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Impact of the SARS-CoV-2 Outbreak on the Epidemiology and Treatment Outcomes of Fractures of the Proximal Femur in Kazakhstan

Open Access
|Dec 2022

Figures & Tables

Figure 1.

Age and sex characteristics of hospitalized patients with S72 for 2019, 2020.
Age and sex characteristics of hospitalized patients with S72 for 2019, 2020.

Figure 2.

Territorial characteristics of cases of registration of S72 in the Republic of Kazakhstan for 2019–2020.
Territorial characteristics of cases of registration of S72 in the Republic of Kazakhstan for 2019–2020.

Clinical and demographic characteristics of hospitalized patients with S72_

Characteristics20192020p
Age58.8±24.9257.32±25.2
Number of bed days10.8±4.77.1±3.80.001*
Sex
male4185(44.0)4796(44.3)
female5329(56.0)6041(55.7)
Residence
city5682(59.7)6944(64.1)0.05
village3832(40.3)3893(35.9)0.05
Number of beds
less 3005565(58.5)7087(65.4)0.001
300 to 5003248(34.1)3379(31.2)
more 500701(7.4)371(3.4)0.001
Time of admittance
January1004(10.6)978(9.0)
February818(8.6)1046(9.7)
March799(8.4)935(8.6)
April783(8.2)648(6.0)0.05
May825(8.7)891(8.2)
June767(8.1)841(7.8)
July754(7.9)688(6.3)0.05
August783(8.2)857(7.9)
September802(8.4)920(8.5)
October735(7.7)942(8.7)0.05
November770(8.1)906(8.4)
December674(6.8)1185(10.9)0.001
Type of hospitalization
Planned408(4.3)2344(21.6)0.001
Emergency9106(95.7)8493(78.4)0.05
Who is directed to hospitalization
Emergency team4538(47.7)4142(38.3)0.05
Out-patient clinic600(6.3)751(6.9)
Other hospital801(8.4)937(8.6)
Self-admittance1800(18.9)2540 (23.5)
PCP1453(15.3)2466(22.7)
pMaternity Unit322(3.4)1(0.01)0.001
Outcome
improvement8632(90.7)9903(91.4)
convalescence359(3.8)319(2.9)
no changes395(4.2)485(4.5)
death124(1.3)119(1.1)
deterioration4(0.04)11(0.1)
Treatment types
No operation (standard)2530(26.6)3848(35.6)
Innner fixation5202(54.7)3706(34.2)
Total arthroplasty1091(11.5)1474(13.6)
hemiarthroplasty418(4.4)819(7.5)0.05
Others273(2.9)990(9.1)0.05
Total 9514(46.7)10837(53.3)

The frequency of registration of various forms of S72 according to ICD-10 in patients standardized by age in the context of 2019–2020 in the territory of the Republic of Kazakhstan_

Diagnosis according to ICD-10Age according to the WHO classification
0–1718–4445–59
20192020p20192020p20192020p
72.0 Fracture of the femoral neck68 (5.9)69(4.9)0.245190(18.2)221(16.9)0.475479(34.4)632(38.4)0.548
72.1 Transtrochanteric fracture8 (0.7)18(1.3)0.452129(12.4)189(14.4)0.221422(30.3)404(24.6)0.079
72.2 Subtrochanteric fracture61(5.3)105(7.5)0.324104(10.0)131(10.0)0.854106(7.6)130(7.9)0.354
72.3 Fracture of the body of the femur816 (71.0)973(69.6)0.108384(36.8)495(37.8)0.763160(11.5)200(12.2)0.124
72.4 Fracture of the lower end of the femur153 (13.3)182(13.0)0.789148(14.2)168(12.8)0.367176(12.7)214(13.0)0.842
72.7 Multiple fractures of the femur13 (1.1)11(0.8)0.45253(5.1)51(3.9)0.47119(1.4)20(1.2)0.541
72.8 Fractures of other parts of the femur31 (2.7)34(2.4)0.95133(3.2)53(4.0)0.16827(1.9)39(2.4)0.681
72.9 Fracture of part of femur, unspecified0 (0)5 (0.4)0.001*2(0.2)2(0.2)0.9782(0.1)5(0.3)0.251
Total115013970.54710431310 13911644
DOI: https://doi.org/10.2478/sjecr-2022-0026 | Journal eISSN: 2956-2090 | Journal ISSN: 2956-0454
Language: English
Page range: 249 - 258
Submitted on: Sep 24, 2021
Accepted on: Nov 28, 2021
Published on: Dec 31, 2022
Published by: University of Kragujevac, Faculty of Medical Sciences
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Bekzat Beisenov, Maksut Kulzhanov, Tatyana Popova, Assel Yermekbayeva, Nurlat Beikutuly, Kanat Tezekbayev, Shynar Tanabayeva, Ildar Fakhradiyev, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.