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European Journal of Trauma and Emergency Surgery

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01-10-2021 | COVID-19 | Original Article

Increased 30-day mortality rate in patients admitted with hip fractures during the COVID-19 pandemic in the UK

Authors: Thomas Barker, Joshua Thompson, James Corbett, Sim Johal, Iain McNamara

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2021

Abstract

Introduction

Hip fractures are the most common traumatic injury in the UK’s elderly population. Patients are often extremely frail with multiple comorbidities and so are at high risk of death should they contract COVID-19. This study aims to quantify the effects of COVID-19 on patients presenting with hip fractures to the Norfolk and Norwich University Hospital (NNUH).

Methods

This is a single centre, prospective, observational cohort study of patients over the age of sixty admitted with a hip fracture to NNUH between March 24th and April 22nd, 2020 and comparing them retrospectively with controls in April 2019. Patients were followed up for 30 days; data collected includes demographics, COVID-19 PCR results, date/cause of death and other prognostic indicators.

Results

66 consecutive patients managed for hip fractures were included in the study. 30-day mortality increased from 8.5% in April 2019 to 18.2% in April 2020. The 30-day mortality rate was 80% for those patients who test positive for COVID-19 as an inpatient, and was 13.8% for patients COVID-19 negative and for those who were untested. Those admitted from a healthcare institution were more likely to test positive for COVID-19 and had a higher 30-day mortality (p = 0.04 & p = 0.006, respectively). Suspected COVID-19-positive patients at time of admission had a delayed time to theatre, 46.7 h versus 27.1 h (p = 0.007), however this had no significant effect on mortality (p = 0.7).

Conclusions

The combination of fragility hip fracture and COVID-19 is associated with poor outcomes. COVID-19 has also indirectly increased mortality in this patient group.

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Title: Increased 30-day mortality rate in patients admitted with hip fractures during the COVID-19 pandemic in the UK
Authors: Thomas Barker
Joshua Thompson
James Corbett
Sim Johal
Iain McNamara
Publication date: 01-10-2021
Publisher: Springer Berlin Heidelberg
Keyword: COVID-19
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01649-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Increased 30-day mortality rate in patients admitted with hip fractures during the COVID-19 pandemic in the UK

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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