In 2020, due the pandemic caused by SARSCoV2, isolation measures were
established to interrupt the virus transmission chain. Even in isolation, elderly patients
were still exposed to the risks of falling. Hip fracture caused by falls is a serious
condition that poses a high risk of mortality for older people. Thus, the study proposes
to evaluate the mortality rate up to one year of elderly patients undergoing hip fracture
surgery during the COVID19 pandemic in an orthopedic trauma service. An analytical
retrospective cohort study was carried out, using data from patients’ medical records
aged 60 years or older, who sustained fractures in the proximal third of the femur (neck,
intertrochanteric or subtrochanteric) from March/2020 to February/2021. Data from 356
patients were considered, with 68.53% female patients and a mean total age of 78.75
± 9 years. The mortality rate was 10.95%, with most deaths occurring within 180 days
and most causes due to acute respiratory failure (2.8%). Men had 2.57 times greater
risk of death up to 365 days, in addition to a 5.87 times greater risk for patients aged
90 years or older. Patients with COVID19 infection history had a 5fold increased risk
of death in one year. Patients with Parkinson's disease and pulmonary comorbidities
had elevated risks without statistical significance. There was a significant difference
between the days of hospitalization of patients who died and patients who survived the
first 30 days (p=0.044). Patients operated within 48 hours from fracture did not present
any death (p<0.0001). Thus, the care of hip fractures, even in a pandemic period, must
present a flow that guarantees the safety and health of elderly patients.
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