Hip fracture in the elderly with COVID-19 infection. Report of 3 cases

Since its first description in china in January 2020, COVID-19 pandemia outbreak has affected health organization and conventional care in all settings as wards, intensive care and surgery. Hip fracture patients usually are older and have a lot of comorbidities. This type of patients benefit from early surgery. However, surgery in COVID-19 patients with active infection is associate with bad outcomes and mortality. We present three patients with COVID infection undergoing hip fracture surgery. Surgery was performed tree weeks after admission. Despite have risk factor (old age, arterial hypertension, elevated inflammatory parameters) the outcome was good and were discharged from hospital without events. Resumen La pandemia COVID-19 y su diseminación desde la descripción de los primeros casos en China en enero de 2020, ha condicionado la organización sanitaria y la asistencia convencional, tanto en sala de hospitalización como en unidades de cuidados intensivos (UCI), o consultas y actividad quirúrgica. Los pacientes con fractura de cadera, habitualmente ancianos y pluripatológicos, se benefician de una intervención precoz, sin embargo, la cirugía en presencia de infección SARS-CoV-2 activa, parece condicionar una morbimortalidad elevada. Presentamos 3 casos de pacientes ancianos con COVID-19 y fractura de cadera, intervenidos tras 3 semanas de evolución y con presencia de PCR positiva. A pesar de factores pronósticos de gravedad (edad, hipertensión arterial y marcadores de inflamación elevados) el postoperatorio fue el habitual y fueron dados de alta del hospital.

Hip fracture in elderly and COVID-19 infection. Report of 3 cases. / Fractura de cadera en el anciano e infección por COVID-19. Descripción de 3 casos.

Since its first description in china in January 2020, COVID-19 pandemia outbreak has affected health organization and conventional care in all settings as wards, intensive care and surgery. Hip fracture patients usually are older and have a lot of comorbidities. This type of patientes benefit from early surgery. However, surgery in COVID-19 patients with active infection is associate with bad outcomes and mortality. We present three patients with COVID infection undergoing hip fracture surgery. Surgery was performed tree weeks after admission. Despite have risk factor (old age, arterial hypertension, elevated inflammatory parameters) the outcome was good and were discharged from hospital without events.