Turkiye Klinikleri Journal of Anesthesiology Reanimation

.: ORIGINAL RESEARCH
Retrospective Analysis of Extracapsular Hip Fracture Outcomes Before and During the Pandemic: A Comparative Cohort Study
Pandemi Öncesi ve Pandemi Sırasında Ekstrakapsüller Kalça Kırıkları Sonuçlarının Retrospektif Analizi: Karşılaştırmalı Kohort Çalışma
Mehmet Can GEZERa , Kezban Sanem ÇAKIR TURHANb , Volkan BAYTAŞb , Mahmut KALEMc
aMamak State Hospital, Clinic of Orthopedics and Traumatology, Ankara, Türkiye
bAnkara University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Ankara, Türkiye
cAnkara University Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Türkiye
Turkiye Klinikleri J Anest Reanim. 2024;22(1):8-14
doi: 10.5336/anesthe.2024-102294
Article Language: EN
Full Text
ABSTRACT
 Objective: On March 11, 2020, coronavirus disease2019 (COVID-19) was first reported in Türkiye. In response, measures were quickly implemented that completely transformed the healthcare system and daily life. As a result of these changes, the priorities for hospitalization and treatment plans have shifted. This study aims to retrospectively evaluate and compare the outcomes of geriatric patients who underwent surgery for anextracapsular hip fracture during the one year pre-pandemic and pandemic periods. Material and Methods: Only those who underwent surgery for extracapsular hip fracture were included in the study to ensure surgical standardization. We obtained patient data from the hospital's digital archive and assessed demographic characteristics, location of the trauma, anesthesia method, postoperative outcomes, length of hospital stay, and intensive care requirements. Results: 191 patients underwent surgery for an extracapsular hip fracture indication during the specified time intervals. Out of these, 71 (were male and 120 were female. Among the patients, 117 were in Group 1 (surgery before the pandemic) and 74 were in Group 2 (surgery during the pandemic). Although Group 2 had a larger number of patients with American Society of Anesthesiologists III and diabetes, there were no significant differences between the two groups in terms of postoperative complications and mortality. Group 2 patients were more likely to have sustained trauma outdoors. Conclusion: The study highlights how the pandemic has affected the lives of both patients and healthcare professionals and how it continues to do so.

Keywords: Hip fractures; COVID-19; pandemics; morbidity
ÖZET
 Amaç: Türkiye'de 11 Mart 2020 tarihinde ilk koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] vakasının görülmesinden sonra hızla alınan tedbirler, genel sağlık sistemi ve toplumsal yaşamı tümüyle değiştirmiş, buna bağlı olarak da hastaneye yatış ve tedavi planlarının önceliği de değişmiştir. Buradan yola çıkılarak bu çalışmada, ekstrakapsüler kalça kırığı endikasyonuyla opere olan geriatrik hastaların sonuçları; pandemi öncesi 1 yılın ve pandemi dönemindeki 1 yıla göre retrospektif olarak değerlendirilmesi ve karşılaştırılması amacıyla planlanmıştır. Gereç ve Yöntemler: Hastane dijital arşivinin taranmasıyla hasta verilerine ulaşıldı. Hastalar; demografik özellikleri, travmanın gerçekleştiği mekân, uygulanan anestezi yöntemi, postoperatif hasta sonuçları, hastanede yatış süreleri ve yoğun bakım gereksinimleri açısından değerlendirildi. Bulgular: Çalışma verilerine göre belirtilen zaman aralıklarında 71'i erkek, 120'si kadın olmak üzere 191 hastanın ekstrakapsüler kalça kırığı endikasyonuyla opere olduğu saptandı. Hastaların 117'si Grup 1 (pandemi öncesinde ameliyat edilen), 742ü ise Grup 2 (pandemi sırasında ameliyat edilen) de yer alıyordu. Grup 2'de Amerikan Anestezistler Derneği III ve diyabetik hasta sayısı fazla olsa da postoperatif komplikasyonlar ve mortalite açısından gruplar arasında fark yoktu. Travma yerinin ise Grup 2'de daha fazla olmak üzere, daha çok ev dışı mekânlar olduğu saptandı. Sonuç: Bu çalışma, pandeminin hem hastaların hem de hekimlerin hayatlarını değiştirdiğini ve değiştirmeye devam ettiğini göstermektedir.

Anahtar Kelimeler: Kalça kırıkları; COVID-19; pandemik; morbidite
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