Effect of blood transfusion on survival after hip fracture surgery

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
S J M SmeetsM Poeze

Abstract

Our primary goal was to audit the incidence of erythrocyte blood transfusion (EBT) after hip fracture surgery and study the effects on perioperative complications and early and late mortality. In a retrospective cohort study all patients 65 years old and above treated operatively for an acute hip fracture were included over a 48-month period with a 2-year follow-up period. Postoperative hemoglobin levels were used to investigate at what threshold EBT was used. The relation between EBT and perioperative complications and survival was analyzed with multivariate regression analysis. A propensity score for predicting the chance of receiving an EBT was calculated and used to differentiate between transfusion being a risk factor for mortality and other related confounding risk factors. Mortality was subdivided as in-hospital, 30-day, 1-year and 2-year mortality. Of the 388 included patients, 41% received a blood transfusion. The postoperative hemoglobin level was the strongest predictor for EBT. Patients who received EBT had a significant longer hospital stay and more postoperative cardiac complications, even after adjustment for confounders. Multivariate analysis for mortality showed that EBT was a significant risk factor for early ...Continue Reading

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Citations

Jan 9, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Armin ArshiAdam A Sassoon
Aug 16, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·M Eghbal Heidari
Sep 3, 2019·The Bone & Joint Journal·Jean C YombiDiego Castanares-Zapatero
Jun 13, 2020·BMC Musculoskeletal Disorders·Maic WernerEmmanouil Liodakis
Dec 8, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Aris LuangwaranyooVarah Yuenyongviwat
Mar 23, 2021·Clinics in Orthopedic Surgery·You-Sung SuhJong-Seok Park
Apr 1, 2021·The Journal of the American Academy of Orthopaedic Surgeons·John D Adams, William A Marshall
Jun 10, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Rown ParolaKenneth A Egol
Jul 2, 2021·Journal of Perioperative Practice·Mutaz AlSumadiRonan Banim
Aug 10, 2021·Journal of Clinical Orthopaedics and Trauma·Michael Sean GreenhalghRiad F Adam
Aug 17, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

SPSS

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