Decreased volume of hip fractures observed during COVID-19 lockdown

Eur Geriatr Med. 2021 Aug;12(4):759-766. doi: 10.1007/s41999-020-00447-3. Epub 2021 Jan 22.

Abstract

Introduction: The aim was to study the incidence and characteristics of fragility hip fractures admitted during COVID-19 lockdown.

Materials and methods: We analysed socio-demographic and baseline characteristics of patients suffering fragility hip fractures between March 1st and May 1st 2020, period most affected by COVID-19 confinement measures. Cases (n = 64) were compared with controls (n = 172) from corresponding periods in 2018 and 2019. Poisson Generalised Linear Model regression analysis was performed to compare daily case counts, and LOESS curves compared time series.

Results: No differences were found regarding age or gender distributions, pre-fracture living, ambulatory, functional or cognitive status. More patients in 2020 had a high-risk ASA score. Fewer cases [Reduction = 26% (95% CI 1-44%)] were admitted in 2020. The reduction seemed to correspond with confinement.

Conclusions: Approximately, one quarter less fragility hip fractures were admitted to our hospital during lockdown. Patients' baseline status and socio-demographic characteristics were similar.

Keywords: COVID-19; Global pandemic; Hip fracture; Lockdown measures.

MeSH terms

  • Aged
  • Aged, 80 and over
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • Case-Control Studies
  • Communicable Disease Control
  • Delivery of Health Care
  • Female
  • Hip Fractures / epidemiology*
  • Hospitalization / statistics & numerical data
  • Hospitalization / trends*
  • Humans
  • Incidence
  • Male
  • SARS-CoV-2