Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic

Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic

Authors

  • Pietro Maniscalco Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Erika Poggiali Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Fabrizio Quattrini Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Corrado Ciatti Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Andrea Magnacavallo Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Andrea Vercelli Emergency Department, Guglielmo da Saliceto Hospital, Piacenza, Italy
  • Marco Domenichini Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy
  • Enrico Vaienti Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy
  • Francesco Pogliacomi Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy
  • Francesco Ceccarelli Orthopedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Parma, Italy

Keywords:

Coronavirus, Elderly patient, Proximal femur fracture, CoVID-19, Italian outbreak

Abstract

Introduction: CoVID-19 (Coronavirus disease) is a worldwide infection which is causing millions of deaths. A significant number of elderly patients require hospitalization and develop serious and sometimes life-threatening complications. The aim of this study is to evaluate the preliminary impact (8 weeks) of CoVID-19, focusing on proximal femur fractures, analyzing data and results compared to the same period of 2019. Materials and methods: From February 22nd to April 18th, 2020 we surgically treated 121 proximal femur fractures (61 in Piacenza; 60 in Parma, 16 male, 44 female, mean age 81.1). In the same period of 2019, we treated 169 proximal femur fractures (90 in Piacenza, 33 male, 57 female, mean age 81.9; 79 in Parma, 29 males, 50 female, mean age 80.2). We had 21/61 (34.4%) patients resulted positive for COVID-19 and 11/61 in Parma (18.3%), based on nasal-pharyngeal swab, chest CT scan and/or lung US findings. Results: The incidence of proximal femur fractures had a significant reduction during CoVID-19 spread in Piacenza and Parma. Authors have noticed an elevated number of deaths within 21 days after surgery. Piacenza: 4 cases in 2019 (4.4%) and 11 in 2020 (18.0%), of which 9 cases CoVID positive. In Parma in 2019 two deaths were encountered; in 2020 6 patients died and 5 cases were CoVID positive. Conclusion: In the first two months of the Italian epidemic, in the cities of Piacenza and Parma over 80% of deaths have occurred in patients over 70 years old. Even if preliminary, our study shows a significant increase in death in elderly patients surgically treated for proximal femur fractures, particularly in the Piacenza Hospital.

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Published

11-05-2020

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ORIGINAL INVESTIGATIONS/COMMENTARIES - SPECIAL COVID19

How to Cite

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Proximal femur fractures in COVID-19 emergency: the experience of two Orthopedics and Traumatology Departments in the first eight weeks of the Italian epidemic. Acta Biomed [Internet]. 2020 May 11 [cited 2024 Jun. 13];91(2):89-96. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9636

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