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@article{Park:2022:10.1007/s11845-021-02687-z,
author = {Park, C and Sugand, K and Aframian, A and Morgan, C and Pakroo, N and Gibbons, C and Fertleman, M and Nathwani, D and Bhattacharya, R and Sarraf, KM},
doi = {10.1007/s11845-021-02687-z},
journal = {Irish Journal of Medical Science},
pages = {1005--1012},
title = {Impact of COVID-19 pandemic on hip fractures: the central London experience COVID-related urgent geriatric hip trauma (COUGH) study COVERT ( COVid Emergency-Related Trauma and orthopaedics) collaborative},
url = {http://dx.doi.org/10.1007/s11845-021-02687-z},
volume = {191},
year = {2022}
}

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TY  - JOUR
AB  - Introduction:COVID-19 has been recognized as the unprecedented global health crisis in modern times. The purpose of this study was to assess the impact of COVID-19 on treatment of neck of femur fractures (NOFF) against the current guidelines and meeting best practice key performance indicators (KPIs) according to the National Hip Fracture Database (NHFD) in two large central London hospitals.Materials and methodsA multi-center, longitudinal, retrospective, observational study of NOFF patients was performed for the first ‘golden’ month following the lockdown measures introduced in mid-March 2020. This was compared to the same time period in 2019.Results:A total of 78 cases were observed. NOFFs accounted for 11% more of all acute referrals during the COVID era. There were fewer overall breaches in KPIs in time to theatre in 2020 and also for those awaiting an orthogeriatric review. Time to discharge from the trust during the pandemic was improved by 54% (p < 0.00001) but patients were 51% less likely to return to their usual residence (p = 0.007). The odds ratio was significantly higher for consultant surgeon-led operations and consultant orthogeriatric-led review in the post-COVID era. There was no significant difference in using aerosol-generating anaesthetic procedures or immortality rates between both years.Conclusion:The impact of COVID-19 pandemic has not adversely affected the KPIs for the treatment of NOFF patients with significant improvement in numerous care domains. These findings may represent the efforts to ensure that these vulnerable patients are treated promptly to minimize their risks from the coronavirus.
AU  - Park,C
AU  - Sugand,K
AU  - Aframian,A
AU  - Morgan,C
AU  - Pakroo,N
AU  - Gibbons,C
AU  - Fertleman,M
AU  - Nathwani,D
AU  - Bhattacharya,R
AU  - Sarraf,KM
DO  - 10.1007/s11845-021-02687-z
EP  - 1012
PY  - 2022///
SN  - 0021-1265
SP  - 1005
TI  - Impact of COVID-19 pandemic on hip fractures: the central London experience COVID-related urgent geriatric hip trauma (COUGH) study COVERT ( COVid Emergency-Related Trauma and orthopaedics) collaborative
T2  - Irish Journal of Medical Science
UR  - http://dx.doi.org/10.1007/s11845-021-02687-z
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000667592700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/90360
VL  - 191
ER  -

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