Experience in diagnosis and treatment of elderly patients with hip fractures during epidemic period of Coronavirus Disease 2019

YIN Gang; ZHANG Guofeng; ZHAO Yingfei; LIN Yaofa; SUN Wenjiang; LIN Haodong

doi:10.7619/jcmp.20210685

Journal of Clinical Medicine in Practice > 2021 > 25(8): 105-108. > DOI: 10.7619/jcmp.20210685

YIN Gang, ZHANG Guofeng, ZHAO Yingfei, LIN Yaofa, SUN Wenjiang, LIN Haodong. Experience in diagnosis and treatment of elderly patients with hip fractures during epidemic period of Coronavirus Disease 2019[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 105-108. DOI: 10.7619/jcmp.20210685

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Experience in diagnosis and treatment of elderly patients with hip fractures during epidemic period of Coronavirus Disease 2019

Shanghai First People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, 200080

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Received Date: February 16, 2021
Available Online: April 29, 2021
Published Date: April 27, 2021

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Abstract

Abstract

Objective To investigate the experience in diagnosis and treatment of elderly patients with hip fractures during the epidemic period of Coronavirus Disease 2019 (COVID-19).
Methods During the epidemic period of COVID-19, totally 58 elderly patients with hip fractures were treated in our hospital from February to April 2020 under the guidance of the National and Shanghai government's standards for prevention and control of COVID-19 as well as patients' conditions. Among the 58 patients, there were 39 cases of intertrochanteric fractures and 19 cases of femoral neck fractures, and 48 cases were treated by operation and 10 cases by conservative treatment.
Results Among the 58 elderly patients with hip fractures, 46 cases had normal body temperature, 12 cases had more than 37.3 ℃ of body temperature, and their suspected possibility of COVID-19 was excluded after investigation. A total of 48 patients with surgical treatments had good wound healing, and all of them recovered and discharged smoothly.
Conclusion In the condition of fully consideration on the medical safety and benefits of patients during the epidemic period of COVID-19, the combination of various prevention and control measures can ensure that the elderly patients with hip fractures are treated well.
- Coronavirus Disease 2019,
- hip fractures,
- elderly patients,
- procedures of diagnosis and treatments

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[1]	国家卫生健康委. 国家卫生健康委关于修订新型冠状病毒肺炎英文命名事宜的通知[EB/OL]. (2020-02-21)[2020-02-22]. http://www.nhc.gov.cn/yzygj/s7653p/202002/33393aa53d984ccdb1053a52b6bef810.shtml.
[2]	新华网. 世卫组织将新冠肺炎命名为"COVID-19"[EB/OL]. (2020-02-12)[2020-02-22]. http://www.xinhuanet.com/world/2020-02/12/c_1125561389.htm.
[3]	GLAGUE J E, CTADDOCK E, ANDREW G, et al. Predictors of outcome following hip fracture. Admission time predicts length of stay and in-hospital mortality[J]. Injury, 2002, 33(1): 1-6. doi: 10.1016/S0020-1383(01)00142-5
[4]	YOUNG Y, BRANT L, GERMAN P, et al. A Longitudinal Examination of Functional Recovery Among Older People with Subcapital Hip Fractures[J]. J Am Geriatr Soc, 1997, 45(3): 288-294. doi: 10.1111/j.1532-5415.1997.tb00942.x
[5]	CHOI H J, KIM E, SHIN Y J, et al. The timing of surgery and mortality in elderly hip fractures: A retrospective, multicenteric cohort study[J]. Indian J Orthop, 2014, 48(6): 599-604. doi: 10.4103/0019-5413.144232
[6]	杨兴易, 林兆奋, 杨华. 新型冠状病毒肺炎防控期间上海市急诊, ICU质量控制工作指导性意见(第一版)[J]. 中华急诊医学杂志, 2020(3): 327-330. doi: 10.3760/cma.j.issn.1671-0282.2020.03.005
[7]	田世坤, 黄兆钢, 吴良绍, 等. 新型冠状病毒肺炎疫情期骨科医护人员应对体会[J]. 实用骨科杂志, 2020, 26(3): 197-199. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ202003002.htm
[8]	ROBERTS K C, BROX W T. AAOS clinical practice guideline: management of hip fractures in the elderly[J]. J Am Acad Orthop Surg, 2015, 23(2): 138-140. doi: 10.5435/JAAOS-D-14-00433
[9]	BROX W T, ROBERTS K C, TAKSALI S, et al. The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on Management of Hip Fractures in the Elderly[J]. Journal of Bone & Joint Surgery-american Volume, 2015, 97(14): 1196-1199. http://europepmc.org/abstract/MED/26178894
[10]	BHANDARI M, SWIONTKOWSKI M. Management of acute hip fracture[J]. N Engl J Med, 2017, 377(21): 2053-2062. doi: 10.1056/NEJMcp1611090
[11]	PINCUS D, RAVI B, WASSERSTEIN D, et al. Association between wait time and 30-day mortality in adults undergoing hip fracture surgery[J]. JAMA, 2017, 318(20): 1994-2003. doi: 10.1001/jama.2017.17606
[12]	中华医学会骨科学分会青年骨质疏松学组, 中国老年学和老年医学学会老年病分会骨科专家委员会, 中国医师协会急救复苏专业委员会创伤骨科与多发伤学组, 等. 中国骨质疏松性骨折骨修复策略专家共识(2019)[J]. 中华创伤杂志, 2019, 35(9): 769-775. doi: 10.3760/cma.j.issn.1001-8050.2019.09.001
[13]	王正国. 重视对老年骨折患者的治疗问题[J]. 中华创伤杂志, 2020, 36(1): 1-2. doi: 10.3760/cma.j.issn.1001-8050.2020.01.001
[14]	苏佳灿, 侯志勇, 刘国辉, 等. 中国骨质疏松性骨折围手术期处理专家共识(2018)[J]. 中国临床医学, 2018, 25(5): 860-867. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYX201805040.htm
[15]	刘国辉, 刘曦明, 童晓玲, 等. 新型冠状病毒肺炎疫情防控期间老年髋部骨折诊疗专家共识[J]. 中华创伤杂志, 2020, 36(2): 104-110. doi: 10.3760/cma.j.issn.1001-8050.2020.02.002

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