Turk J Hip Surg. 2021; 1(3): 78-83 | DOI: 10.5505/TJHS.2021.88597

Post-Surgical Mortality Increases in Patients with Covid-19 Positive Hip Fractures

Sabit Numan Kuyubaþý, Nihat Demirhan Demirkiran, Süleyman Kozlu, Süleyman Kaan Öner
Department of Orthopedics and Traumatology, Kutahya Health Science University, Kutahya, Turkey

Aim: This study aims to evaluate the mortality and complication rates of patients surgically treated for geriatric hip fractures, and compare the results between groups with and without accompanying Covid-19 diagnosis.
Method: 40 patients (22 males and 18 females), including 20 Covid-19 positive patients who underwent bipolar endoprosthesis due to hip fracture in our clinic between April 2020 and July 2021, and 20 Covid-19 negative patients who were matched paired in terms of age, gender, and American Society of Anesthesiologists (ASA) scores as the control group were included in the study. Demographic data of the patients, time to surgery, operative time, length of hospital stay, mobilization status, postoperative wound problems, 90-day mortality, hemoglobin, and albumin parameters were evaluated.
Results: Ninety-day mortality, operative time, and hospital stay were significantly higher in the Covid-19 positive group compared to the matched Covid-19 negative control group in terms of age, gender, and comorbidity data (p=0.025, p=0.012, p<0.001, respectively).
Conclusion: Patients diagnosed with geriatric hip fractures and accompanying Covid-19, face comorbidities related to both fracture and systemic Covid-19 infection. An early orthogeriatric examination, thorough planning, and prompt surgical intervention are mandatory to achieve favorable outcomes.

Keywords: Covid-19, Hip Fracture, Bipolar Endoprosthesis

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Covid-19 Pozitif Kalça Kýrýðý Olan Hastalarda Cerrahi Sonrasý Mortalite Artar

Sabit Numan Kuyubaþý, Nihat Demirhan Demirkiran, Süleyman Kozlu, Süleyman Kaan Öner
Kütahya Saðlýk Bilimleri Üniversitesi Týp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalý, Kütahya,Türkiye

Amaç: Çalýþmamýzda, geriatrik kalça kýrýðý tanýsý ile opere edilen Covid-19 pozitif hastalarý, mortalite ve komplikasyonlar yönünden Covid-19 negatif hastalar ile karþýlaþtýrmayý amaçladýk.
Yöntem: Nisan 2020 ve Temmuz 2021 tarihleri arasýnda kalça kýrýðý nedeniyle kliniðimizde bipolar endoprotez uygulanan 20 Covid-19 pozitif hasta ve kontrol grubu olarak yaþ, cinsiyet ve American Society of Anesthesiologists (ASA) skorlarý yönünden birebir eþlenmiþ 20 Covid-19 negatif hasta olmak üzere, 40 hasta (22 erkek 18 kadýn) çalýþmaya dahil edildi. Hastalarýn demografik verileri, ameliyata kadar geçen süre, ameliyat süresi, hastanede yatýþ süresi, mobilizasyon durumu, postoperatif yara yeri sorunlarý, 90 günlük mortalite, hemoglobin ve albümin parametreleri deðerlendirildi.
Sonuçlar: Yaþ, cinsiyet, komorbidite verileri açýsýndan birebir eþlenmiþ gruplar arasýnda doksan günlük mortalite, ameliyat süresi ve hastanede yatýþ süresi Covid-19 pozitif grupta anlamlý bir biçimde daha yüksekti (sýrasýyla p=0.025, p = 0,012, p<0.001).
Çýkarýmlar: Geriatrik kalça kýrýðý teþhisi konan ve Covid-19’un eþlik ettiði hastalar, hem kýrýk hem de sistemik Covid-19 enfeksiyonuna baðlý komorbiditelerle karþý karþýya kalmaktadýr. Olumlu sonuçlara ulaþmak için erken ortogeriatrik muayene, kapsamlý planlama ve hýzlý cerrahi müdahale zorunludur.

Anahtar Kelimeler: Covid-19, Kalça Kýrýðý, Bipoolar Endoprotez

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