Document Detail


Predicting the need for blood transfusion in patients with hip fractures.
MedLine Citation:
PMID:  23381612     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The need for perioperative blood management measures aimed at improving patient outcomes and reducing allogenic blood transfusion (ABT) is increasingly recognised. Our study aim is to create an algorithm to predict and manage the need for blood transfusion in patients with hip fractures.
METHODS: We retrospectively assessed 1,484 patients with hip fractures and analysed the probability of receiving an ABT within 72 hours of admission. Univariate, multiple logistic regression analysis and a probability algorithm for predicting the need for blood transfusion on the basis of independent multivariate predictors were used.
RESULTS: Significant predictors for ABT were: older age; lower haemoglobin on admission; female gender; type of surgical implant (cephalomedullary nail and dynamic hip screw more than hemiarthroplasty); and a shorter wait time from admission to surgery. A regression model algorithm correctly predicted the need for an ABT in 73 % of the cases.
CONCLUSION: An algorithm and a simple clinical tool were devised to predict and manage the need for a blood transfusion within 72 hours of admission in patients with hip fractures.
Authors:
Assaf Kadar; Ofir Chechik; Ely Steinberg; Evgeny Reider; Amir Sternheim
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2013-02-05
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-28     Completed Date:  2013-10-18     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  693-700     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Algorithms*
Blood Loss, Surgical / prevention & control*
Blood Transfusion, Autologous*
Bone Nails
Bone Screws
Female
Fracture Fixation, Internal / instrumentation,  methods*
Hip Fractures / surgery*
Humans
Male
Models, Statistical
Multivariate Analysis
Perioperative Care*
Retrospective Studies
Sex Factors
Time Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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