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Hip fracture in elderly and COVID-19 infection. Report of 3 cases
J M Rabanal LLevot1, F M Moreno Suarez1, A Merodio Gómez1
1Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
Insights
Hip fracture surgery during COVID-19 infection is risky but can have good outcomes. Three patients with COVID-19 underwent hip fracture repair with successful recovery and hospital discharge.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Critical Care Medicine
Background:
- The COVID-19 pandemic significantly disrupted healthcare, including surgical services.
- Hip fracture patients are often elderly with comorbidities, requiring timely surgical intervention.
- Surgery in patients with active COVID-19 infection is associated with poor outcomes and increased mortality.
Abstract:
Since its first description in china in January 2020, COVID-19 pandemia outbreak has affected health organization and conventional care in all settings as wards, intensive care and surgery. Hip fracture patients usually are older and have a lot of comorbidities. This type of patientes benefit from early surgery. However, surgery in COVID-19 patients with active infection is associate with bad outcomes and mortality. We present three patients with COVID infection undergoing hip fracture surgery. Surgery was performed tree weeks after admission. Despite have risk factor (old age, arterial hypertension, elevated inflammatory parameters) the outcome was good and were discharged from hospital without events.
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