Epidemic of New Coronavirus Pneumonia
Epidemiological characteristic analysis of fractures in elderly patients during the breakout of Corona Virus Disease 2019 (COVID-19)
Wang Zhiqian, Fu Mingming, Yin Yingchao, Zhu Yanbin, Zhang Yingze
Published 2020-02-05
Cite as Chin J Geriatr Orthop Rehabil(Electronic Edition), 2020,06(01): 3-9. DOI: 10.3877/cma.j.issn.2096-0263.2020.01.002
Abstract
ObjectivesTo analyze the clinical characteristics of fracture in elderly patients during the outbreak of Corona Virus Disease 2019 (COVID-19).
MethodsRetrospective collection of data was performed on elderly patients (65 years and older) with fractures in the Third Hospital of Hebei Medical University between January 20 and February 19 2020, who were defined as case group. While, patients admitted between 2019 January 31 and March 2 (corresponding to the lunar calendar and 2020) were allocated as control group, with comparison to the case group in term of gender, age, fracture type, merge disease, injury factors, treatment, preoperative waiting time, hospitalization days and the perioperative complications.
ResultsA total of 134 elderly patients with fractures were collected in this study, including 53 in the case group, with 19males and 34 females (M∶F=1∶1.79) and an average age of 81±8 years, and 81 cases in the control group,with 23 males and 58 females ( M∶F=1∶2.52) and an average age of 79±8 years. The proportion of patients with history of cerebral infarction in the case group (30 cases, 56.60%) was higher than that in the control group (29 cases, 35.80%, χ2= 5.625, P<0.05), and the proportion of patients falling down (53 cases, 100%) is higher than that of the control group (71 cases, 87.65%, χ2= 5.396, P<0.05). The proportion of patients with fractures caused by standing instability in the case group (18 cases, 33.96%) was higher than that in the control group (8 cases, 11.27%, χ2= 9.432, P<0.05), and the proportion of patients with fractures caused by bathroom slipping (15 cases, 28.30%) was higher than that of the control group (6 cases, 8.45%, χ2= 8.501, P<0.05). During perioperative period, the preoperative waiting time in the observation group [5 (4,7.25) d] was longer than that in the control group [4 (3,5) d, P<0.05], and the length of hospital stay [12 (9,15) d] was longer than that of the control group [10 (6,13) d, P<0.05]; The incidence of pulmonary infection in the case group (36 cases, 67.92%) was higher than that in the control group (16 cases, 19.75%, χ2= 31.306, P<0.05),and the incidence of deep vein thrombosis (31 cases, 58.49%) was higher than that of the control group (24 cases, 29.63%, χ2= 11.028, P<0.05).
ConclusionsThis study suggests that the number of new fracture patients admitted to our hospital during the epidemic period is significantly lower than the same period last year. The elderly with cerebrovascular disease is the primary population for prevention of fracture, and home was the most predominant place. Due to the prolonged preoperative waiting time and hospital stay, the inpatients should focus on the prevention of perioperative pulmonary infection, deep venous thrombosis and other complications.
Key words:
Aged; Fractures; Epidemiology; COVID-19
Contributor Information
Wang Zhiqian
Department of Geriatric Orthopedics, Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
Fu Mingming
Department of Geriatric Orthopedics, Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China
Yin Yingchao
Department of Geriatric Orthopedics, Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechnics of Hebei Province, Shijiazhuang 050051, China
Zhu Yanbin
Department of Geriatric Orthopedics, Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechnics of Hebei Province, Shijiazhuang 050051, China
Zhang Yingze
Department of Geriatric Orthopedics, Center of Orthopedic Trauma, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; Orthopedic Research Institution of Hebei Province, Key Laboratory of Orthopedic Biomechnics of Hebei Province, Shijiazhuang 050051, China
