delays can increase the risks of hospital mortality and nosocomial infection with the Covid-19 virus.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/34922 |
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2024-09-03T21:02:47Z |
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2024-09-03T21:02:47Z |
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I10-R327-article-349222024-04-15T16:19:09Z Incidence of hip fractures in period of covid-19 pandemic Incidencia de fracturas de cadera en periodo de aislamiento social por COVID-19 A Coronel, JR Aliaga, M Quinteros , M Simondi , N Palenque Paputsachis , F Sanchez Carpio , D incidence hospitalization hip fracture Covid-19 pandemic incidencia internación fractura de cadera Covid-19 pandemia . Abstract: INTRODUCTION: Most fractures occur at home as a result of accidental falls, so it was to be expected that the policy of social isolation would not prevent them. For this same reason, a significant reduction in the incidence of fragility fractures of the hip was not anticipated a priori during this period. However, while several authors have observed a general decrease of up to 40% in the number of care for fracture, noting at the same time the non-decrease in the incidence of fragility fractures in general or of hip fractures in particular, Others have identified a specific reduction in the incidence of this type of fracture, although recognizing that a late presentation may have occurred in the temporal evolution of the pandemic. In any case, its surgery has been, is and will be one of the most commonly performed operations during the entire time of the pandemic, reaching more than 50% of hospitalization surgeries for several clinical series. OBJECTIVE: The objective of this study is to demonstrate the incidence of hip fractures in times of pandemic with quarantine restrictions that are hospitalized and with corresponding treatment, comparing data with the last two years without quarantine restrictions. MATERIALS AND METHODS: longitudinal and comparative retrospective study in patients of both sexes, admitted to the Italian hospital in Córdoba between 45 and 96 years old, with an average age of 70 years with surgical conduct fractures in the years 2018, 2019 without pandemic restriction, comparing their data with the year 2020 affected by the COVID-19 Pandemic and its quarantine status. We used exclusion criteria for scheduled surgeries and only emergency admissions with a diagnosis of hip fracture were included. The patients were followed from admission to hospital discharge. RESULTS: Comparing emergency trauma consultation periods, a significant reduction in the number of emergency visits was identified in the 2020 period, which had approximately a quarter of trauma admissions of any other period studied. No statistically significant differences were found in the category of admissions for hip fracture, when we compared the different periods (p = 0.2). In the periods studied, hip fracture was the most common reason for hospital admissions. In addition, the number of hospital admissions for hip fracture remained relatively stable during these periods: 236 patients in the 2018 period, 244 in the 2019 period, 252 in the 2020 period with a slight increase in it during the period of preventive social isolation and Mandatory during the COVID-19 pandemic. CONCLUSION: The most important finding identified in the present study is that the absolute volume of admissions for hip fracture remained stable during the 2020 pandemic period. Despite the restrictions, no variations were recorded in epidemiological or pathological data regarding hip fractures. When developing contingency plans to reallocate resources during states of emergency, care must be taken not to assume that all trauma presentations will diminish. Health problems such as hip fractures can, in fact, remain stable in incidence during those times or even increase. In addition, since fractures disproportionately affect an elderly population with multiple comorbidities, operative delays can increase the risks of hospital mortality and nosocomial infection with the Covid-19 virus. Resumen: Introducción La fractura de cadera se presenta habitualmente en el adulto mayor que sufre una caída en su ambiente domiciliario. El grado de comorbilidades, el deterioro en la calidad ósea y el tipo de fractura, serán factores preponderantes que considerar en la decisión del tratamiento quirúrgico. Las restricciones sociales impuestas en nuestro país, como medidas preventivas sanitarias tendientes a disminuir la propagación pandémica causada por el virus SARS-CoV-2, comenzaron en marzo del 2020. Las disposiciones gubernamentales aplicadas con un estricto confinamiento restringieron la vigilancia de enfermedades crónicas, atenciones médicas programadas y la práctica de actividades físicas o recreativas. Estas razones, suponían en un primer momento, un aumento significativo en la incidencia de fracturas de cadera. Objetivo Analizar la incidencia de internaciones por fracturas de cadera, durante el confinamiento pandémico por COVID-19. Material y Métodos Estudio retrospectivo longitudinal y comparativo de una serie de pacientes internados en nuestra institución con diagnóstico de fractura de cadera, entre junio de 2019 y diciembre 2020. La cohorte fue dividida en dos grupos, a partir de la fecha de declaración gubernamental del aislamiento social preventivo y obligatorio (20 de marzo de 2020). El primer grupo correspondió a un tiempo pre-COVID (TPC) y segundo grupo a casos durante el COVID (TC). Se excluyeron casos por cirugías programadas y politraumatizados. Resultados Se registro un total de 496 pacientes internados por fractura de cadera, 244 (49,2 %) correspondieron a TPC y 252 (50, 8%) a casos TC. La edad promedio fue 70,3 años (rango 45 – 96 años). En cuanto al sexo el 81 % (401 pacientes) fueron femeninos y el 19 % (95 pacientes) masculinos. No se encontraron diferencias estadísticamente significativas en la categoría de ingresos por fractura de cadera, al comparar los diferentes períodos (p = 0,2). La fractura de cadera fue el motivo más frecuente de internación en traumatología, aunque permaneció invariable respecto a periodos previos. Conclusiones La incidencia de internación por fractura de cadera se mantuvo estable durante los primeros meses de confinamiento pandémico. A pesar de las restricciones no se registraron variaciones epidemiológicas con respecto a las fracturas de cadera. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34922 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |