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Hospital Courses Differ Amongst Hip Fracture Patients With or Without Coronavirus-19 Positive Status Upon Admission

Edward J Testa1, J Alex Albright2, Davis Hartnett2

  • 1Department of Orthopaedic Surgery, Brown University/Warren Alpert Medical School, Providence, RI.

Rhode Island Medical Journal (2013)
|March 29, 2023
PubMed

Insights

Patients with COVID-19 who have hip fractures experience longer hospital stays. This study found a significant increase in admission duration for COVID-19 positive individuals undergoing surgery for hip fractures.

Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Hospital Administration

Background:

  • Hip fractures are common, particularly in elderly populations.
  • The COVID-19 pandemic impacted hospital resources and patient outcomes.
  • Understanding the interplay between COVID-19 and surgical outcomes is crucial.

Purpose of the Study:

  • To compare the hospital course and disposition of hip fracture patients with and without COVID-19.
  • To analyze the impact of COVID-19 on length of stay, readmission, and mortality in surgically managed hip fractures.

Main Methods:

  • Retrospective cohort study of 399 patients with hip fractures undergoing surgery.
  • Patients were categorized into COVID-19 positive (PCR-confirmed) and negative groups.
  • Comparison of hospital length of stay, disposition, readmission, and mortality.

Main Results:

  • 14 patients (3.1%) were COVID-19 positive.
  • COVID-19 positive patients had a 6.1-day longer hospital stay (p = 0.002).
  • No significant differences were observed in disposition, readmission rates, or mortality.

Conclusions:

  • A positive COVID-19 test at admission is associated with a significant increase in hospital admission duration for hip fracture patients.
  • COVID-19 infection does not appear to significantly affect other key outcomes like disposition, readmission, or mortality in this cohort.
Abstract

Keywords:
COVID-19 outcomesgeriatric orthopedic surgeryhip fractures

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