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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
Authors :
T Richards S Shaikh S Rehman A Khan J Shah C Smith A Brown S Singh A P Arnaud A Young D Bowen P Patel S Williams J Dunn J John M Loubani A Hainsworth A Kolias PJ Hutchinson R Singh S Sinha S Shaw J Edwards S Mukherjee AAB Jamjoom A Singh S Saeed J Martin S Smith S Ross M Mohan P Hutchinson G James RDC Moon P Brennan A Williams S Brown A Ward M Lee K Thompson S Ali J Williams S Reid U Khan J Lambert A Smith B Singh M Hassan N Sharma J Reynolds N Wright T Williams H Smith M Ng M Rahman A Taylor P Shah D Saxena J Evans I Omar M Ali A Hanson Z Li R Andrade P Cardoso H Jeong P Sharma M Arrieta J Clark L Pearce J McVeigh V Sharma B Kim J Singh S Newman J Byrne A Hassan A Persad A Gardner H Liu K Shah I Hughes S Davison A Balakrishnan K Patel J Hall S Mistry J Parry R Baumber N McGrath E Ross R Mannion S Murphy FL Wright A Rogers B Rai M Thomas R Ribeiro E Hamilton J Teixeira B Davidson L Carvalho R Garrido A Puppo A Guimarães E Santos M Kamal M Denning M Elhadi J E Fitzgerald D Miller M Gowda C Morris A Phillips H Yang Y Zhang N Machairas A Fisher A Kaufmann A Aggarwal L Hansen M Otify H Soleymani Majd A Jones M Rodrigues S Sundar C Jones R Edmondson A Sharkey L Smith G Williams J Dunning E Belcher D Stavroulias V Zamvar M Patel M Baker R Evans M Sherif J Hopkins R Mohammed A Hill H Jackson G Jones K George J Dixon A Tong S Jallad Deborah S Keller A Pereira L Elliott D Ford A Sermon M Almond Andrew Metcalfe C Peluso T White S Shah A Witek Chetan Khatri A Tiwari T Lo K Agarwal C Sweeney C Hart T Holme S Green I Ahmed A Sobti C Anderson N Modi R Campbell C Magee M Mirza D Jones N Stylianides X Luo C Kang J Ribeiro L Kumar J Diaz A Bhalla R Young C Perkins A James A Walters J Reid R Pereira C McDonald A Aujayeb K Jackson M Allen D Ghosh M Chan C Price K Khan R Moore M Ibrahim A Marchbank M Silva M Baig J De Coster J Castellanos S Saxena M Duque E Li E Martin A Isik J González RJ Davies B Smith R Owen K Lakhoo M Rogers MA Akhtar K Mellor S Agrawal L Foster G Harris J McIntyre M Garner R West R Cuthbert D Johnson H Gomes C Roy N Spencer D Mehta J Freedman J Blair K Rajput K Williams J Wall A Soliman F Chen A Mokhtari I Mohamed J Pascoe M Khalifa R Das A Lara M Costa A Mahmoud K Roberts J Lane S Robertson J P Evans E Krishnan I Haq S Rogers J Knowles M Chowdhury A Ghanbari L Macdonald S Powell J Hunt J Cornish J Engel S Page I Blake A Rolls H Ross D Simpson J Hammond A Goyal K Parkins A Desai A Gaunt A Salim Y Yousef A Schache H Mohan SR Brown R Nair M Flatman J Lord RJ Egan R Harries N Judkins K Sugand T Hine J Luck C Johnson G Salerno AW Phillips R Houston A Volpe C Walker C Steele M Rela C Barry R Alves L Ramsay A Turnbull A Daniele C S Jones P Gallagher G Gradinariu A Oliveira C Hardie H Ferguson S Bhattacharya E Davies P Joshi C Mellor E Griffiths A Bhangu R Mahoney F Kashora G Ruiz K Wong G Hill V Testa S Ford C Park P Gomez C Lopes A Lázaro A Shabana A Agarwal C Chung C Politis G Martin E Chung M Ismail C Cunha S Correia I Santos A Tang A Robson T Collier G Baltazar M Quintana C English M Ip K Newton J Kahn C Tan D Cheng R Woods M Ho A ABBAS A Henry F Rivas M Mohammed N Parsons T Board S Madan A Osorio M Jarvis M Hashem A Egglestone E Halliday A Ridgway G Gallo J Gilliland W Marx R Shaw A Mahmood K Gohil B Gallagher D Alderson A Karim G D Stewart G Peck L Majkowski J Carter H Ishii L HUMPHREYS J Khan S Abbott C Newton F Borghi A Sud K Bhatia H Cao V Vijay L Sanderson E Holler N Hanna D Ferguson P Miranda L Pickering T Singhal T Newman K Ghosh C Camacho D Manning C Lipede R Clifford S Higgs C Menakaya S Shankar K Booth M Abdalla T Nelson T Farrell H Naseem J Johnstone A Wilkins A Brunt A Nogués A Patience D Jeevan M Vatish G Stables S Adegbola I Hunt K Dickson W Matthews N Dunne M Maher G Faulkner E Hernandez R Sofat K Sahnan A Brunelli M Raza K Chui C Brennan P Vaughan H Chu R Hagger ASD Liyanage R Perkins S Duff C Gill H Dean S Bandyopadhyay K Ragupathy Y Cunningham A Bateman V Brown B Ho E Britton H Ikram R Hasan A Colquhoun S Handa A Maqsood M Caputo J Torkington G Fusai N Hossain DJ Lin S Stefan IR Daniels D Pournaras A Askari P Nisar S Moug J Sagar N Yassin G Minto Z Hamady JR O'Neill S Chowdhury R Cresner D Vimalachandran FD Mcdermott RP Jones P Zerbib L Sreedharan S Wahed SS Gisbertz MI van Berge Henegouwen R Preece I Liew S McCluney D Watts D Nehra B Dean D Chaudhry L Ross F Solari S Chatterji B Barmayehvar S Lourenco L Onos F Mansour A Radhakrishnan M Varcada M Richmond I Hernández A Spinelli H Pham J Shalhoub F Wells K Bevan A Peckham-Cooper N Campain J Steinke R Wilkin K McEvoy S Mastoridis N Fine J Bayer Y Joshi A Yener S C McKay NS Kalson S Horvath H Fu A Parente SE Lewis Y Ahmad G Seidel M Dunstan U von Oppell J Vatish H Hirsch K Breen C Dott D Mathieu J Hardie K Aldridge A Doorgakant P Petrone R Tansey M El Amrani C Branco Y Viswanath A Meagher B Keeler N Tewari A Gabr J Kinross M Longhi E M Harrison P Daliya P Asaad F Langlands N Misra S Kristinsson S Di Saverio C Conso H Roy E Massie L Masterson D Baskaran A Hannah O Ismail S URBAN J Domenech S Ranjit L Massey S Mannan D Rutherford F Colombo R Kulkarni D Kearney Neil J Smart G Bourke D Shrestha P Nankivell O Breik R Exley D Zakai AK Abou-Foul P Naredla R Vidya G Mundy H Marin A E Ward A Sudarsanam W Singleton M Ganau F Moura J Blanco R Myatt S Sousa H Zahid S Garrido A Fell E Caruana D Nepogodiev F Dhaif B Bankhad-Kendall H Kaafarani C Bretherton L Marais K Siaw-Acheampong B E Dawson J C Glasbey R R Gujjuri E Heritage S K Kamarajah J M Keatley S Lawday G Pellino J F F Simoes I M Trout M L Venn R J W Wilkin A O Ademuyiwa E Al Ameer O Alser K M Augestad B Bankhead-Kendall R A Benson S Chakrabortee R Blanco-Colino A Brar A Minaya Bravo K A Breen I Lima Buarque M F Cunha G H Davidson S Farik M Fiore G M A Gomes C Halkias I Lawani H Lederhuber S Leventoglu M W Loffler H Mashbari D Mazingi D Moszkowicz J S Ng-Kamstra S Metallidis M Niquen F Ntirenganya O Outani F Pata T D Pinkney P Pockney D Radenkovic A Ramos-De la Medina A Schnitzbauer S Shu K Soreide S Tabiri P Townend G Tsoulfas G van Ramshorst Mak JKC F Tirotta A Kisiel LD Cato AM Pathanki A Chebaro K Lecolle S Truant FR Pruvot E Surmei L Mattei J Dudek S El-Hasani J Cuschieri GH Davidson RG Wade H Elkadi C Pompili JR Burke E Bagouri Z Abual-Rub S Munot M Kowal SC Winter F Di Chiara K Wallwork A Qureishi M Lami S Sravanam S Chidambaram R Smillie AV Shaw C Cernei D Jeyaretna RJ Piper E Duck C Jelley SC Tucker G Bond-Smith XL Griffin GD Tebala N Neal TM Noton H Ghattaura OBF Risk H Kharkar C Verberne A Senent-Boza A Sánchez-Arteaga I Benítez-Linero F Manresa-Manresa L Tallón-Aguilar L Melero-Cortés MR Fernández-Marín VM Durán-Muñoz-Cruzado I Ramallo-Solís P Beltrán-Miranda F Pareja-Ciuró BT Antón-Eguía AC Dawson A Drane F Oliva Mompean J Gomez-Rosado J Reguera-Rosal J Valdes-Hernandez L Capitan-Morales del Toro Lopez A Alanbuki O Usman AJ Beamish D Bosanquet D Magowan H Nassa G Mccabe D Holroyd NB Jamieson NM Mariani V Nicastro D Motter C Jenvey T Minto DR Sarma C Godbole W Carlos A Khajuria H Connolly G Di Taranto S Shanbhag J Skillman M Sait H Al-omishy B Heer R Lunevicius ARG Sheel M Sundhu AJA Santini Fathelbab MSAT KMA Hussein QM Nunes K Shahzad Baig MMAS JL Hughes A Kattakayam SB Shah AL Clynch N Georgopoulou HM Sharples AA Apampa IC Nzenwa D Podolsky NL Coleman MP Callahan P Beak I Gerogiannis A Ebrahim A Alwadiya C Demetriou E Grimley E Theophilidou E Ogden FL Malcolm G Davies-Jones Ng JCK N Elmaleh Z Chia J A'Court A Konarski R Talwar P S Jambulingam A Maity C Hatzantonis S Kudchadkar N Cirocchi CH Chan H Eberbach B Erdle R Sandkamp G Velmahos LR Maurer M El Moheb A Gaitanidis L Naar MA Christensen C Kapoen K Langeveld M El Hechi B Main T Maccabe NS Blencowe DP Fudulu D Bhojwani M Baquedano F Rapetto O Flannery D Tadross C Blundell S Forlani S Guha CJ Kelty G Chetty G Lye SP Balasubramanian N Sureshkumar Shah A Al-mukhtar E Whitehall A Giblin A Adamec J Konsten M Van Heinsbergen A Sou J Jimeno Fraile D Morales-Garcia M Carrillo-Rivas E Toledo Martínez Pascual À A Landaluce-olavarria M Gonzalez De miguel Fernández Gómez Cruzado L E Begoña D Lecumberri A Calvo Rey GM Prada hervella L Dos Santos Carregal MI Rodriguez Fernandez M Freijeiro S El Drubi Vega J Van den Eynde W Oosterlinck R Van den Eynde A Boeckxstaens A Cordonnier J Jaekers M Miserez M Galipienso Eri JD Garcia Montesino J Dellonder Frigolé D Noriego Muñoz V Lizzi F Vovola A Arminio A Cotoia AL Sarni M Bekheit BS Kamera M Elhusseini A Ahmeidat W Cymes G Mignot J Agilinko A Sgrò MM Rashid K Milne KE Stewart MSJ Wilson K McGivern BC Brown B Wadham IA Aneke J Collis H Warburton DM Fountain R Laurente KV Sigamoney M Dasa Z Naqui M Galhoum MT Hasan R Kalenderov O Pathmanaban R Chelva K Subba M Khalefa F Hossain T Moores J Anthoney O Emmerson R Makin-Taylor CS Ong R Callan O Bloom G Chauhan J Kaur A Burahee S Bleibleh N Pigadas D Snee S Bhasin A Crichton A Habeebullah AS Bodla M Mondragon V Dewan MC Giuffrida A Marano S Palagi S Di Maria Grimaldi A Simonato M D'Agruma R Chiarpenello L Pellegrino F Maione D Cianflocca Pruiti Ciarello G Giraudo E Gelarda E Dalmasso A Abrate V Ciriello F Rosato A Garnero L Leotta M Chiozza G Anania A Urbani M Koleva Radica P Carcoforo M Portinari M Sibilla JE Archer A Odeh N Siddaiah H Carmichael CG Velopulos RC McIntyre TJ Schroeppel EA Hennessy L Zier C Parmar JM Muñoz Vives CJ Gómez Díaz CA Guariglia C Soto Montesinos L Sanchon M Xicola Martínez N Guàrdia P Collera R Diaz Del Gobbo R Sanchez Jimenez R Farre Font R Flores Clotet CEM Brathwaite H Hakmi AH Sohail R Heckburn D Townshend N McLarty A Shenfine K Madhvani M Hampton AP Hormis V Miu K Sheridan C Luney MA Williams A Alqallaf A Ben-Sassi R Crichton J Sonksen GR Layton B Karki S Pankhania S Asher A Folorunso J Winyard J Mangwani BHB Babu C Weerasinghe M Ballabio P Bisagni T Armao M Madonini A Gagliano P Pizzini A Älgå M Nordberg G Sandblom J El Kafsi K Logishetty A Saadya R Midha H Subbiah Ponniah T Stockdale T Bacarese-Hamilton N Anjarwalla D Marujo Henriques R Hettige C Baban A Tenovici F Anazor SD King S Kazzaz S HKruijff De Vries JPPM PJ Steinkamp PKC Jonker WY Van der Plas W Bierman Y Janssen ABJ Borgstein D Enjuto M Perez Gonzalez P Díaz Peña M Marqueta De Salas P Martinez Pascual L Rodríguez Gómez R Garcés García A Ramos Bonilla N Herrera-Merino P Fernández Bernabé EP Cagigal Ortega García de Castro Rubio E I Cervera MH Siddique C Barmpagianni A Basgaran A Basha V Okechukwu A Bartsch CA Leo HK Ubhi N Zafar H Abdul-Jabar F Mongelli M Bernasconi M Di Giuseppe D Christoforidis D La Regina M Arigoni A Al-Sukaini S Mediratta O Brown M Boal S Stanger H Abdalaziz J Constable G Dovell R Gopi reddy A Dehal HB Shah GWV Cross P Seyed-Safi YW Smart A Kuc M Al-Yaseen B Jayasankar D Balasubramaniam K Abdelsaid N Mundkur RE Soulsby O Ryska T Raymond P Hawkin G Kinnaman I Sharma K Freystaetter JN Hadfield A Hilley S Arkani M Youssef I Shaikh K Seebah V Kouritas D Chrastek G Maryan DF Gill F Khatun J Parakh V Sarodaya A Daadipour KD Bosch V Bashkirova LS Dvorkin VK Kalidindi A Choudhry M Espino Segura-Illa G Sánchez Aniceto AM Castaño-Leon L Jimenez-Roldan J Delgado Fernandez A Pérez Núñez A Lagares D Garcia Perez M Santas I Paredes O Esteban Sinovas L Moreno-Gomez E Rubio V Vega A Vivas Lopez M Labalde Martinez O García Villar PM Pelaéz Torres J Garcia Borda E Ferrero Herrero C Eiriz Fernandez C Ojeda-Thies JM Pardo Garcia H Wynn Jones H Divecha C Whelton E Powell-Smith M Alotaibi A Maashi A Zowgar M Alsakkaf O Izquierdo D Ventura D Escobar U Garcia de cortazar Villamor Garcia A Cioci K Rakoczy W Pavlis R Saberi A Khaleel A Unnithan K Memon RR Pala Bhaskar F Maqboul F Kamel A Al-Samaraee R Madani H Llaquet Bayo N Duchateau C De Gheldere A Fayad ML Wood G Groot I Hakami C Boeker J Mall AF Haugstvedt ML Jönsson P Caja Vivancos Villalabeitia Ateca M Prieto Calvo P Martin Playa A Gainza EJ Aragon Achig A Rodriguez Fraga Melchor Corcóstegui G Mallabiabarrena Ormaechea JJ Garcia Gutierrez L Barbier MA Pesántez Peralta M Jiménez Jiménez JA Municio Martín J Gómez Suárez G García Operé LA Pascua Gómez M Oñate Aguirre A Fernandez-Colorado M De la Rosa-Estadella A Gasulla-Rodriguez M Serrano-Martin A Peig-Font S Junca-Marti M Juarez-Pomes S Garrido-Ondono L Blasco-Torres M Molina-Corbacho Y Maldonado-Sotoca A Gasset-Teixidor J Blasco-Moreu V Turrado-Rodriguez AM Lacy FB de Lacy X Morales A Carreras-Castañer P Torner M Jornet-Gibert M Balaguer-Castro M Renau-Cerrillo P Camacho-Carrasco M Vives-Barquiel B Campuzano-Bitterling I Gracia R Pujol-Muncunill M Estaire Gómez D Padilla-Valverde S Sánchez-García D Sanchez-Pelaez E Jimenez Higuera R Picón Rodríguez Fernández Camuñas À C Martínez-Pinedo EP Garcia Santos V Muñoz-Atienza A Moreno Pérez CA Cano D Crego-Vita M Huecas-Martinez A Roselló Añón MJ Sangüesa JC Bernal-Sprekelsen JC Catalá Bauset P Renovell Ferrer C Martínez Pérez O Gil-Albarova J Gilabert Estellés K Aghababyan R Rivas J Escartin JL Blas Laina B Cros Talal El-Abur J Garcia Egea C Yanez JH Kauppila E Sarjanoja S Tzedakis PA Bouche S Gaujoux D Gossot A Seguin-Givelet D Fuks M Grigoroiu R Sanchez Salas X Cathelineau P Macek Y Barbé F Rozet E Barret A Mombet N Cathala E Brian F Zadegan AJ Baldwin E Gammeri A Catton S Marinos Kouris J Pereca M Kaushal A Kler V Reghuram S Tezas V Oktseloglou F Mosley MFI De La Cruz Monroy P Bobak S Ahad E Lostis GK Ambler J Manara M Doe T Jichi GD Stewart J Ramzi AA Singh J Ashcroft OJ Baker P Coughlin Durst AZED A Abood A Habeeb VE Hudson B Lamb L Luke S Mitrasinovic Ngu AWT S Waseem F Georgiades XS Tan J Pushpa-rajah I Abu-Nayla S Rooney E Irune MHV Byrne A Durrani A Sethuraman Venkatesan T Combellack G Tahhan M Kornaszewska V Valtzoglou I Deglurkar M Koutentakis Syed Nong Chek SAH M Shinkwin F Ayeni H Tustin M Bordenave N Manu N Eardley OL Serevina S Roy Mahapatra K Mohankumar I Khawaja A Palepa T Doulias Y Premakumar Y Jauhari Z Koshnow A Uberai F Hirri BM Stubbs J Manickavasagam S Dalgleish R Kanitkar CJ Payne Ng CE DE Henshall T Drake EM Harrison A Tambyraja RJE Skipworth G Linder R McGregor J Mayes R Pasricha A Razik S Thrumurthy D Howden Z Baxter L Osagie M Bence GE Fowler N Rajaretnam A Goubran JS McGrath JRA Phillips DA Raptis JM Pollok F Soggiu S Xyda C Hidalgo Salinas H Tzerbinis T Pissanou R Mirnezami N Angamuthu T Shakir H Capitelli-McMahon L Hitchman A Andronic A Aboelkassem Ibrahim J Totty S Tayeh T Chase J Ayorinde T Cuming A Trompeter C Hing P Tsinaslanidis MW Benjamin A Leyte J Smelt G Santhirakumaran A Labib O Lyons S Onida KM Sarraf S Erridge S Yalamanchili A Abuown D Davenport S Wheatstone SM Andreani MF Bath A Sahni L Rigueros Springford C Sohrabi J Bacarese-Hamilton FG Taylor P Patki C Tanabalan ME Alexander CJ Smart L Abdeh M Zeiton R Advani S Nikolaou T Oni N Ilahi K Ballantyne Z Woodward R Merh B Robertson-Smith P Ameerally JG Finch C Gnanachandran I Pop D Dass G Thiruchandran Toh SKC A Allana C Bellis O Babawale YC Phan U Lokman T Koc L Duggleby S Shamoon H Clancy A Mansuri A Thakrar L Wickramarachchi S Sivayoganathan E Karam HV Colvin A Badran A Cadersa A Cumpstey R Aftab F Wensley V Morrison-Jones GK Sekhon H Shields Z Shakoor T Talbot A Alzetani J Rooney M Rudic A Aladeojebi M Kitchen R Lefroy P Nanjaiah AD Rajgor RJ Scurrah LJ Watson T Royle B Steel Luk ACO VG Thiruvasagam W Marlow C Konstantinou D Yershov A Denning E Mangos T Nambirajan I Flindall V Mahendran J De Marchi NF Davis A Picciariello V Papagni DF Altomare S Granieri C Cotsoglou A Cabeleira P Serralheiro T Teles C Canhoto J Simões AC Almeida O Nogueira R Athayde Nemésio MJ Amaral A Valente da Costa R Martins P Guerreiro A Ruivo D Breda JM Oliveira AL De Oliveira Lopez M Colino J De Barros AP Soares H Morais T Revez MI Manso JC Domingues P Henriques Cardoso N Ribeiro VI G Martins dos Santos M Peralta Ferreira J Ascensão B Costeira L Rio Rodrigues M Sousa Fernandes P Azevedo I Lourenço G Mendinhos A Nobre Pinto H Taflin H Abdou L O'Meara Z Cooper SA Hirji BU Okafor V Roxo CP Raut JS Jolissaint DA Mahvi C Reinke S Merola A Ssentongo P Ssentongo Oh JS J Hazelton J Maines N Gusani RCG Martin N Bhutiani R Choron F Soliman MD E Dauer E Renza-Stingone E Gokcen E Kropf H Sufrin J Sewards J Poggio K Sanserino L Rae M Philp M Metro P McNelis R Petrov T Pazionis DB Lumenta SP Nischwitz E Richtig M Pau P Srekl-Filzmaier N Eibinger B Michelitsch M Fediuk A Papinutti TU Cohnert E Kantor J Kahiu S Hosny A Sultana M Taggarsi L Vitone OP Vaz I Sarantitis S Timbrell A Shugaba GP Jones SS Tripathi MS Greenhalgh H Emerson K Vejsbjerg W McCormick K Singisetti Y Aawsaj R Vanker M Ghobrial S Kanthasamy H Fawi M Awadallah J Cheung S Tingle F Abbadessa A Sachdeva CD Chan I McPherson F Mahmoud Ali S Pandanaboyana T Grainger S Nandhra N Dawe C McCaffer J Riches J Moir H Elamin Ahmed C Saleh RM Koshy LJ Rogers PL Labib N Hope K Emslie P Panahi E Clough I Enemosah J Natale N Raza JI Webb M Antar J Noel R Nunn F Eriberto R Tanna S Lodhia C Osório J Antunes P Balau M Godinho
Source :
BMJ Open, Vol 11, Iss 11 (2021)
Publication Year :
2021
Publisher :
BMJ Publishing Group, 2021.
Abstract
Objectives Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.Setting Prospective, international, multicentre, observational cohort study.Participants Patients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome 30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.Results This study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).Conclusions Patients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration number NCT04323644
Details
Language :
English
ISSN :
20446055
Volume :
11
Issue :
11
Database :
Directory of Open Access Journals
Journal :
BMJ Open
Publication Type :
Academic Journal
Accession number :
edsdoj.17d582d4e77546948b853d028b0f1db7
Document Type :
article
Full Text :
https://doi.org/10.1136/bmjopen-2021-050830