The effect of COVID-19 positivity on inflammatory parameters and thirty day mortality rates in patients over sixty five years of age with surgically treated intertrochanteric fractures

• Published in: International orthopaedics 2021-12, Vol.45 (12), p.3025-3031
• Main Authors: Bayrak, Alkan, Duramaz, Altuğ, Çakmur, Başar Burak, Kural, Cemal, Basaran, Serdar Hakan, Erçin, Ersin, Kural, Alev, Ursavaş, Hüseyin Tamer
• Format: Article
• Language: English
• Subjects: Bone Nails; COVID-19; Female; Fracture Fixation, Intramedullary - adverse effects; Hip Fractures - surgery; Humans; Male; Medicine; Medicine & Public Health; Original Paper; Orthopedics; Retrospective Studies; SARS-CoV-2; Treatment Outcome
• ISSN: 0341-2695; 1432-5195
• DOI: 10.1007/s00264-021-05201-3

Purpose To evaluate the effect of COVID-19 positivity on inflammatory parameters and 30-day mortality rates in patients over 65 years of age who were operated on for intertrochanteric femur fractures (IFF). Methods Eighty-seven patients (31 males, 56 females) who had a dynamic hip screw (DHS) or proximal femur nail (PFN) for the IFF between March 2020 and November 2020 were included in the study. The patients were divided into two groups as COVID-19 confirmed and probable positive (Group 1) and COVID-19 negative (Group 2). Time to surgery, operation duration, length of hospital stay, 30-day mortality, rates of the intensive care unit (ICU) referral, and inflammatory parameters such as haemoglobin, CRP, sedimentation, PCT, D-Dimer, and ferritin were evaluated. Results No significant difference was observed in terms of demographic data such as age, gender, comorbidity, and fracture type between the groups. Thirty-day mortality, ICU referral rate, blood transfusion rate, and hospitalization period were higher in Group 1 ( p  = 0.016, p  = 0.012, p  = 0.031, and p  = 0.011, respectively). The inflammatory parameters were higher in Group 1 compared to Group 2 in the preoperative and postoperative periods ( p