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. 2020 May 6:10.2106/JBJS.20.00686. doi: 10.2106/JBJS.20.00686

TABLE IV.

Demographic and Clinical Data for Patients Who Tested Positive for COVID-19 and Died*

Variables Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Case 7
Sex Male Male Female Male Female Female Female
Age (yr) 89 93 85 100 89 95 88
Residence Nursing home Family home Nursing home Nursing home Nursing home Family home Nursing home
Living in area of risk Yes Yes Yes Yes Yes Yes Yes
Contact with COVID-19, confirmed positive, or suspected Yes No Yes Maybe Yes No Maybe
Fracture type Intertrochanteric Intertrochanteric Intertrochanteric Intertrochanteric Intertrochanteric Intertrochanteric Femoral neck
Dementia No No No Yes Yes No Yes
Cough on presentation No Yes No Yes No Yes No
Temperature on presentation (°C) 35.8 36.3 35.8 38.9 35.8 36.2 38.3
Oxygen saturation on presentation 95 99 95 88 96 97 93
Chest radiograph on presentation Normal Lobar consolidation Normal Lobar consolidation Normal Lobar consolidation Normal
Confusion No No Yes Yes No No No
Urea level in blood (mg/dL) >45 <45 >45 NA >45 <45 >45
Respiratory rate (breaths per minute) <30 <30 NA >30 <30 <30 <30
Blood pressure (mm Hg) Systolic >90 and diastolic >60 Systolic >90 and diastolic >60 Systolic >90 and diastolic >60 Systolic <90 or diastolic <60 Systolic >90 and diastolic >60 Systolic >90 and diastolic >60 Systolic >90 and diastolic >60
CURB-65 score§ 2 1 NA NA 2 1 2
White blood cell count (per µL) 1,600 650 2,480 1,200 900 900 900
Creatinine serum level (mg/dL) 1.6 NA 1.09 1.43 1.32 0.63 0.90
Charlson Comorbidity Index score 7 5 9 6 10 4 5
ASA class III NA IV V III III III
Time from presentation to COVID-19 confirmation (days) 6 3 3 1 1 1 On presentation
Time from presentation to death (days) 15 18 18 12 19 20 9
Time from presentation to surgery (days) 2 6
Treatment Surgical (nail) Surgical (nail) Nonoperative Nonoperative Nonoperative Nonoperative Nonoperative
Comments Pneumonia symptoms and COVID-19 diagnosis after surgery Underwent surgery with diagnosis of pneumonia COVID-19 Patient unfit to undergo surgery Patient unfit to undergo surgery Patient unfit to undergo surgery Patient unfit to undergo surgery Patient unfit to undergo surgery
*

NA = not available.

A risk area is defined as a hospital catchment area with >100 COVID-19 cases per 100,000 inhabitants.

This was tested with the patient breathing room air containing 21% oxygen.

§

This is the CURB-65 score for the severity of pneumonia, which takes into account the state of confusion (C), urea level in blood (U), respiratory rate (R), blood pressure (B), and age of ≥65 years as risk factors.