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The Effects of COVID-19 Pandemic on the Recovery of Hip Fracture Patients

Young Yool Chung1, Sung Nyun Baek1, Tae Gyu Park1

  • 1Department of Orthopedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.

Hip & Pelvis
|December 21, 2023
PubMed

Insights

Family visit restrictions during the COVID-19 pandemic negatively impacted the activity recovery of hip fracture patients in nursing hospitals. This led to a significant decline in their walking ability and increased deterioration rates post-surgery.

Area of Science:

  • Gerontology
  • Orthopedic Surgery
  • Infectious Disease Epidemiology

Background:

  • The COVID-19 pandemic necessitated strict infection control measures, including visitor restrictions in healthcare facilities.
  • Nursing hospitals experienced complete bans on family visits to prevent coronavirus disease 2019 (COVID-19) transmission.
  • Understanding the impact of these restrictions on patient recovery is crucial for geriatric care.

Purpose of the Study:

  • To evaluate the effect of complete family visit restrictions during the COVID-19 pandemic on the functional recovery of hip fracture patients in nursing hospitals.
  • To compare the postoperative activity recovery of hip fracture patients before and after the pandemic-induced visitation restrictions.

Main Methods:

  • A comparative study design involving 184 hip fracture patients (81 pre-pandemic, 103 during pandemic).
  • Patients were categorized based on admission period (pre-COVID Group A, during-COVID Group B) and treatment setting (nursing hospital vs. home-treated).
  • Walking ability was assessed using the modified Koval index (MKI) at 6 months post-surgery.

Main Results:

  • Hip fracture patients during the pandemic (Group B) showed a significantly lower MKI at 6 months post-surgery compared to the pre-pandemic group (Group A) (P=0.04).
  • Nursing hospital inpatients experienced a significant decline in MKI post-pandemic (P=0.03).
  • The rate of MKI deterioration increased by 12.1% in the pandemic group compared to the pre-pandemic group.

Conclusions:

  • Complete restriction of family visits during the COVID-19 pandemic adversely affected the recovery of postoperative activities in elderly hip fracture patients admitted to nursing hospitals.
  • The findings highlight the importance of family involvement in the rehabilitation process for hip fracture patients.
  • Future strategies should consider balancing infection control with the benefits of family support in geriatric care settings.
Abstract

Keywords:
COVID-19 pandemicFemoral neck fracturesKoval indexRehabilitation

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