{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T10:47:36Z","timestamp":1781606856807,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,8,27]],"date-time":"2022-08-27T00:00:00Z","timestamp":1661558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Concerns about the coronavirus disease 2019 (COVID\u201019) pandemic resulted in unprecedented challenges to the management of geriatric hip fractures. We aimed to evaluate the effects of the COVID\u201019 surge on the time to surgery and 1\u2009year mortality in geriatric patients with hip fracture at a large, urban Level 1 trauma center in Beijing, and to guide the management of geriatric hip fracture patients throughout the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This single\u2010center retrospective study included consecutive patients aged \u226565\u2009years and injured 3\u2009weeks prior to admission. Demographic and surgical data were collected between January 20 and May 31, 2020, and from the same period in 2019. Mortality data and functional status were collected at follow\u2010up of 1\u2010year after surgery. The primary outcomes were time to surgery and 1\u2009year mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in sex, fracture type, and surgical pattern between the 2020 (<jats:italic>n<\/jats:italic>\u00a0=\u00a0261) and 2019 time\u2010matched (<jats:italic>n<\/jats:italic>\u00a0=\u00a0307) cohorts. The time from admission to surgery was significantly delayed in the 2020 cohort compared with that in the 2019 cohort (48.9\u00a0h <jats:italic>vs<\/jats:italic> 20.5\u2009h, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Fewer patients underwent surgery within 48\u2009h in the 2020 cohort (65.5% <jats:italic>vs<\/jats:italic> 87.6%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Surgical delay was also associated with an increased risk of inpatient complications (30.2% <jats:italic>vs<\/jats:italic> 20.8%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.010), however there was no significant difference in the 1\u2010year mortality rate, nor between pre\u2010injury and 1\u2009year follow\u2010up mobility as assessed by Parker score. Only approximately half of the patients in both groups completely returned to their pre\u2010injury mobility levels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The COVID\u201019 pandemic has significantly increased the surgery waiting time for geriatric patients with hip fractures, which resulted in increased inpatient complications without a higher mortality rate within 1\u2009year. This reinforces the importance of maintaining timely and protocolized care for geriatric hip fractures throughout any subsequent waves of the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13464","type":"journal-article","created":{"date-parts":[[2022,8,27]],"date-time":"2022-08-27T10:00:15Z","timestamp":1661594415000},"page":"2527-2534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Effects of COVID\u201019 on Geriatric Hip Fracture Management and 1\u2010Year Mortality in Beijing"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7914-8176","authenticated-orcid":false,"given":"Gang","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minghui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaoliang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiwen","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinbao","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,27]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Coronavirus Disease (COVID\u201019) Pandemic:World Health Organization;2020."},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.06.022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04575-0"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.05.016"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.06.018"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30046-4"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B7.22446"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00229"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-32098-7"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3261-4"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-019-0594-1"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2021.100348"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001845"},{"key":"e_1_2_10_15_1","first-page":"75","article-title":"Effects of the COVID\u201019 pandemic on COVID\u201019 negative geriatric patients with hip fractures","volume":"10","author":"Lim SM","year":"2021","journal-title":"J Frailty Aging"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.75B5.8376443"},{"key":"e_1_2_10_18_1","unstructured":"Royal College of Physicians.National hip fracture database annual report 2019[Internet]. London: RCP 2019. Available from:https:\/\/www.nhfd.co.uk\/. 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