Related Experiment Video
Updated: Jun 28, 2025
Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
[Hip fracture in elderly and COVID-19 infection. Report of 3 cases]
J M Rabanal LLevot1, F M Moreno Suarez1, A Merodio Gómez1
1Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
Insights
COVID-19 infection in hip fracture patients can lead to poor outcomes. However, delaying surgery for three weeks in these patients resulted in good outcomes and hospital discharge without complications.
Area of Science:
- Orthopedic Surgery
- Infectious Diseases
- Geriatric Medicine
Background:
- The COVID-19 pandemic significantly disrupted healthcare, impacting surgical services and patient care.
- Hip fracture patients are often elderly with comorbidities, typically benefiting from early surgical intervention.
- Surgery in patients with active COVID-19 infection is associated with increased risks and mortality.
Observation:
- This study reports on three elderly patients with hip fractures and active COVID-19 infection.
- Surgical intervention was deferred for three weeks post-admission to manage the acute infection.
- Patients presented with risk factors including advanced age, hypertension, and elevated inflammatory markers.
Findings:
- Despite pre-existing risk factors, all three patients underwent successful hip fracture surgery.
- Post-operative recovery was uneventful, with no adverse events reported.
- Patients were discharged from the hospital in good condition.
Implications:
- Delayed surgical management of hip fractures in COVID-19 patients may be a viable strategy.
- This approach can lead to favorable outcomes even in high-risk individuals.
- Further research is warranted to establish optimal timing for elective surgeries during viral pandemics.
Abstract:
Since its first description in china in January 2020, COVID-19 pandemia outbreak has affected health organization and conventional care in all settings as wards, intensive care and surgery. Hip fracture patients usually are older and have a lot of comorbidities. This type of patientes benefit from early surgery. However, surgery in COVID-19 patients with active infection is associate with bad outcomes and mortality. We present three patients with COVID infection undergoing hip fracture surgery. Surgery was performed tree weeks after admission. Despite have risk factor (old age, arterial hypertension, elevated inflammatory parameters) the outcome was good and were discharged from hospital without events.
More Related Videos
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:24Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:30Pneumonia III: Complications and Assessment
01:29Bone Disorders
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:21Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
01:21Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include: