Characteristics and clinical outcomes of hip fracture patients during the first lockdown of COVID-19, lessons learnt: A retrospective cohort analysis

Background The management of hip fracture patients has been challenging across the UK in the wake of emergency coronavirus disease 2019 guidelines. Aims This retrospective, observational cohort study analyses the impact of the first lockdown during the early part of the coronavirus disease 2019 pand...

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Bibliographic Details
Published in:Journal of perioperative practice 2021-12, Vol.31 (12), p.446-453
Main Authors: Iyengar, Karthikeyan P, Khatir, Mohammed, Mohamed, Muyed Kamal Awadalla, Kariya, Ankur D, Jain, Vijay Kumar, Sangani, Chetan, Adam, Riad F, Suraliwala, Khushroo
Format: Article
Language:English
Subjects:
Cohort analysis
Cohort Studies
Coronaviruses
COVID-19
Emergency medical care
Fractures
Hip Fractures - epidemiology
Hip Fractures - surgery
Hip joint
Humans
Infection Control
Mortality
Orthopedics
Pandemics
Retrospective Studies
SARS-CoV-2
Surgical outcomes
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Summary:Background The management of hip fracture patients has been challenging across the UK in the wake of emergency coronavirus disease 2019 guidelines. Aims This retrospective, observational cohort study analyses the impact of the first lockdown during the early part of the coronavirus disease 2019 pandemic on the management of hip fracture patients at a district general hospital in the UK. Methods Comparative analysis to assess hip fracture patients treated at this Trust between 1 April to 31 May 2019 and 1 April to 31 May 2020 was undertaken. The primary outcome measures appraised were 30 and 60-day mortality and the secondary outcome measure included time to surgery. Results There was a higher 30 and 60-day mortality rate in the first lockdown period at 8.1% and 13.5%, respectively, compared to 1.96% and 5.88% in 2019. A significantly lower proportion of hip fracture patients at 59.46% were operated within the 36h target time frame during the first lockdown. Conclusion In our Trust, hip fractures were treated as obligatory injuries. However, the mortality was higher in the 2020 cohort with a significant reduction in patients achieving the recommended ‘36 hours’ time to surgery target and accruement of Best Practice Tariff. Enhanced infection control strategies have prepared us for the future.
ISSN:1750-4589
2515-7949
DOI:10.1177/17504589211026067