1. Groin pain aggravated in short term contracted by COVID-19 in THA patients: a case-crossover study.
- Author
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Chen, Hongjie, Lai, Peng, Lu, Haiming, Zhu, Jun, Sang, Weilin, Wang, Cong, Zhong, Yiming, Zhu, Libo, and Ma, Jinzhong
- Subjects
DISEASE exacerbation ,RISK assessment ,GROIN pain ,TOTAL hip replacement ,SURGERY ,PATIENTS ,BODY mass index ,RESEARCH funding ,SEX distribution ,RETROSPECTIVE studies ,AGE distribution ,DESCRIPTIVE statistics ,RELATIVE medical risk ,MULTIVARIATE analysis ,CROSSOVER trials ,ODDS ratio ,LENGTH of stay in hospitals ,CONFIDENCE intervals ,COVID-19 ,EVALUATION ,DISEASE risk factors - Abstract
Background: The coronavirus disease 2019 (COVID-19) rapidly spreads worldwide and causes more suffering. The relation about the aggravation of inguinal pain and COVID-19 was unclear in patients with total hip arthroplasty (THA). This study aimed to evaluate the risk of groin pain aggravation in short-term THA patients after COVID-19. Methods: Between 2020 and 2022, 129 patients with THA who were affected COVID-19 were enrolled. A short-standardized questionnaire was administered during follow-up to inquire about the aggravation of groin ache before and after SARS-COV-2 affection. Furthermore, we evaluated the potential association between the presence of increased pain and various factors, including age, gender, body mass index, diagnosis, and length of hospital stay. Results: The case-crossover study revealed an increased risk of inguinal soreness aggravation when comparing 8 weeks after COVID-19 with 12 weeks before COVID-19 (Relative risk [RR], 9.5; 95% Confidence intervals [CI], 2.259–39.954). For COVID-19 positive patients, multivariate analysis showed length of stay was an independent factor significantly associated with increased risk of aggravation of groin pain (Odds ratio [OR], 1.26; 95%CI, 1.03–1.55, p = 0.027). Conclusion: This study confirms the association between COVID-19 and the exacerbation of soreness in the groin region in THA patients and extended length of stay is a possible contributing factor. This study expands the current literature by investigating the risk of aggravation of inguinal pain in patients with THA after COVID-19, providing valuable insights into postoperative outcomes in this specific population. Trial registration This retrospective study was approved by the Institutional Review Board of Shanghai general hospital (No.2023-264). [ABSTRACT FROM AUTHOR]
- Published
- 2024
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