{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T21:52:34Z","timestamp":1763329954249,"version":"build-2065373602"},"reference-count":29,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>In order to determine the impact of COVID-19 on the treatment and outcomes in patients with proximal femoral fracture\u2019s (PFF), we analyzed a national US sample. This is a retrospective review of American College of Surgery\u2019s (ACS) National Surgical Quality Improvement Program (NSQIP) for patients with proximal femoral fractures. A total of 26,830 and 26,300 patients sustaining PFF and undergoing surgical treatment were sampled during 2019 and 2020, respectively. On multivariable logistic regression, patients were less likely to have \u2018presence of non-healing wound\u2019 (p &lt; 0.001), functional status \u2018independent\u2019 (p = 0.012), undergo surgical procedures of \u2018hemiarthroplasty\u2019(p = 0.002) and \u2018ORIF IT, Peritroch, Subtroch with plates and screws\u2019 (p &lt; 0.001) and to be \u2018alive at 30-days post-op\u2019 (p = 0.001) in 2020 as compared to 2019. Patients were more likely to have a case status \u2018emergent\u2019, \u2018loss of \u226510% body weight\u2019, discharge destination of \u2018home\u2019 (p &lt; 0.001 for each) or \u2018leaving against medical advice\u2019 (p = 0.026), postoperative \u2018acute renal failure (ARF)\u2019 (p = 0.011), \u2018myocardial infarction (MI)\u2019 (p = 0.006), \u2018pulmonary embolism (PE)\u2019 (p = 0.047), and \u2018deep venous thrombosis (DVT)\u2019 (p = 0.049) in 2020 as compared to 2019. Patients sustaining PFF and undergoing surgical treatment during pandemic year 2020 differed significantly in preoperative characteristics and 30-day postoperative complications when compared to patients from the previous year.<\/jats:p>","DOI":"10.3390\/jcm11226778","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T06:19:01Z","timestamp":1668665941000},"page":"6778","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Traumatic Proximal Femoral Fractures during COVID-19 Pandemic in the US: An ACS NSQIP\u00ae Analysis"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0667-5063","authenticated-orcid":false,"given":"Muhammad Umar","family":"Jawad","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Good Samaritan Regional Medical Center, Corvallis, OR 97330, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connor M.","family":"Delman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean T.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen P.","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian L. S.","family":"Soles","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Lor","family":"Randall","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven W.","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California-Davis, Sacramento, CA 95817, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,16]]},"reference":[{"key":"ref_1","unstructured":"CDC (2022, May 03). CDC Museum COVID-19 Timeline, Available online: https:\/\/www.cdc.gov\/museum\/timeline\/covid19.html."},{"key":"ref_2","unstructured":"CMS (2022, May 10). 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