Transfusion timing relative to surgery does not impact outcomes in hip fracture patients.
Eur J Orthop Surg Traumatol
; 32(4): 725-732, 2022 May.
Article
en En
| MEDLINE
| ID: mdl-34106338
ABSTRACT
PURPOSE:
The purpose of this study is to determine the effects of blood transfusion timing in hip fracture patients.METHODS:
A consecutive series of hip fracture patients 55 years and older who required a blood transfusion during hospitalization were reviewed for demographic, injury, clinical outcome, and cost information. A validated risk predictive score (STTGMA) was calculated for each patient. Patients were stratified to preoperative, intraoperative, or postoperative first transfusion cohorts. The intraoperative and postoperative cohorts were matched by STTGMA, sex, and procedure to the preoperative cohort. Baseline patient characteristics and outcomes were compared before and after matching.RESULTS:
Prior to matching, the preoperative cohort was more often male (p < 0.001) with increased Charlson comorbidity index (p = 0.012), ASA class (p < 0.002), STTGMA (p < 0.001), total transfused volume (p = 0.002), incidence of inpatient mortality (p = 0.045), myocardial infarction (p = 0.005) and cardiac arrest (p = 0.014). After matching, the preoperative cohort had increased total transfused volume (p = 0.015) and decreased pneumonia incidence (p = 0.040).CONCLUSION:
Matching STTGMA score, sex, and procedure results in non-inferior outcomes among hip fracture patients receiving preoperative first blood transfusions compared to intraoperative and postoperative transfusions.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Huesos Pélvicos
/
Fracturas de Cadera
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Eur J Orthop Surg Traumatol
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos