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Increasing hip fracture volume following repeated lockdowns: an Irish multicentre study of periods pre-Covid, during Covid lockdown and following vaccination.

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posted on 12.05.2022, 09:42 by Conor S O'Driscoll, Colum Downey, Charles Timon, David Lennon, Louise BrentLouise Brent, Colin G. Murphy, May Cleary, John F. Quinlan
Background: Older age groups were identified as a high-risk cohort for Covid-19 and thus were a focus of lockdown measures enacted internationally. Resultant decreased social mobility and physical activity levels are associated with sarcopenia, which may lead to increased risk of hip fracture upon resuming social integration and physical activities after easing of lockdown restrictions.
Aims: Our aim was to compare the incidence of hip fractures during the period following vaccination with subsequent relaxation of restrictions, to those prior to and during the Covid pandemic.
Methods: A multicentre retrospective cohort study was performed consisting of all patients presenting with a "hip" fracture to 3 regional trauma units over the relevant time periods in 2019, 2020 and 2021. Tallaght, Galway and Waterford University Hospitals are large academic teaching hospitals with a combined mixed urban and rural catchment of over 1 million people.
Findings: Four-hundred-fourteen patients in total were included in the final analysis, with 133 eligible hip fractures observed proceeding to operative treatment across the study period in 2019, 132 in 2020 and 149 in 2021, representing a 12.88% increase. Demographic data revealed similar patient cohorts with respect to age and gender, fracture pattern and treatment.
Conclusions: An increase in hip fracture volume was observed during the period post vaccination with subsequent relaxation of restrictions and increased social mobility, compared to those prior to and during the Covid pandemic. These findings have implications for hospital planning and orthopaedic resourcing as we navigate our way forward past the Covid-19 Pandemic.

Funding

Open Access funding provided by the IReL Consortium

History

Comments

The original article is available at https://link.springer.com/

Published Citation

O'Driscoll CS, et al Increasing hip fracture volume following repeated lockdowns: an Irish multicentre study of periods pre-covid, during covid lockdown and following vaccination. Ir J Med Sci. 2022:1–5.

Publication Date

14 April 2022

PubMed ID

35420367

Department/Unit

  • National Office of Clinical Audit (NOCA)

Publisher

Springer Nature

Version

  • Published Version (Version of Record)