Increased perioperative mortality for femoral neck fractures in patients with coronavirus disease 2019 (COVID-19): experience from the United Kingdom during the first wave of the pandemic.
Esther Victoria WrightOmar MusbahiAbhinav SinghNaresh SomashekarChristopher P HuberAnatole Vilhelm WiikPublished in: Patient safety in surgery (2021)
The increase in 30-day mortality for SARS-CoV-2 positive patients presenting with femoral neck fractures is multifactorial, resulting from a combination of the direct effects of COVID-19 pneumonia as well as changes to the delivery of orthopaedic services. The provision of multidisciplinary care was directly affected by staff redeployment, particularly reorganisation of orthogeriatric services and lack of continuity of ward based clinical care. Our experiences have re-directed efforts towards the management of theatre teams, patient services and staffing, should we be faced with either a resurgence of COVID-19 or a future pandemic.
Keyphrases
- coronavirus disease
- sars cov
- healthcare
- respiratory syndrome coronavirus
- affordable care act
- quality improvement
- palliative care
- mental health
- primary care
- cardiovascular events
- risk factors
- patients undergoing
- cardiac surgery
- pain management
- health insurance
- type diabetes
- coronary artery disease
- chronic pain
- respiratory failure