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Impact of COVID-19 pandemic on hip fractures: the central London experience COVID-related urgent geriatric hip trauma (COUGH) study COVERT ( COVid Emergency-Related Trauma and orthopaedics) collaborative

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Title: Impact of COVID-19 pandemic on hip fractures: the central London experience COVID-related urgent geriatric hip trauma (COUGH) study COVERT ( COVid Emergency-Related Trauma and orthopaedics) collaborative
Authors: Park, C
Sugand, K
Aframian, A
Morgan, C
Pakroo, N
Gibbons, C
Fertleman, M
Nathwani, D
Bhattacharya, R
Sarraf, KM
Item Type: Journal Article
Abstract: Introduction: COVID-19 has been recognized as the unprecedented global health crisis in modern times. The purpose of this study was to assess the impact of COVID-19 on treatment of neck of femur fractures (NOFF) against the current guidelines and meeting best practice key performance indicators (KPIs) according to the National Hip Fracture Database (NHFD) in two large central London hospitals. Materials and methods A multi-center, longitudinal, retrospective, observational study of NOFF patients was performed for the first ‘golden’ month following the lockdown measures introduced in mid-March 2020. This was compared to the same time period in 2019. Results: A total of 78 cases were observed. NOFFs accounted for 11% more of all acute referrals during the COVID era. There were fewer overall breaches in KPIs in time to theatre in 2020 and also for those awaiting an orthogeriatric review. Time to discharge from the trust during the pandemic was improved by 54% (p < 0.00001) but patients were 51% less likely to return to their usual residence (p = 0.007). The odds ratio was significantly higher for consultant surgeon-led operations and consultant orthogeriatric-led review in the post-COVID era. There was no significant difference in using aerosol-generating anaesthetic procedures or immortality rates between both years. Conclusion: The impact of COVID-19 pandemic has not adversely affected the KPIs for the treatment of NOFF patients with significant improvement in numerous care domains. These findings may represent the efforts to ensure that these vulnerable patients are treated promptly to minimize their risks from the coronavirus.
Issue Date: 1-Jun-2022
Date of Acceptance: 28-Jun-2021
URI: http://hdl.handle.net/10044/1/90360
DOI: 10.1007/s11845-021-02687-z
ISSN: 0021-1265
Publisher: Springer
Start Page: 1005
End Page: 1012
Journal / Book Title: Irish Journal of Medical Science
Volume: 191
Copyright Statement: © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Best practice tariff
COVID-19
Epidemiology
Hip fracture
Mortality
National hip fracture database
Neck of femur fracture
Surgery
AUDIT
Best practice tariff
COVID-19
Epidemiology
Hip fracture
Mortality
National hip fracture database
Neck of femur fracture
Surgery
Aged
COVID-19
Communicable Disease Control
Cough
Hip Fractures
Humans
London
Orthopedics
Pandemics
Retrospective Studies
Humans
Cough
Hip Fractures
Retrospective Studies
Orthopedics
Communicable Disease Control
Aged
London
Pandemics
COVID-19
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Best practice tariff
COVID-19
Epidemiology
Hip fracture
Mortality
National hip fracture database
Neck of femur fracture
Surgery
AUDIT
General & Internal Medicine
11 Medical and Health Sciences
Publication Status: Published
Appears in Collections:Bioengineering
Department of Surgery and Cancer
Faculty of Medicine
Faculty of Engineering



This item is licensed under a Creative Commons License Creative Commons