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Review
. 2022 Jan 7;33(2):172-177.
doi: 10.1097/BCO.0000000000001087. eCollection 2022 Mar-Apr.

Length of hospital stay and mortality of hip fracture surgery in patients with Coronavirus disease 2019 (COVID-19) infection: A systematic review and meta-analysis

Hamed Tayyebi  1 , Masoud Hasanikhah  1 , Mohamadreza Heidarikhoo  1 , Sajad Fakoor  1 , Amir Aminian  1
Affiliations
Review

Length of hospital stay and mortality of hip fracture surgery in patients with Coronavirus disease 2019 (COVID-19) infection: A systematic review and meta-analysis

Hamed Tayyebi et al. Curr Orthop Pract. .

Abstract

Coronavirus disease 2019 (COVID-19) patients who undergo hip fracture surgery are expected to have worse outcomes because they are vulnerable to developing COVID-19-associated complications. The present review attempted to assess the in-hospital and 30-day mortality rates as well as the length of hospital stay in patients with COVID-19 infection who had hip fracture surgery.

Methods: Two authors independently searched Google Scholar, PubMed, Web of Knowledge, SCOPUS, and Embase, based on the MeSH-matched scientific keywords. The nine-star Newcastle-Ottawa Scale (NOS) scoring system was employed to assess the methodological quality of all eligible studies.

Results: Eleven cohort studies that included 336 patients comprised the study. Three studies reported in-hospital mortality. Eight studies reported 30-day postoperative mortality. The pooled in-hospital mortality rate was 29.8% (95% CI: 26.6%-35.6%). The pooled 30-day postoperative mortality rate was 35.0% (95% CI: 29.9%-40.5%). The mean hospital stay was 11.29 days (95% CI: 10.65 days-11.94 days).

Conclusions: The rates of in-hospital and 30-day mortality in COVID-19 patients who undergo hip fracture surgery is high. These data suggest delaying hip fracture surgery until COVID-19 infection of the patients is controlled.

Level of evidence: Level II.

Keywords: COVID-19; hip fracture; mortality; surgery.

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Figures

FIGURE 1
FIGURE 1
The flowchart of screening the eligible studies.
FIGURE 2
FIGURE 2
The pooled analysis of in-hospital death rate in hip-fracture surgery in COVID-19 patients.
FIGURE 3
FIGURE 3
The pooled analysis of 30-day death rate in hip-fracture surgery in COVID-19 patients.
See this image and copyright information in PMC

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