{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:07:21Z","timestamp":1790647641578,"version":"4.1.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To examine one health system's response to the essential care of its hip fracture population during the COVID-19 pandemic and report on its effect on patient outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Prospective cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Seven musculoskeletal care centers within New York City and Long Island.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>One hundred thirty-eight recent and 115 historical hip fracture patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Patients with hip fractures occurring between February 1, 2020, and April 15, 2020, or between February 1, 2019, and April 15, 2019, were prospectively enrolled in an orthopaedic trauma registry and chart reviewed for demographic and hospital quality measures. Patients with recent hip fractures were identified as COVID positive (C+), COVID suspected (Cs), or COVID negative (C\u2212).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Hospital quality measures, inpatient complications, and mortality rates.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Seventeen (12.2%) patients were confirmed C+ by testing, and another 14 (10.1%) were suspected (Cs) of having had the virus but were never tested. The C+ cohort, when compared with Cs and C\u2212 cohorts, had an increased mortality rate (35.3% vs. 7.1% vs. 0.9%), increased length of hospital stay, a greater major complication rate, and a greater incidence of ventilator need postoperatively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>COVID-19 had a devastating effect on the care of patients with hip fracture during the pandemic. Although practice patterns generally remained unchanged, treating physicians need to understand the increased morbidity and mortality in patients with hip fracture complicated by COVID-19.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of Levels of Evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001845","type":"journal-article","created":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T14:04:09Z","timestamp":1591020249000},"page":"395-402","source":"Crossref","is-referenced-by-count":170,"title":["Increased Mortality and Major Complications in Hip Fracture Care During the COVID-19 Pandemic: A New York City Perspective"],"prefix":"10.1097","volume":"34","author":[{"given":"Kenneth A.","family":"Egol","sequence":"first","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjit R.","family":"Konda","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mackenzie L.","family":"Bird","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicket","family":"Dedhia","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma K.","family":"Landes","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel A.","family":"Ranson","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara J.","family":"Solasz","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay K.","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopedic Surgery, Bellevue Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Bosco","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Furgiuele","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Ganta","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopaedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Gould","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Lyon","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni M.","family":"McLaurin","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopedic Surgery, Bellevue Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmal C.","family":"Tejwani","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopedic Surgery, Bellevue Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph D.","family":"Zuckerman","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Leucht","sequence":"additional","affiliation":[{"name":"Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY;"},{"name":"Department of Orthopedic Surgery, Bellevue Hospital, New York, NY."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for The NYU COVID Hip Fracture Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1016\/j.injury.2018.04.015","article-title":"Epidemiology and social costs of hip fracture","volume":"49","author":"Veronese","year":"2018","journal-title":"Injury."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1001\/jama.2009.1462","article-title":"Incidence and mortality of hip fractures in the United States","volume":"302","author":"Brauer","year":"2009","journal-title":"Jama."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"1761","DOI":"10.1016\/S0140-6736(02)08657-9","article-title":"Epidemiology and outcomes of osteoporotic fractures","volume":"359","author":"Cummings","year":"2002","journal-title":"Lancet."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"2209","DOI":"10.1016\/j.injury.2018.10.010","article-title":"Hip fractures\u2014treatment and functional outcome. The development over 25 years","volume":"49","author":"Turesson","year":"2018","journal-title":"Injury."},{"key":"R6-20230828","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMc2010419","article-title":"Clinical characteristics of covid-19 in New York city","author":"Goyal","year":"2020","journal-title":"N Engl J Med."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"933","DOI":"10.2106\/JBJS.20.00489","article-title":"Guidelines for ambulatory surgery centers for the care of surgically necessary\/time-sensitive orthopaedic cases during the COVID-19 pandemic","volume":"102","author":"DePhillipo","year":"2020","journal-title":"J Bone Joint Surg Am."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"451","DOI":"10.5435\/JAAOS-D-20-00227","article-title":"Peri-operative considerations in urgent surgical care of suspected and confirmed COVID-19 orthopedic patients: operating rooms protocols and recommendations in the current COVID-19 pandemic","volume":"28","author":"Awad","year":"2020","journal-title":"J Am Acad Orthop Surg."},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"9793435","DOI":"10.1155\/2018\/9793435","article-title":"Predicting discharge location among low-energy hip fracture patients using the score for trauma triage in the geriatric and middle-aged (STTGMA)","volume":"2018","author":"Konda","year":"2018","journal-title":"Adv Orthop"},{"key":"R10-20230828","article-title":"Development of a value-based algorithm for inpatient triage of elderly hip fracture patients","author":"Konda","year":"2019","journal-title":"The J Am Acad Orthop Surg."},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"2151459318795311","DOI":"10.1177\/2151459318795311","article-title":"The coming hip and femur fracture bundle: a new inpatient risk stratification tool for care providers","volume":"9","author":"Konda","year":"2018","journal-title":"Geriatr Orthop Surg Rehabil."},{"issue":"suppl 1","key":"R12-20230828","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1097\/BOT.0000000000000105","article-title":"The World Health Organization's action plan on the road traffic injury pandemic: is there any action for orthopaedic trauma surgeons?","volume":"28","author":"Moroz","year":"2014","journal-title":"J Orthop Trauma."},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"847","DOI":"10.2106\/JBJS.20.00417","article-title":"Survey of COVID-19 disease among orthopaedic surgeons in Wuhan, People's Republic of China","volume":"102","author":"Guo","year":"2020","journal-title":"J Bone Joint Surg Am."},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1016\/S0140-6736(20)30793-5","article-title":"Essential care of critical illness must not be forgotten in the COVID-19 pandemic","volume":"395","author":"Baker","year":"2020","journal-title":"Lancet."},{"key":"R15-20230828","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1007\/s00198-009-0920-3","article-title":"Excess mortality following hip fracture: a systematic epidemiological review","volume":"20","author":"Abrahamsen","year":"2009","journal-title":"Osteoporos Int."},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1186\/s13018-019-1226-6","article-title":"Mortality after osteoporotic hip fracture: incidence, trends, and associated factors","volume":"14","author":"Guzon-Illescas","year":"2019","journal-title":"J Orthop Surg Res."},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1186\/s12891-018-2276-3","article-title":"Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register","volume":"19","author":"Mattisson","year":"2018","journal-title":"BMC Musculoskelet Disord."},{"key":"R18-20230828","doi-asserted-by":"crossref","first-page":"e1919706","DOI":"10.1001\/jamanetworkopen.2019.19706","article-title":"Risk factors and trends associated with mortality among adults with hip fracture in Singapore","volume":"3","author":"Yong","year":"2020","journal-title":"JAMA Netw Open"},{"key":"R19-20230828","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/17453674.2019.1680485","article-title":"Postoperative mortality after a hip fracture over a 15-year period in Denmark: a national register study","volume":"91","author":"Gundel","year":"2020","journal-title":"Acta Orthop."},{"key":"R20-20230828","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1007\/s00198-019-05250-w","article-title":"Analysis of mortality after hip fracture on patient, hospital, and regional level in Germany","volume":"31","author":"Schulz","year":"2020","journal-title":"Osteoporos Int."},{"key":"R21-20230828","doi-asserted-by":"crossref","DOI":"10.1097\/SLA.0000000000003925","article-title":"COVID-19 outbreak and surgical practice: unexpected fatality in perioperative period","author":"Aminian","year":"2020","journal-title":"Ann Surg."},{"key":"R22-20230828","doi-asserted-by":"crossref","first-page":"100331","DOI":"10.1016\/j.eclinm.2020.100331","article-title":"Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection","volume":"21","author":"Lei","year":"2020","journal-title":"EClinicalMedicine."},{"key":"R23-20230828","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1038\/s41577-020-0311-8","article-title":"The trinity of COVID-19: immunity, inflammation and intervention","volume":"20","author":"Tay","year":"2020","journal-title":"Nat Rev Immunol."},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"108393","DOI":"10.1016\/j.clim.2020.108393","article-title":"The use of anti-inflammatory drugs in the treatment of people with severe coronavirus disease 2019 (COVID-19): the Perspectives of clinical immunologists from China","volume":"214","author":"Zhang","year":"2020","journal-title":"Clin Immunol."},{"key":"R25-20230828","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/BOT.0000000000000837","article-title":"Tranexamic acid safely reduced blood loss in hemi- and total hip arthroplasty for acute femoral neck fracture: a randomized clinical trial","volume":"31","author":"Watts","year":"2017","journal-title":"J Orthop Trauma."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001845","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T07:30:40Z","timestamp":1693207840000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000001845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000001845","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}