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Evaluation des patients opérés d'une fracture fémorale proximale dans le cadre du programme Fragility Fracture durant la période de confinement belge

par Luisetto, Matteo ;Chahidi, Esfandiar ;Valcarenghi, Jérôme;Ledoux, Amandine;Jennart, Harold
Référence Revue médicale de Bruxelles, 42, 1, page (16-25)
Publication Publié, 2021-01

Article révisé par les pairs

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Résumé :

Introduction : The management of SARS-CoV-2 infection has completely reformed the medical sector. Between March 14 and May 17 2020, only urgent surgical operations remained, including the management of proximal femoral fractures. The aim of our study is to best qualify this population of surgical patients by evaluating some clinical and epidemiological characteristics and assessing the infection rate. Material and Methods : This is a retrospective, descriptive and mono-centric cohort study, which identifies all Fragility Fracture program patients who had surgery for a proximal femoral fracture between March 14, 2020 and May 17, 2020 in the CHU Tivoli. Overall we defined the population and analyzed clinical and biological characteristics of patients suspected of or suffering from COVID-19, but also patients who developed the infection during hospitalization, compared to patients considered healthy. Finally, we described our deceased cases. Results : We treated 18 proximal femoral fractures during this period. Eight patients were operated following the COVID-19 precautions. Six patients tested positive, 3 on admission and 3 who become infected during their time in hospital. There were no physiological or biological differences between patients on admission. The mortality rate for positive patients was 33%. Conclusion : Unlike other studies, our incidence of proximal femoral fractures did not decrease during this time. These fractures occur in patients with early stage COVID-19, however the mortality rate remains high.