Should we operate on all patients with COVID-19 and proximal femoral fractures? An analysis of thirty, sixty, and ninety day mortality rates based on patients’ clinical presentation and comorbidity: a multicentric study in Northern Italy

Purpose This study aims to evaluate 30–60–90-day mortality of operated proximal femur fractures (PFFs) suffering from COVID-19 and correlation with patients’ clinical presentation and comorbidities. Methods Between February 1, 2020, and December 31, 2020, patients with COVID-19 infection and surgica...

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Bibliographic Details
Published in:International orthopaedics 2021-10, Vol.45 (10), p.2499-2505
Main Authors: Fusini, Federico, Massè, Alessandro, Risitano, Salvatore, Ferrera, Andrea, Enrietti, Emilio, Zoccola, Kristijan, Bianco, Giuseppe, Zanchini, Fabio, Colò, Gabriele
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Comorbidity
COVID-19
Femoral Fractures - epidemiology
Femoral Fractures - surgery
Hip Fractures
Humans
Italy - epidemiology
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Retrospective Studies
SARS-CoV-2
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Summary:Purpose This study aims to evaluate 30–60–90-day mortality of operated proximal femur fractures (PFFs) suffering from COVID-19 and correlation with patients’ clinical presentation and comorbidities. Methods Between February 1, 2020, and December 31, 2020, patients with COVID-19 infection and surgically treated PFF were included. Patients’ demographic characteristics, oxygen (O2) therapy, comorbidities, and AO type fracture were collected. Chi-square test or Fisher test and hazard ratio were used to assessing the correlation between mortality rate, patient characteristics, and COVID-19 status. Kaplan-Meyer curve was used to analyze 30–60–90-day mortality. Level of significance was set as p  
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-021-05166-3