Perioperative management of elderly patients presenting with hip fracture during COVID-19 pandemic surge

• Patients with hip fracture and COVID-19 infection may have higher combined morbidity and mortality • Universal testing with high level of clinical judgment should be used • Appropriate timing of surgery vs non-surgical approach should be decided based on risk and severity of COVID-19 and underlying medical condition • Universal contact and droplet as well as aerosol precautions, when needed, should be utilized • Optimal surgery and anesthesia techniques should be chosen, with regional preferred over general anesthesia