International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics

A global multicentre collaborative project established in response to the COVID-19 / SARS-Cov-2 pandemic. It is administered by SORT-IT & the Scottish Hip Fracture Audit.

IMPACT is the emergency international Trauma & Orthopaedic research response to the COVID-19 pandemic, administered by SORT-IT and the Scottish Government. Widespread participation in the UK, Europe, North America, South America, Asia, and Oceania provides a mechanism to coordinate urgent collaborative research, report near real-time data, and guide the clinical response to COVID-19

Published Work

1. IMPACT-Scot Report on COVID-19 and Hip Fractures: a multicentre study assessing mortality, predictors of early SARS-CoV-2 infection, and the effects of social lockdown on epidemiology

2. IMPACT-Scot 2 Report on COVID-19 and Hip Fracture Patients: a nationwide study of mortality, risk factors for community and hospital acquired COVID-19, and suggested care pathways

3. IMPACT-Global Hip Fracture Audit: Nosocomial infection, risk prediction and prognostication, minimum reporting standards and global collaborative audit. Lessons from an international multicentre study of 7,090 patients conducted in 14 nations during the COVID-19 pandemic. *In Press, March 2022*

4. IMPACT of COVID-19 on hip fracture services: A global survey by the International Multicentre Project Auditing COVID-19 in Trauma & Orthopaedics

5. IMPACT- Restart: the influence of COVID-19 on postoperative mortality and risk factors associated with SARS-CoV-2 infection after orthopaedic and trauma surgery

6. IMPACT-Restart 2: The rate of COVID-19 and associated mortality after elective hip and knee arthroplasty prior to cessation of elective services in UK 

7. The number of patients “worse than death” while waiting for a hip or knee arthroplasty has nearly doubled during the COVID-19 pandemic: a UK nationwide survey by the IMPACT-Restart Collaboration

8. Systematic Review: The prevalence, mortality, and associated risk factors for developing COVID-19 in hip fracture patients: a systematic review and meta-analysis

9. Scotland makes an IMPACT on global clinical auditThe ‘International Multicentre Project Auditing COVID-19 in Trauma and Orthopaedics’ has set a precedent for global collaborative networks for data-driven improvement in orthopaedics

10. Meta-audit: a novel approach to healthcare improvement through the integration of clinical audit and health data science techniques

To participate in IMPACT please contact (SORT-IT & SHFA Research Fellow) or (SHFA & Scottish Government)

  • IMPACT Hip Fracture Audit Global collaborative meta-audit assessing the impact of COVID-19 on hip fracture
    • Multicentre audit with prospective & retrospective collection
    • Collection period 1st March 2020 – 31st May 2020
    • Collection for South America extended due to worsening pandemic
    • Assess the epidemiology of hip fracture during a global viral pandemic
    • Assess the incidence of COVID-19 in the hip fracture population
    • Assess early post-injury outcomes
    • Identify clinical predictors and prognostic indicators
    • Provide vital information to aid service delivery and guide clinical decisions

Download the IMPACT Hip Fracture Audit key documents here to get started:

  • IMPACT Services Survey Online survey auditing the impact of COVID-19 on Trauma & Orthopaedic services
    • Assesses the impact of COVID-19 on Trauma & Elective Orthopaedic services 
    • Identifies strategies for mitigation of disruption secondary to COVID-19
    • Identifies strategies for planning and delivering T&O services post-COVID-19
    • Findings will be shared with participants, and published in the literature
    • The anonymity of participating individuals and hospitals will be ensured

Survey now live at:

IMPACT is administered by:

Scottish Orthopaedic Research Trust into Trauma (SORT-IT)

Scottish Hip Fracture Audit

Scottish Government

1 thought on “

  1. Daniel Porter

    A very valuable meeting last Friday. In Beijing the epidemic has mostly passed us by, perhaps due to severe suppressive in-hospital and community infection control policies. No doubt there were downsides with some patients having surgery delayed, but the upside is a rapid ‘V’ shaped recovery in patient trust and a return to safe emergency and elective surgery again.

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