Patients who were transferred between two hospitals due to pandemic-related management issues also achieved reduced outcomes compared to non-transferred cases, with increased mortality. The incidence of intra-hospital infection was high during the period in which health professionals were not yet covered by the anti-COVID vaccination cycle. Patients with Coronavirus during hospitalization obtained poor short-term radiographic and functional results and increased peri-operative mortality. Conclusions: The impact of the COVID-19 pandemic on patients treated for proximal femur fracture was statistically significant. In terms of orthopedic outcomes measured through the third month of follow-up, we found worse score results in functional and radiographic outcomes in the COVID positive cohort and in the transferred patients’ cohort. Mortality was higher both in the infected group and in the patients who underwent a transfer before the surgical procedure (18.18% vs. The COVID cohort and the patients transferred before surgery had longer stays in the Emergency Room ( p = 0.019 p = 0.00007) and longer lengths of stay compared to the other patients ( p = 0.00001 p = 0.001). The whole positive COVID cohort (11.83%) was hospitalized during the period when less than 80% of health workers were vaccinated ( p = 0.02). Results: Ninety-three patients were studied. The reported clinical variables included the Parker and Palmer Score, the Nottingham Hip Fracture Score, the Harris Hip Score, mortality, the Rush Score, and evaluation of reduction in radio-lucent lines in prosthetic implants. We subdivided the study period into two, according to the percentage of healthcare workers vaccinated against SARS-CoV-2. A second evaluation was carried out dividing the patients into those who underwent inter-hospital transfers and a group without transfers. We compared the SARS-CoV-2 infected patients during the stay with non-infected cases.

Participants were patients over 65 years of age with diagnoses of proximal femoral fractures with r surgical treatments indicated. Material and Methods: This is a descriptive and prospective study from 13 October 2020 to 15 March 2021.

We also evaluated the va iation of COVID-19 infection after health professionals’ vaccinations, and the influence of inter-hospital transfers caused by logistical and organizational aspects of the pandemic. Our study will focus on this fragile population, analyzing the incidence of SARS-CoV-2 infection during hospital stays and the clinical and radiographic orthopedic outcomes. During the pandemic, femur fractures in patients over 65 years of age have maintained a constant incidence. The COVID-19 pandemic management has led to a significant change in orthopedic surgical activity.

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