gms | German Medical Science

5. Alterstraumatologiekongress 2022

01.06. - 02.06.2022, München

Mortality and epidemiological changes in proximal hip fractures in the course of a pandemic

Meeting Abstract

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  • presenting/speaker Lukas Schmölz - Universitätsklinik für Orthopädie und Unfallchirurgie, Wien, Österreich
  • Domenik Popp - Universitätsklinik für Orthopädie und Unfallchirurgie, Wien, Österreich
  • Arastoo Nia - Universitätsklinik für Orthopädie und Unfallchirurgie, Wien, Österreich
  • Harald K. Widhalm - Universitätsklinik für Orthopädie und Unfallchirurgie, Wien, Österreich

Deutsche Gesellschaft für Geriatrie e.V. (DGG). Deutsche Gesellschaft für Unfallchirurgie e.V. (DGU). 5. Alterstraumatologiekongress 2022. München, 01.-02.06.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. Doc32

doi: 10.3205/22altra32, urn:nbn:de:0183-22altra321

Veröffentlicht: 24. Juni 2022

© 2022 Schmölz et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



Objectives: COVID-19 had massive effects on treatment protocols of orthopedic and trauma departments. Yet, the specific impact on mortality of patients with hip fractures due to possible delay of surgery is still unclear. The purpose of this paper was to investigate the profound epidemiological changes and if the COVID-19 pandemic worsened the 30-day mortality rate of hip fracture patients.

Methods: This study evaluated the data of 514 proximal hip fracture patients. 175 patients were prospectively included who 1) suffered from hip fractures (2) during the Austrian State of Emergency period between March 15th and May 30th, 2020 and 2021, and (3) were administered to a level I trauma center. This cohort was compared to a retrospective control group of 339 patients, diagnosed with hip fractures during the same timeframe in 2017, 2018 and 2019.

Result: An admission reduction of 22% in the COVID-period compared to the pre-COVID period was evident (p=0.018). The 30-day mortality rate was 14.67% (Pre-COVID) compared to 15.18% (p=0.381). There were no differences in surgical complication rates or relations between comorbidity burden and survival. No significant changes in demographic variables were observed, except for admission rate, gender (p=0.013) and place of accident (p=0.049). A tendency to Pre-COVID levels was observed in all parameters for 2021.

Conclusion: Surgeons should be reassured to take COVID precautions, as this study did not show higher perioperative mortality due to COVID measures. Under current circumstances, with possibly reduced surgical and hospital bed capacities, it is expectable that this entity might bind a high degree of resources in times of potential scarce capacities in an ongoing pandemic.