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Management of hip fracture in COVID-19 infected patients
Hao-Cheng Qin1, Zhong He1, Zhi-Wen Luo2
1Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China.
Insights
Hip fractures pose a significant health challenge, especially for elderly populations. The coronavirus disease 2019 (COVID-19) pandemic exacerbates this, increasing mortality and complicating care for hip fracture patients.
Area of Science:
- Gerontology
- Infectious Diseases
- Orthopedic Surgery
Background:
- The global elderly population is growing, increasing the incidence of hip fractures.
- Hip fractures present complex recovery challenges and are a critical global health issue.
- The coronavirus disease 2019 (COVID-19) pandemic has not reduced the occurrence of hip fractures.
Purpose of the Study:
- To systematically review the impact of COVID-19 on hip fracture patients.
- To analyze the relationship between hip fractures and COVID-19.
- To provide practical clinical suggestions and management strategies.
Main Methods:
- Systematic literature review.
- Analysis of existing research evidence.
- Development of a clinical management flowchart.
Main Results:
- Hip fracture patients with COVID-19 exhibit significantly higher mortality rates.
- Co-infection with COVID-19 leads to more complex clinical conditions in hip fracture patients.
- COVID-19 indirectly hinders regular medical treatment for hip fracture patients.
Conclusions:
- Clinicians must be prepared for the challenges posed by COVID-19 in hip fracture management.
- Optimized treatment decisions are crucial for improving outcomes in co-infected patients.
- The study provides evidence-based recommendations and a flowchart for managing hip fracture patients with COVID-19.
Abstract:
Given that the global population of elderly individuals is expanding and the difficulty of recovery, hip fractures will be a huge challenge and a critical health issue for all of humanity. Although people have spent more time at home during the coronavirus disease 2019 (COVID-19) pandemic, hip fractures show no sign of abating. Extensive studies have shown that patients with hip fracture and COVID-19 have a multifold increase in mortality compared to those uninfected and a more complex clinical condition. At present, no detailed research has systematically analyzed the relationship between these two conditions and proposed a comprehensive solution. This article aims to systematically review the impact of COVID-19 on hip fracture and provide practical suggestions. We found that hip fracture patients with COVID-19 have higher mortality rates and more complicated clinical outcomes. Indirectly, COVID-19 prevents hip fracture patients from receiving regular medical treatment. With regard to the problems we encounter, we provide clinical recommendations based on existing research evidence and a clinical flowchart for the management of hip fracture patients who are COVID-19 positive. Our study will help clinicians adequately prepare in advance when dealing with such patients and optimize treatment decisions.
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