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Updated: Nov 1, 2025
Assessment of Bone Fracture Healing Using Micro-Computed Tomography
Published on: December 9, 2022
Mortality Predictors in Covid-19 Positive Patients with Fractures: A Systematic Review
Arvind Kumar1, Yawar Haider1, Jigyasa Passey2
1Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Objective:
To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data.
Methods:
Keywords such as "fracture" and "COVID or COVID-19" were searched through three major databases includes PubMed, EMBASE, and Google Scholar. Selection criteria were all published reports providing the mortality related information of COVID-19 positive fracture patients. Published papers containing mortality data of COVID-19 positive fracture patients were considered for qualitative review. For meta-analysis, the presenting individual's data were considered to study the different parameters association with mortality.
Results:
The rate of mean mortality in COVID-19 positive fracture patients was 34%, and 91.7% of patients had hip fractures. Older age and hip fractures had a significant association with higher mortality rates in COVID-19 positive fracture patients.
Conclusion:
The mortality rates are considerably higher in COVID-19 positive patients with fractures compared to COVID-19 positive patients without fractures and to the COVID-19 negative fracture patients. Early surgical intervention should be preferred in hip fractures among COVID-19 positive patients for general stabilization and improved respiratory function. Older age and hip fractures are the main predictors of mortality in these patients.
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