{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T02:32:09Z","timestamp":1780108329916,"version":"3.54.0"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Geriatr Orthop Surg Rehabil"],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To better elucidate how the COVID-19 pandemic has affected the operatively treated geriatric hip fracture population and how the health care system adapted to pandemic dictated procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>A community hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Individuals \u226565 years of age presented with a proximal femoral fracture from a low-energy mechanism undergoing operative treatment from January 17, 2020 to July 2, 2020 (N = 125).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>We defined 3 phases of healthcare system response: pre-COVID-19, acute phase, and subacute phase. Thirty-day mortality, time to operating room (OR), length of stay, time to start physical therapy, perioperative complications, delirium rate, hospice admission rate, discharge dispositions, readmission rate, and the reason of surgery delay were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The number of hip fractures has remained constant during the pandemic. The 30-day mortality rate, time to OR, and length of stay were higher in the pandemic compared to the pre-pandemic. Those who had a longer wait time to OR (\u2265 24 hours) had more complications and increased 30-day mortality rates. Some of the surgery delays were related to OR unavailability as a consequence of the COVID-19 pandemic. Surgery was delayed in 3 patients who were on direct oral anticoagulants (DOACs) in pandemic but none for pre-pandemic period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is the first study to compare the effect of the acute and subacute phases of the pandemic on uninfected hip fracture patients. In the age of COVID-19, to provide the best care for the vulnerable geriatric orthopedic populations, the healthcare system must adopt new protocols. We should still aim to promote prompt surgical care when indicated. It is important to ensure adequate resource availability, such as OR time and staff so that hip fracture patients may continue to receive rapid access to surgery. A multidisciplinary approach remains the key to the management of fragility hip fracture patients during the pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21514593211006692","type":"journal-article","created":{"date-parts":[[2021,4,2]],"date-time":"2021-04-02T02:22:42Z","timestamp":1617330162000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Outcomes of COVID-19 Negative Hip Fracture Patients During the Acute and Subacute Pandemic"],"prefix":"10.1177","volume":"12","author":[{"given":"Naoko","family":"Onizuka","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA"},{"name":"Department of Orthopaedic Surgery, Methodist Hospital, Saint Louis Park, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren N.","family":"Topor","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa K.","family":"Schroder","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Regions Hospital, St. Paul, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4834-1643","authenticated-orcid":false,"given":"Julie A.","family":"Switzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA"},{"name":"Department of Orthopaedic Surgery, Methodist Hospital, Saint Louis Park, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,31]]},"reference":[{"key":"bibr1-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"bibr2-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001017"},{"key":"bibr3-21514593211006692","unstructured":"World Health Organization. Coronavirus disease 2019 (COVID-19) situation report. Updated 12 January 2021. Accessed March 21, 2021. https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/situation-reports"},{"key":"bibr4-21514593211006692","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3476"},{"key":"bibr5-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.06.018"},{"key":"bibr6-21514593211006692","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20200624-03"},{"key":"bibr7-21514593211006692","unstructured":"Management of patients with urgent orthopaedic conditions and trauma during the coronavirus pandemic. Accessed March 21, 2021. https:\/\/www.boa.ac.uk\/resources\/covid-19-boasts-combined.html"},{"key":"bibr8-21514593211006692","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00775"},{"key":"bibr9-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-020-05483-0"},{"issue":"2","key":"bibr10-21514593211006692","first-page":"89","volume":"91","author":"Maniscalco P","year":"2020","journal-title":"Acta Biomed"},{"key":"bibr11-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.05.016"},{"key":"bibr12-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.16.BJO-2020-0043.R1"},{"key":"bibr13-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.06.035"},{"key":"bibr14-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.092220"},{"key":"bibr15-21514593211006692","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.O.00229"},{"key":"bibr16-21514593211006692","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00890"},{"key":"bibr17-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38790.468519.55"},{"key":"bibr18-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17606"},{"key":"bibr19-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001849"},{"key":"bibr20-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001845"},{"issue":"9","key":"bibr21-21514593211006692","first-page":"1136","volume":"102","author":"Kayani B","journal-title":"Bone Joint J. 2020"},{"key":"bibr22-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B9.BJJ-2020-1100.R1"},{"key":"bibr23-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001889"},{"key":"bibr24-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.06.006"},{"key":"bibr25-21514593211006692","first-page":"1","volume":"3","author":"Crozier-Shaw G","year":"2021","journal-title":"Ir J Med Sci"},{"key":"bibr26-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.09.015"},{"issue":"9","key":"bibr27-21514593211006692","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1302\/2633-1462.19.BJO-2020-0116.R1","volume":"1","author":"Arafa M","year":"2020","journal-title":"Bone Jt Open"},{"key":"bibr28-21514593211006692","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001063"},{"key":"bibr29-21514593211006692","unstructured":"COVID-19 news updates. 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