Preoperative factors associated with red blood cell transfusion in hip fracture patients

Archives of Orthopaedic and Trauma Surgery
Christian Medom MadsenJes Bruun Lauritzen

Abstract

Red blood cell (RBC) transfusion is a frequently used treatment in patients admitted with a fractured hip, but the use remains an area of much debate. The aim of this study was to determine preoperative factors associated with the risk of receiving a red blood cell transfusion in hip fracture patients. The study included 986 consecutive hip fracture patients (aged 60 years or above). The patients were identified from a database of all hip fracture patients admitted to Bispebjerg University Hospital. Data for the database are collected via chart review and data extraction from the hospitals laboratory system, public registries and from the Capital Region Blood Bank Database. Overall transfusion rate was 58.7 %. The univariate analyses showed that transfusion rate was higher among women (p = 0.004), older patients (p < 0.0001), patients with high ASA scores (p < 0.0001), patients with more severe fractures (p < 0.0001), patients with lower admission haemoglobin levels (p < 0.0001), patients not admitted from own home (p = 0.02) and patients taking aspirin (p = 0.007) or other platelet inhibitors (p = 0.01) on admission. In the multivariate analysis, increasing age, ASA ≥3, being admitted from own home, extracapsular fractures, de...Continue Reading

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Citations

Apr 22, 2016·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A B PedersenC Erikstrup
Jan 11, 2018·Geriatric Orthopaedic Surgery & Rehabilitation·Katharine D HarperSaqib Rehman
Aug 5, 2018·International Orthopaedics·Dominik MalcherczykBilal F El-Zayat
Apr 2, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Jamie L EngelWilliam J Kurtz
Dec 1, 2018·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C DaugaardS P Johnsen
Sep 3, 2019·The Bone & Joint Journal·Jean C YombiDiego Castanares-Zapatero
Aug 17, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Sanjit R KondaKenneth A Egol

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