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- Title
Groin pain aggravated in short term contracted by COVID-19 in THA patients: a case-crossover study.
- Authors
Chen, Hongjie; Lai, Peng; Lu, Haiming; Zhu, Jun; Sang, Weilin; Wang, Cong; Zhong, Yiming; Zhu, Libo; Ma, Jinzhong
- 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).
- 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
- Publication
Journal of Orthopaedic Surgery & Research, 2024, Vol 19, Issue 1, p1
- ISSN
1749-799X
- Publication type
Article
- DOI
10.1186/s13018-024-04862-1