Management of Femur Fractures during COVID-19 Pandemic Period: The Influence of Vaccination and Nosocomial COVID-19 Infection
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design and Participants
2.2. Data Collection
2.3. Statistical Analysis
3. Results
3.1. COVID-19 Positive Cohort Vs. COVID-19 Negative Cohort
3.2. Transferred Patients’ Cohort Vs. Not Transferred Patients’ Cohort
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Total Sample | |
---|---|
Patients | 93 |
Sex | |
Male | 20 (21.50%) |
Female | 73 (78.5%) |
Age | 83.75 years (65–98) |
Home status | |
Own Home | 78 (83.87%) |
Nursing Home | 15 (16.13%) |
Relevant comorbitidy | |
no comorbidity | 15 (13.95%) |
beetween 1 and 3 | 64 (59.52%) |
>3 | 8 (7.44%) |
PPM classification | |
≤3 points | 7 (6.51%) |
beetween 4 and 5 points | 44 (40.92%) |
>5 points | 34 (31.62%) |
NHFS score | 2.8-11.8 (5.24%) |
ASA | |
≤2 grade | 25 (23.25%) |
3 grade | 44 (40.92%) |
4 grade | 12 (16%) |
OTA/AO | |
31A1 | 3 (3.23%) |
31A2 | 42 (45.16%) |
31A3 | 12 (12.91%) |
31B/C | 30 (31.26%) |
Surgical procedure | |
ORIF | 52 (55.91%) |
Partial hip replacement | 19 (20.43%) |
Total hip replacement | 2 (2.15%) |
COVID-19 Positive Cohort (Group A) | Covid-19 Negative Cohort (Group B) | p Value | |
---|---|---|---|
11 (11.83%) | 82 (88.17%) | ||
Hospitalization at Time 0 | 11 (100%) | 43 (52.43%) | p = 0.02 |
Hospitalization at Time 1 | 0 | 39 (47.56%) | p = 0.02 |
Intensive Care Unit | 8 (72.73%) | 4 (4.88%) | p = 0.000019 |
E.R. > 24 h | 7 (63.64%) | 18 (22%) | p = 0.019 |
Length of stay, average | 21 days (10–32) | 14 days (7–22) | p = 0.00001 |
Mortality in ward | 2 (18.18%) | 1 (1.22%) | p = 0.003 |
Mortality from surgery to 3 months of follow-up | 4 (36%) | 5 (6%) | p = 0.007 |
HHS 80–89 points (3 months) | 2 (18.18%) | 27 (33.33%) | p = 0.00001 |
RUSH score 18–24 points (3 months) | 1 (10.20%) | 33 (40.42%) | p = 0.00002 |
Transferred Patients’ Cohort (Group C) | Not Transferred Patients’ Cohort (Group D) | p Value | |
---|---|---|---|
20 (21.50%) | 73 (78.50%) | ||
Surgery < 24 h | 2 (10%) | 18 (24.66%) | p = 0.00007 |
Length of stay < 15 days | 15 (75%) | 65 (89%) | p = 0.001 |
Mortality from surgery to 3 months of follow- up | 5 (25%) | 5 (6.85%) | p = 0.02 |
HHS 80–89 points (3 months) | 2 (10%) | 27 (37%) | p = 0.00001 |
RUSH score 18–24 points (3 months) | 1 (5.20%) | 22 (30.5%) | p = 0.003 |
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Faggiani, M.; Risitano, S.; Aprato, A.; Conforti, L.; Massè, A. Management of Femur Fractures during COVID-19 Pandemic Period: The Influence of Vaccination and Nosocomial COVID-19 Infection. J. Clin. Med. 2022, 11, 6605. https://doi.org/10.3390/jcm11226605
Faggiani M, Risitano S, Aprato A, Conforti L, Massè A. Management of Femur Fractures during COVID-19 Pandemic Period: The Influence of Vaccination and Nosocomial COVID-19 Infection. Journal of Clinical Medicine. 2022; 11(22):6605. https://doi.org/10.3390/jcm11226605
Chicago/Turabian StyleFaggiani, Marianna, Salvatore Risitano, Alessandro Aprato, Luigi Conforti, and Alessandro Massè. 2022. "Management of Femur Fractures during COVID-19 Pandemic Period: The Influence of Vaccination and Nosocomial COVID-19 Infection" Journal of Clinical Medicine 11, no. 22: 6605. https://doi.org/10.3390/jcm11226605
APA StyleFaggiani, M., Risitano, S., Aprato, A., Conforti, L., & Massè, A. (2022). Management of Femur Fractures during COVID-19 Pandemic Period: The Influence of Vaccination and Nosocomial COVID-19 Infection. Journal of Clinical Medicine, 11(22), 6605. https://doi.org/10.3390/jcm11226605