دورية أكاديمية
Preoperative factors associated with red blood cell transfusion in hip fracture patients.
| العنوان: | Preoperative factors associated with red blood cell transfusion in hip fracture patients. |
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| المؤلفون: | Madsen CM; Department of Orthopaedic Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark, christianmedom@gmail.com., Jørgensen HL, Norgaard A, Riis T, Jantzen C, Pedersen OB, Duus BR, Lauritzen JB |
| المصدر: | Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2014 Mar; Vol. 134 (3), pp. 375-82. Date of Electronic Publication: 2013 Dec 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: Berlin : Springer International, c1989- |
| مواضيع طبية MeSH: | Erythrocyte Transfusion/*statistics & numerical data , Hip Fractures/*blood , Hip Fractures/*therapy, Aged ; Aged, 80 and over ; Denmark ; Female ; Hemoglobins/analysis ; Hip Fractures/surgery ; Humans ; Male ; Middle Aged ; Preoperative Care/methods ; Preoperative Care/statistics & numerical data ; Retrospective Studies ; Risk Factors |
| مستخلص: | Introduction: 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. Method: 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. Results: 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, decreasing admission haemoglobin and use of platelet inhibitors were all significantly associated with the risk of receiving a RBC transfusion. Conclusion: Several readily available preoperative factors in the form of age, residence, ASA, admission haemoglobin, medication and type of fracture were independently associated with the likelihood of receiving a red blood cell transfusion in patients admitted with a fractured hip. |
| المشرفين على المادة: | 0 (Hemoglobins) |
| تواريخ الأحداث: | Date Created: 20131217 Date Completed: 20140925 Latest Revision: 20220311 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s00402-013-1906-3 |
| PMID: | 24337532 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1434-3916 |
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| DOI: | 10.1007/s00402-013-1906-3 |