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. 2021 May;103(5):337–344. doi: 10.1308/rcsann.2020.7071

Table 2 .

Comparison between COVID-19 positive vs. COVID-19 negative patients in period B

COVID-19 negative COVID-19 positive p-value
Number of hip fractures (n) 214 28
Mean age (SD) 83.4 (8.2) 87.2 (7.5) 0.021
Gender
 Female 149 (69.6%) 19 (67.9%) 0.848
 Male 65 (30.4%) 9 (32.1%)
ASA Grade
 1 1 (0.5%) 0 (0.0%) 0.629
 2 42 (19.6%) 6 (21.4%)
 3 130 (60.7%) 14 (50.0%)
 4 41 (19.2%) 8 (28.6%)
Pre-operative AMTS
 0–6 70 (32.7%) 12 (42.9%) 0.286
 7–10 144 (67.3%) 16 (57.1%)
Pre-admission residence
 Nursing care 22 (10.3%) 4 (14.3%) 0.126
 Own home/sheltered housing 171 (79.9%) 18 (64.3%)
 Residential care 21 (9.8%) 6 (21.4%)
Fracture type
 Intracapsular – displaced 114 (53.3%) 9 (32.1%) 0.024
 Intracapsular – undisplaced 20 (9.3%) 1 (3.6%)
 Subtrochanteric 8 (3.7%) 1 (3.6%)
 Trochanteric – grade A1/A2 64 (29.9%) 17 (60.7%)
 Trochanteric – grade A3 8 (3.7%) 0 (0.0%)
Mean time to surgery - hours (SD) 31.6 (24.9) 41.6 (41.1) 0.074
Delay in surgery >36h?
 No 147 (68.7%) 14 (50.0%) 0.049
 Yes 66 (30.8%) 13 (46.4%)
 N/A – surgery not performed 1 (0.5%) 1 (3.6%)
Mean time to orthogeriatric assessment – hours (SD) 30.0 (29.7) 23.9 (13.6) 0.297
Treatment
 Hemiarthroplasty (cemented) 98 (45.8%) 9 (32.1%) 0.198
 Hemiarthroplasty (uncemented) 8 (3.7%) 0 (0.0%)
 Cannulated hip screws 10 (4.7%) 0 (0.0%)
 Dynamic hip screw 54 (25.2%) 13 (46.4%)
 Long intramedullary nail 21 (9.8%) 4 (14.3%)
 Short intramedullary nail 12 (5.6%) 1 (3.6%)
 Total hip replacement (cemented) 2 (0.9%) 0 (0.0%)
 Total hip replacement (hybrid) 6 (2.8%) 0 (0.0%)
 Total hip replacement (uncemented) 2 (0.9%) 0 (0.0%)
 Nonsurgical treatment 1 (0.5%) 1 (3.6%)
Mean length of inpatient stay – days (SD) 11.7 (8.2) 15.8 (10.1) 0.015
Return to operating theatre (%) 2 (0.6%) 0 (0.0%)
30-day mortality (%) 22 (6.7%) 15 (53.6%) <0.001
Discharge destination
 Death during inpatient admission 23 (7.0%) 13 (46.4%) <0.001
 Nursing care 25 (7.6%) 2 (7.1%)
 Own home/sheltered housing 154 (47.1%) 5 (17.9%)
 Rehabilitation unit 96 (29.4%) 7 (25.0%)
 Residential care 22 (6.7%) 1 (3.6%)
 Transfer to another acute hospital 3 (0.9%) 0 (0.0%)
 Other 4 (1.2%) 0 (0.0%)
Discharge to pre-admission residence?
 No 136 (41.6%) 20 (71.4%) 0.002
 Yes 191 (58.4%) 8 (28.6%)

ASA = American Society of Anaesthesiologists; AMTS = abbreviated mental test score; SD = standard deviation