COVID-19 and regional differences in the timeliness of hip-fracture surgery: an interrupted time-series analysis

PeerJ

article

Davide Golinelli¹  Jacopo Lenzi¹  Emanuele Adorno¹  Maria Michela Gianino²  Maria Pia Fantini¹ 

[1] Department of Biomedical and Neuromotor Sciences, University of Bologna;Department of Public Health Sciences and Pediatrics, University of Turin

关键词: Hip Fractures;    COVID-19;    Healthcare quality;    Frail elderly;    Interrupted time series analysis;    Italy;    Surgery;    Timeliness;   

DOI  :  10.7717/peerj.12046

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

BackgroundIt is of great importance to examine the impact of the healthcare reorganization adopted to confront the COVID-19 pandemic on the quality of care provided to non-COVID-19 patients. The aim of this study is to assess the impact of the COVID-19 national lockdown (March 9, 2020) on the quality of care provided to patients with hip fracture (HF) in Piedmont and Emilia-Romagna, two large regions of northern Italy severely hit by the pandemic.MethodsWe calculated the percentage of HF patients undergoing surgery within 2 days of hospital admission. An interrupted time-series analysis was performed on weekly data from December 11, 2019 to June 9, 2020 (≈6 months), interrupting the series in the 2nd week of March. The same data observed the year before were included as a control time series with no “intervention” (lockdown) in the middle of the observation period.ResultsBefore the lockdown, 2-day surgery was 69.9% in Piedmont and 79.2% in Emilia-Romagna; after the lockdown, these proportions were equal to 69.8% (–0.1%) and 69.3% (–9.9%), respectively. While Piedmont did not experience any drop in the amount of surgery, Emilia-Romagna exhibited a significant decline at a weekly rate of –1.29% (95% CI [−1.71 to −0.88]). Divergent trend patterns in the two study regions reflect local differences in pandemic timing as well as in healthcare services capacity, management, and emergency preparedness.

【 授权许可】

CC BY