Are Hospitals Safe? A Prospective Study on SARS-CoV-2 Prevalence and Outcome on Surgical Fracture Patients: A Closer Look at Hip Fracture Patients
Por:
Segarra, B, Heras, N, Ortiz, M, Ribes-Iborra, J, Martinez-Macias, O and Cuesta-Peredo, D
Publicada:
1 oct 2020
Resumen:
Objectives: To describe clinical characteristics of fracture patients, including a closer look to hip fracture patients, and determine how epidemiological variables may have influenced on a higher vulnerability to SARS-CoV-2 infection, as the basis for the considerations needed to reintroduce elective surgery during the pandemic. Design: Longitudinal prospective cohort study. Setting: Level I Trauma Center in the East of Spain. Patients/Participants: One hundred forty-four consecutive fracture patients 18 years or older admitted for surgery. Intervention: Patients were tested for SARS-CoV-2 with either molecular and/or serological techniques and screened for presentation of COVID-19. Main Outcome Measurements: Patients were interviewed and charts reviewed for demographic, epidemiological, clinical, and surgical characteristics. Results: We interviewed all patients and tested 137 (95.7%) of them. Three positive patients for SARS-CoV-2 were identified (2.1%). One was asymptomatic and the other 2 required admission due to COVID-19-related symptoms. Mortality for the whole cohort was 13 patients (9%). Significant association was found between infection by SARS-CoV-2 and epidemiological variables including: intimate exposure to respiratory symptomatic patients (P= 0.025) and intimate exposure to SARS-CoV-2-positive patients (P= 0.013). No association was found when crowding above 50 people was tested individually (P= 0.187). When comparing the 2020 and 2019 hip fracture cohorts we found them to be similar, including 30-day mortality. A significant increase in surgical delay from 1.5 to 1.8 days was observed on the 2020 patients (P= 0.034). Conclusions: Patients may be treated safely at hospitals if strict recommendations are followed. Both cohorts of hip fracture patients had similar 30-day mortality.
Filiaciones:
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Hosp Univ La Ribera, Dept Orthopaed Surg, Calle Marti 20-11, Valencia 46005, Spain
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Hosp Univ La Ribera, Dept Orthopaed Surg, Calle Marti 20-11, Valencia 46005, Spain
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Hosp Univ La Ribera, Dept Orthopaed Surg, Calle Marti 20-11, Valencia 46005, Spain
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Hosp Univ La Ribera, Dept Orthopaed Surg, Calle Marti 20-11, Valencia 46005, Spain
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Hosp Univ La Ribera, Dept Microbiol, Valencia, Spain
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Hosp Univ La Ribera, Dept Qual Management, Valencia, Spain
Univ Catolica Valencia, Fac Med, Valencia, Spain
Green Published
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