Skip to main content
Top
Published in: International Orthopaedics 8/2020

01-08-2020 | COVID-19 | Original Paper

Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China

Authors: Yanbin Zhu, Wei Chen, Xing Xin, Yingchao Yin, Jinglve Hu, Hongzhi Lv, Weixu Li, Xiangtian Deng, Chao Zhu, Jian Zhu, Jinli Zhang, Fagang Ye, Aimin Chen, Zhanyong Wu, Zhanbei Ma, Xinhu Zhang, Fengmei Gao, Jidong Li, Conglin Wang, Yingze Zhang, Zhiyong Hou

Published in: International Orthopaedics | Issue 8/2020

Login to get access

Abstract

Purpose

This study aimed to describe the epidemiologic characteristics of fracture in the elderly during the COVID-19.

Methods

This was a retrospective multi-centre study, which included patients who sustained fractures between 20 January and 19 February 2020. The collected data included patients’ demographics (age and gender), injury-related (injury type, fracture location, injury mechanism, places where fracture occurred), and treatment modality. SPSS 23.0 was used to describe the data and perform some analysis.

Results

A total of 436 patients with 453 fractures were included; there were 153 males and 283 females, with an average age of 76.2 years (standard deviation, SD, 7.7 years; 65 to 105). For either males or females, 70–74 years was the most commonly involved age group. A total of 317 (72.7%) patients had their fractures occurring at home. Among 453 fractures, there were 264 (58.3%) hip fractures, accounting for 58.3%. Fall from standing height was the most common cause of fracture, making a proportion of 89.4% (405/453). Most fractures (95.8%, 434/453) were treated surgically, and 4.2% (19/453) were treated by plaster fixation or traction. Open reduction and internal fixation (ORIF) was the most used surgical method, taking a proportion of 49.2% (223/453).

Conclusion

These findings highlighted the importance of primary prevention (home prevention) measures and could be used for references for individuals, health care providers, or health administrative department during the global pandemic of COVID-19.
Literature
2.
go back to reference Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, Tan KS, Wang DY, Yan Y (2020) The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res 7(1):11–20PubMedPubMedCentral Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, Tan KS, Wang DY, Yan Y (2020) The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res 7(1):11–20PubMedPubMedCentral
4.
go back to reference Westbury LD, Syddall HE, Fuggle NR, Dennison EM, Cauley JA, Shiroma EJ, Fielding RA, Newman AB, Cooper C (2020) Long-term rates of change in musculoskeletal aging and body composition: findings from the health, aging and body composition study. Calcif Tissue Int (Mar 3). https://doi.org/10.1007/s00223-020-00679-2 Westbury LD, Syddall HE, Fuggle NR, Dennison EM, Cauley JA, Shiroma EJ, Fielding RA, Newman AB, Cooper C (2020) Long-term rates of change in musculoskeletal aging and body composition: findings from the health, aging and body composition study. Calcif Tissue Int (Mar 3). https://​doi.​org/​10.​1007/​s00223-020-00679-2
6.
go back to reference Zhang Y (2012) Clinical epidemiology of orthopedic trauma. Thieme Zhang Y (2012) Clinical epidemiology of orthopedic trauma. Thieme
7.
go back to reference Court-Brown CM, McQueen MM (2016) Global forum: fractures in the elderly. J Bone Joint Surg Am 98(9):e36–e42CrossRefPubMed Court-Brown CM, McQueen MM (2016) Global forum: fractures in the elderly. J Bone Joint Surg Am 98(9):e36–e42CrossRefPubMed
Metadata
Title
Epidemiologic characteristics of traumatic fractures in elderly patients during the outbreak of coronavirus disease 2019 in China
Authors
Yanbin Zhu
Wei Chen
Xing Xin
Yingchao Yin
Jinglve Hu
Hongzhi Lv
Weixu Li
Xiangtian Deng
Chao Zhu
Jian Zhu
Jinli Zhang
Fagang Ye
Aimin Chen
Zhanyong Wu
Zhanbei Ma
Xinhu Zhang
Fengmei Gao
Jidong Li
Conglin Wang
Yingze Zhang
Zhiyong Hou
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Keyword
COVID-19
Published in
International Orthopaedics / Issue 8/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04575-0

Other articles of this Issue 8/2020

International Orthopaedics 8/2020 Go to the issue