@article{Ciatti_Maniscalco_Quattrini_Gattoni_Magro_Capelli_Banchini_Fiazza_Pavone_Puma Pagliarello_Valenti_Maccauro_Cauteruccio_Accetta_Basile_Ruosi_Di Santo_Orabona_Coppola_Perugia_Lanzetti_Roselli_Montanari_Benazzo_Mosconi_Perticarini_Pesce_Maccagnano_Moretti_Moretti_Solarino_2021, title={The epidemiology of proximal femur fractures during COVID-19 emergency in Italy: a multicentric study}, volume={92}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/11925}, DOI={10.23750/abm.v92i5.11925}, abstractNote={<p><em>Background and aim: </em>After the first Italian case of Covid-19, the Government imposed the complete closure of all areas involved by the spread of the virus to contain transmissions. There was a massive reorganization of Hospitals, a stop of all elective activities and a convertion of many hospitals in “Covid Centers’’. AITOG (Associazione Italiana Traumatologia e Ortopedia Geriatrica) conducted a retrospective study on all proximal femur fractures surgeries that occurred in this period, to find out whether the pandemic and the correlated lockdown somehow changed the incidence of these events. </p>
<p><em>Methods: </em>10 Italian orthopedic centers were involved in the study. Considering the geographic location, three groups were created (North, Centre and South). The considered period is the Italian “Phase 1” (February 23rd - May 3rd 2020).</p>
<p><em>Results: </em>the cohort is composed of 412 patients, 116 male and 296 female (mean age 81.1 ± 9.1 years). The same period of 2019 has been used as control group, with 558 patients, 156 male and 402 female (mean age 84.2 ± 8.0 years). In 2020 we counted 323 (78.4%) fractures occurred at home, 61 (14.8%) in retirement houses and 28 (6.8%) in different locations. We mainly treated fractures with intramedullary nails (n.237 57.5%). Among all patients we had 46 (11.1%) Covid-19 positive. The mortality rate within 30 days was of 51 patients (12.4%); 23 of these died because of complications related to Covid-19 while 31 of  these were in treatment with anticoagulant/antiaggregant.</p>
<p><em>Conclusions</em>: AITOG analysis demonstrates a decrease in surgical interventions for proximal femur fractures from 2019 to 2020, a reduction in patients mean age and an increase in trauma occurred in domestic environment. We also registered a consistent difference between the North, Center and South of the Country.</p>}, number={5}, journal={Acta Biomedica Atenei Parmensis}, author={Ciatti, Corrado and Maniscalco, Pietro and Quattrini, Fabrizio and Gattoni, Serena and Magro, Alessandra and Capelli, Patrizio and Banchini, Filippo and Fiazza, Caterina and Pavone, Vito and Puma Pagliarello, Calogero and Valenti, Fabiana and Maccauro, Giulio and Cauteruccio, Michele and Accetta, Riccardo and Basile, Giuseppe and Ruosi, Carlo and Di Santo, Fabio and Orabona, Nicola and Coppola, Cristiano and Perugia, Dario and Lanzetti, Riccardo Maria and Roselli, Mauro and Montanari, Giuseppina and Benazzo, Francesco and Mosconi, Mario and Perticarini, Loris and Pesce, Vito and Maccagnano, Giuseppe and Moretti, Lorenzo and Moretti, Biagio and Solarino, Giuseppe}, year={2021}, month={Nov.}, pages={e2021398} }