Blood transfusion risk factors in patients with osteoporotic hip fracture

Purpose: This study analyzes the perioperative factors influencing the risk of transfusion in patients with osteoporotic hip fractures and their relationship with 30-day mortality. Methods: This is a retrospective analytical study that included patients over 65 years old diagnosed with hip fracture...

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Autores: Segura-Nuez, Julián Carlos, Herranz-Andrés, Pilar, Infantes-Morales, Marta, Segura-Nuez, Juan, Martín-Hernández, Carlos, Roche-Albero, Adrián
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2025
País:España
Institución:Universidad de Zaragoza
Repositorio:Zaguán. Repositorio Digital de la Universidad de Zaragoza
OAI Identifier:oai:zaguan.unizar.es:167992
Acceso en línea:http://zaguan.unizar.es/record/167992
Access Level:acceso abierto
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spelling Blood transfusion risk factors in patients with osteoporotic hip fractureSegura-Nuez, Julián CarlosHerranz-Andrés, PilarInfantes-Morales, MartaSegura-Nuez, JuanMartín-Hernández, CarlosRoche-Albero, AdriánPurpose: This study analyzes the perioperative factors influencing the risk of transfusion in patients with osteoporotic hip fractures and their relationship with 30-day mortality. Methods: This is a retrospective analytical study that included patients over 65 years old diagnosed with hip fracture admitted to our hospital from March to October, 2023. They were treated according to the hospital’s osteoporotic hip fracture management protocol. Data collected included admission day, age, sex, type of fracture, anticoagulant or antiplatelet treatment, time to surgery, and 30-day mortality. Results: A total of 348 patients (77.3% women) with a mean age of 85.3 (SD 7.51) years were included. The mean hemoglobin level at admission was 12.6 (SD 1.66) mg/dl. The mean time to surgery was 2.51 (SD 1.45) days. The proportion of patients transfused was 42%, and the 30-day post-discharge mortality rate was 4.6%. Multivariate analysis showed that age, type of fracture, hemoglobin level at admission, and surgery within the first 48 h were associated with a higher transfusion rate (p < 0.05). No differences were found regarding sex and prior anticoagulant or antiplatelet treatment. The 30-day mortality was higher in the transfused group. Conclusions: Age; hemoglobin level at admission; subtrochanteric, pertrochanteric, and basicervical fractures compared to subcapital fractures; and surgery within the first 48 h were associated with a higher transfusion rate. Multidisciplinary perioperative management of patients who cannot be operated on within the first 48 h is crucial to prevent complications and improve survival.2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttp://zaguan.unizar.es/record/167992reponame:Zaguán. Repositorio Digital de la Universidad de Zaragozainstname:Universidad de ZaragozaInglésinfo:eu-repo/semantics/openAccessoai:zaguan.unizar.es:1679922026-05-29T13:59:51Z
dc.title.none.fl_str_mv Blood transfusion risk factors in patients with osteoporotic hip fracture
title Blood transfusion risk factors in patients with osteoporotic hip fracture
spellingShingle Blood transfusion risk factors in patients with osteoporotic hip fracture
Segura-Nuez, Julián Carlos
title_short Blood transfusion risk factors in patients with osteoporotic hip fracture
title_full Blood transfusion risk factors in patients with osteoporotic hip fracture
title_fullStr Blood transfusion risk factors in patients with osteoporotic hip fracture
title_full_unstemmed Blood transfusion risk factors in patients with osteoporotic hip fracture
title_sort Blood transfusion risk factors in patients with osteoporotic hip fracture
dc.creator.none.fl_str_mv Segura-Nuez, Julián Carlos
Herranz-Andrés, Pilar
Infantes-Morales, Marta
Segura-Nuez, Juan
Martín-Hernández, Carlos
Roche-Albero, Adrián
author Segura-Nuez, Julián Carlos
author_facet Segura-Nuez, Julián Carlos
Herranz-Andrés, Pilar
Infantes-Morales, Marta
Segura-Nuez, Juan
Martín-Hernández, Carlos
Roche-Albero, Adrián
author_role author
author2 Herranz-Andrés, Pilar
Infantes-Morales, Marta
Segura-Nuez, Juan
Martín-Hernández, Carlos
Roche-Albero, Adrián
author2_role author
author
author
author
author
description Purpose: This study analyzes the perioperative factors influencing the risk of transfusion in patients with osteoporotic hip fractures and their relationship with 30-day mortality. Methods: This is a retrospective analytical study that included patients over 65 years old diagnosed with hip fracture admitted to our hospital from March to October, 2023. They were treated according to the hospital’s osteoporotic hip fracture management protocol. Data collected included admission day, age, sex, type of fracture, anticoagulant or antiplatelet treatment, time to surgery, and 30-day mortality. Results: A total of 348 patients (77.3% women) with a mean age of 85.3 (SD 7.51) years were included. The mean hemoglobin level at admission was 12.6 (SD 1.66) mg/dl. The mean time to surgery was 2.51 (SD 1.45) days. The proportion of patients transfused was 42%, and the 30-day post-discharge mortality rate was 4.6%. Multivariate analysis showed that age, type of fracture, hemoglobin level at admission, and surgery within the first 48 h were associated with a higher transfusion rate (p < 0.05). No differences were found regarding sex and prior anticoagulant or antiplatelet treatment. The 30-day mortality was higher in the transfused group. Conclusions: Age; hemoglobin level at admission; subtrochanteric, pertrochanteric, and basicervical fractures compared to subcapital fractures; and surgery within the first 48 h were associated with a higher transfusion rate. Multidisciplinary perioperative management of patients who cannot be operated on within the first 48 h is crucial to prevent complications and improve survival.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
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dc.identifier.none.fl_str_mv http://zaguan.unizar.es/record/167992
url http://zaguan.unizar.es/record/167992
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv
publisher.none.fl_str_mv
dc.source.none.fl_str_mv reponame:Zaguán. Repositorio Digital de la Universidad de Zaragoza
instname:Universidad de Zaragoza
instname_str Universidad de Zaragoza
reponame_str Zaguán. Repositorio Digital de la Universidad de Zaragoza
collection Zaguán. Repositorio Digital de la Universidad de Zaragoza
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