question: Background: Concerns of contracting the highly contagious disease COVID-19 have led to a reluctance in seeking medical attention, which may contribute to delayed hospital arrival among traumatic patients. The study objective was to describe differences in time from injury to arrival for patients with traumatic hip fractures admitted during the pandemic to pre-pandemic patients. Materials: and Methods: This retrospective cohort study at six level I trauma centers included patients with traumatic hip fractures. Patients with a non-fall mechanism and those who were transferred in were excluded. Patients admitted 3/16/2019-6/30/2019 were in the “pre-pandemic” group, patients were admitted 3/16/2020-6/30/2020 were in the “pandemic” group. The primary outcome was time from injury to arrival. Secondary outcomes were time from arrival to surgical intervention, hospital length of stay (HLOS), and mortality. Results: : There were 703 patients, 352 (50.1%) pre-pandemic and 351 (49.9%) during the pandemic. Overall, 66.5% were female and the median age was 82 years old. Patients were similar in age, race, gender, and injury severity score. The median time from injury to hospital arrival was statistically shorter for pre-pandemic patients when compared to pandemic patients, 79.5 (56, 194.5) minutes vs. 91 (59, 420), p=0.04. The time from arrival to surgical intervention (p=0.64) was statistically similar between groups. For both groups, the median HLOS was 5 days, p=0.45. In-hospital mortality was significantly higher during the pandemic, 1.1% vs 3.4%, p=0.04. Conclusions: : While time from injury to hospital arrival was statistically longer during the pandemic, the difference may not be clinically important. Time from arrival to surgical intervention remained similar, despite changes made to prevent COVID-19 transmission. Physicians should anticipate a slightly delayed arrival for hip fractures and provide prompt evaluation to reach definitive care in a timely manner.