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The Impact of the COVID-19 Pandemic on the Neck of the Femur and Hip Fracture Surgery Volumes in the Lazio Region

Author

Listed:
  • Francesca Mataloni

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Luigi Pinnarelli

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Paola Colais

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Jacopo Savastano

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Danilo Fusco

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

  • Marina Davoli

    (Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy)

Abstract

This study compares surgery volumes for fractures of the neck of the femur (FNF) and hip replacements during the COVID-19 pandemic compared with previous years. Historical (2018–2019) and pandemic (2020–2021) surgery rates for FNF and hip replacement in Lazio, adjusted for age and gender, were calculated per period and compared with a Poisson regression model. For hip replacement surgery, a comparison of different types of hospitals was also made. Before COVID-19’s spread, no difference was found in the volume of surgery of both interventions. From the lockdown to the end of 2021, a decrease in surgery volumes for FNF with stabilization between summer 2020 and summer 2021, as well as an additional decline beginning at the start of Omicron’s spread, were found. Hip replacement surgeries showed a greater decline during the lockdown period and increased during summer 2020 and during the Delta wave period. The increment in hip replacements, mainly observed in 2021, is due to private and religious hospitals. These results highlight that the pandemic emergency, caused by SARS-CoV-2, has had an important indirect effect on the population’s health assistance in the field of orthopedics.

Suggested Citation

  • Francesca Mataloni & Luigi Pinnarelli & Paola Colais & Jacopo Savastano & Danilo Fusco & Marina Davoli, 2022. "The Impact of the COVID-19 Pandemic on the Neck of the Femur and Hip Fracture Surgery Volumes in the Lazio Region," IJERPH, MDPI, vol. 19(8), pages 1-8, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4704-:d:793134
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    References listed on IDEAS

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    1. Dinu Vermeşan & Adrian Todor & Diana Andrei & Marius Niculescu & Emanuela Tudorache & Horia Haragus, 2021. "Effect of COVID-19 Pandemic on Orthopedic Surgery in Three Centers from Romania," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
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