Blood transfusion rates and predictors following geriatric hip fracture surgery
| Autor: | Adam A. Sassoon, Edward J. McPherson, Brenda C Iglesias, Erik N. Zeegen, Armin Arshi, Wilson C Lai, Alexandra I. Stavrakis |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Blood transfusion medicine.medical_treatment Hip fracture surgery Patient Readmission 03 medical and health sciences 0302 clinical medicine Postoperative Complications Blood product Risk Factors medicine Humans Orthopedics and Sports Medicine Blood Transfusion 030212 general & internal medicine Pelvic Bones Aged Retrospective Studies 030222 orthopedics Hip fracture business.industry Hip Fractures medicine.disease Surgery Female business |
| Zdroj: | Hip international : the journal of clinical and experimental research on hip pathology and therapy. 31(2) |
| ISSN: | 1724-6067 |
| Popis: | Background:Postoperative blood product transfusions in elderly hip fracture patients cause concern for morbidity and mortality. The purpose of this study was to identify predictors and short-term sequelae of postoperative transfusion following geriatric hip fracture surgery.Methods:We queried the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) to identify geriatric (⩾65 years) patients who sustained operative femoral neck, intertrochanteric, and subtrochanteric hip fractures in 2016. Multivariate regression was used to determine risk-adjusted odds ratios (OR) of associated perioperative risk factors and sequelae of postoperative transfusion.Results:In total, 8416 geriatric hip fracture patients were identified of whom 28.3% had documented postoperative transfusion. In multivariate analysis, age (OR 1.03 [1.02–1.04], p Conclusions:Postoperative transfusion is a common occurrence in geriatric fragility hip fractures with multiple risk factors. Careful preoperative planning and multidisciplinary management efforts are warranted to reduce use of postoperative transfusions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|