Mortality among hip fracture patients infected with COVID-19 perioperatively
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Mortality among hip fracture patients infected with COVID-19 perioperatively. / Fessler, Johannes; Jacobsen, Thomas; Lauritzen, Jes Bruun; Jørgensen, Henrik Løvendahl.
I: European Journal of Trauma and Emergency Surgery, Bind 47, 2021, s. 659–664.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Mortality among hip fracture patients infected with COVID-19 perioperatively
AU - Fessler, Johannes
AU - Jacobsen, Thomas
AU - Lauritzen, Jes Bruun
AU - Jørgensen, Henrik Løvendahl
PY - 2021
Y1 - 2021
N2 - Background and purpose: The outbreak of the COVID-19 pandemic has resulted in an overall decline in fractures. However, the amount of hip fractures has remained relatively stable throughout the period. The objective of this study is to investigate the impact of perioperative COVID-19 infections on mortality among hip fracture patients. Methods: A meta-analysis was performed by collecting current data available through a systematic literature search in the PubMed database. The search was performed Oct 18 2020. Results: The meta-analysis was conducted on a trial population consisting of 1.272 hip fracture patients with a pooled prevalence of COVID-19 of 18%. Mortality among hip fracture patients without a perioperative COVID-19 infection was 7.49%. Mortality among hip fracture patients infected with COVID-19 perioperatively was associated with an odds ratio of 6.70 [(95% CI 4.64–9.68), p < 0.00001, I2 = 41%]. A sensitivity analysis showed no major impact of assumptions regarding varying definitions of COVID-19 statuses among the included studies. Conclusion: Perioperative infections with COVID-19 in hip fracture patients are correlated with a significantly increased mortality. The meta-analysis showed a pooled odds ratio of 6.70 [(95% CI 4.64–9.68), p < 0.00001, I2 = 41%].
AB - Background and purpose: The outbreak of the COVID-19 pandemic has resulted in an overall decline in fractures. However, the amount of hip fractures has remained relatively stable throughout the period. The objective of this study is to investigate the impact of perioperative COVID-19 infections on mortality among hip fracture patients. Methods: A meta-analysis was performed by collecting current data available through a systematic literature search in the PubMed database. The search was performed Oct 18 2020. Results: The meta-analysis was conducted on a trial population consisting of 1.272 hip fracture patients with a pooled prevalence of COVID-19 of 18%. Mortality among hip fracture patients without a perioperative COVID-19 infection was 7.49%. Mortality among hip fracture patients infected with COVID-19 perioperatively was associated with an odds ratio of 6.70 [(95% CI 4.64–9.68), p < 0.00001, I2 = 41%]. A sensitivity analysis showed no major impact of assumptions regarding varying definitions of COVID-19 statuses among the included studies. Conclusion: Perioperative infections with COVID-19 in hip fracture patients are correlated with a significantly increased mortality. The meta-analysis showed a pooled odds ratio of 6.70 [(95% CI 4.64–9.68), p < 0.00001, I2 = 41%].
U2 - 10.1007/s00068-021-01634-y
DO - 10.1007/s00068-021-01634-y
M3 - Review
C2 - 33704515
AN - SCOPUS:85102522974
VL - 47
SP - 659
EP - 664
JO - European Journal of Trauma and Emergency Surgery
JF - European Journal of Trauma and Emergency Surgery
SN - 1863-9933
ER -
ID: 259052175