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

Abstract

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.