Related Experiment Video

Updated: Oct 27, 2025

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

14.7K

COVID-19 Shelter-In-Place Orders Associated With Delayed Presentation and Deep Venous Thrombosis in Geriatric Hip

Juntian Wang, Kathleen Breda, Charles N Moon

    Orthopedics
    |July 22, 2021
    PubMed

    Insights

    Geriatric hip fracture patients during COVID-19 shelter-in-place orders presented later for care and had increased deep venous thrombosis (DVT) risk. Timely surgical intervention for hip fractures remains crucial.

    Area of Science:

    • Orthopedic Surgery
    • Geriatric Medicine
    • Epidemiology

    Background:

    • Geriatric hip fractures necessitate prompt surgical intervention for optimal outcomes.
    • The COVID-19 pandemic introduced unprecedented public health measures, including shelter-in-place (SIP) orders.
    • These restrictions potentially impacted patient care-seeking behaviors and healthcare access.

    Purpose of the Study:

    • To investigate the hypothesis that geriatric hip fracture patients were more likely to present for care more than 24 hours after injury during SIP orders.
    • To assess the impact of SIP mandates on the timing of hospital presentation for geriatric hip fractures.
    • To evaluate associated preoperative outcomes, including deep venous thrombosis (DVT) and mortality rates.

    Main Methods:

    • Retrospective cohort study comparing patients aged 65+ with hip fractures.
    • SIP group: March 20-May 24, 2020 (during SIP orders).
    • Historical group: March 20-May 24, 2019 (pre-SIP).
    • Primary outcomes: Presentation >24 hours post-injury, time from injury to presentation.
    • Secondary outcomes: Preoperative DVT incidence, 30- and 90-day mortality.

    Main Results:

    • The SIP group (n=33) showed a higher incidence of presentation >24 hours post-injury (P=.05).
    • Mean days from injury to presentation were significantly greater in the SIP group (P=.02).
    • A significant difference in preoperative DVT incidence was observed between groups (P=.03).
    • No significant differences in 30- or 90-day mortality rates were found.

    Conclusions:

    • Geriatric hip fracture patients during COVID-19 SIP restrictions experienced delays in seeking medical attention.
    • These delays were associated with an increased incidence of preoperative DVT.
    • The findings underscore the importance of maintaining timely access to care for vulnerable populations during public health crises.

    More Related Videos

    A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis10:26

    A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

    Published on: June 2, 2015

    17.5K
    In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy07:43

    In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

    Published on: July 2, 2021

    3.2K

    Related Concept Videos

    Venous Thrombosis III: Interprofessional Care01:29

    Venous Thrombosis III: Interprofessional Care

    Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
    68
    Venous Thrombosis I: Introduction01:30

    Venous Thrombosis I: Introduction

    Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
    83
    Venous Thrombosis IV: Nursing Management01:30

    Venous Thrombosis IV: Nursing Management

    Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
    59
    Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

    Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

    The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
    80
    Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

    Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

    Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
    76
    Pharmacodynamics in Geriatric Patients: Effects of Age01:27

    Pharmacodynamics in Geriatric Patients: Effects of Age

    Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
    51