About: Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology

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About: Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology
Creator	Buttaro, Martin Boietti, Bruno Barla, Jorge Benchimol, Javier Carabelli, Guido Comba, Fernando Diehl, Maria Lucero, Carlos Piccaluga, Francisco Sancineto, Carlos Slullitel, Pablo Soruco, Maria Taype-Zamboni, Danilo Zanotti, Gerardo
Source	Medline; PMC
abstract	PURPOSE: To analyse the impact of prolonged mandatory lockdown due to COVID-19 on hip fracture epidemiology. METHODS: Retrospective case-control study of 160 hip fractures operated upon between December 2019 and May 2020. Based on the date of declaration of national lockdown, the cohort was separated into two groups: ‘pre-COVID time’ (PCT), including 86 patients, and ‘COVID time’ (CT), consisting of 74 patients. All CT patients tested negative for SARS-CoV-2. Patients were stratified based on demographic characteristics. Outcome measures were 30-day complications, readmissions and mortality. A logistic regression model was run to evaluate factors associated with mortality. RESULTS: Age, female/male ratio, body mass index and American Society of Anaesthesia score were similar between both groups (p > 0.05). CT patients had a higher percentage of Charlson ≥ 5 and Rockwood Frailty Index ≥ 5 scores (p < 0.05) as well as lower UCLA and Instrumental Activities of Daily Living scores (p < 0.05). This translated into a higher hemiarthroplasty/total hip arthroplasty ratio during CT (p = 0.04). Thromboembolic disease was higher during CT (p = 0.02). Readmissions (all negative for SARS-CoV-2) were similar between both groups (p = 0.34). Eight (10.8%) casualties were detected in the CT group, whereas no deaths were seen in the control group. Logistic regression showed that frailer (p = 0.006, OR 10.46, 95%CI 8.95–16.1), less active (p = 0.018, OR 2.45, 95%CI 1.45–2.72) and those with a thromboembolic event (p = 0.005, OR 30, 95%CI 11–42) had a higher risk of mortality. CONCLUSION: Despite testing negative for SARS-CoV-2, CT patients were less active and frailer than PCT patients, depicting an epidemiological shift that was associated with higher mortality rate.
has issue date	2020-08-08(xsd:dateTime)
bibo:doi	10.1007/s00264-020-04769-6
bibo:pmid	32772318
has license	no-cc
sha1sum (hex)	f4342217331a4b0162d4604b1fc0a7f70c981c4b
schema:url	https://doi.org/10.1007/s00264-020-04769-6
resource representing a document's title	Prolonged social lockdown during COVID-19 pandemic and hip fracture epidemiology
has PubMed Central identifier	PMC7414899
has PubMed identifier	32772318
schema:publication	Int Orthop
resource representing a document's body	covid:f4342217331a4b0162d4604b1fc0a7f70c981c4b#body_text
is schema:about of	named entity 'higher' named entity 'thromboembolic' named entity 'PCT' named entity 'patients' named entity 'lockdown' named entity 'event' named entity 'analyse' named entity 'LOGISTIC REGRESSION' named entity 'MANDATORY' named entity 'UCLA' named entity 'DATE' named entity 'RISK OF' named entity 'PERCENTAGE' named entity '0.05' named entity 'CASUALTIES' named entity 'FEMALE' named entity 'RETROSPECTIVE CASE-CONTROL STUDY' named entity 'HEMIARTHROPLASTY' named entity '2.72' named entity 'HIP FRACTURE' named entity 'Patients' named entity 'COVID-19' named entity 'tested' named entity 'Daily' named entity 'cohort' named entity 'Rockwood' named entity 'control group' named entity 'measures' named entity 'demographic' named entity 'Eight' named entity 'SARS-CoV-2' named entity 'lockdown' named entity 'negative' named entity 'Logistic regression' named entity 'epidemiology' named entity 'SARS-CoV-2' named entity 'Thromboembolic disease' named entity 'COVID' named entity 'lockdown' named entity 'risk' named entity 'This' named entity 'hip fracture' named entity 'respiratory failure' named entity 'periprosthetic' named entity 'rRT-PCR' named entity 'post-operative' named entity 'Postoperative' named entity 'computed tomography angiography' named entity 'comorbidities' named entity 'follow-up' named entity 'UCLA' named entity 'medical charts' named entity 'gastrointestinal bleeding' named entity 'spinal anaesthesia' named entity 'COVID' named entity 'cannulated' named entity 'clinical pathway' named entity 'health provision' named entity 'SARS-CoV-2' named entity 'surgical specialties' named entity 'rRT-PCR' named entity 'STROBE' named entity 'Ethicon' named entity 'hip fracture' named entity 'COVID' named entity 'rRT-PCR' named entity 'false-negative' named entity 'COVID'

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