ArticleClinical interventions in aging2018
Hidden blood loss and its risk factors after hip hemiarthroplasty for displaced femoral neck fractures: a cross-sectional study.
Article in Clinical interventions in aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Pharmacological interventions for the prevention of bleeding in people undergoing definitive fixation or joint replacement for hip, pelvic and long bone fractures.The Cochrane database of systematic reviews · 2023Pooled it
- [Efficacy and safety of multiple-dose intravenous tranexamic acid for reducing blood loss in complex tibial plateau fractures: A prospective randomized controlled trial].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Trial
- Supercapsular percutaneously-assisted total hip (SuperPath) versus posterolateral total hip arthroplasty in bilateral osteonecrosis of the femoral head: a pilot clinical trial.BMC musculoskeletal disorders · 2019Trial
- Impact of Preoperative Waiting Time on Intraoperative Blood Transfusion in Older Patients with Hip Fracture: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Hidden blood loss after proximal femur fractures fixation: analysis of the first three postoperative days and influence of anticoagulants.Archives of orthopaedic and trauma surgery · 2026Article
- Knowledge, attitude, and practices of nurses toward the assessment and management of perioperative hidden blood loss among orthopedic patients: A cross-sectional multicenter study.Scientific reports · 2026Article
- Optimization of perioperative nutrition management based on the ERAS protocol for improving postoperative recovery in patients undergoing total knee arthroplasty: a prospective comparative study.Frontiers in nutrition · 2026Article
- Hidden blood loss and its risk factors after hip hemiarthroplasty for hip fracture in the elderly.Joint diseases and related surgery · 2026Article
- Hip hemiarthroplasty versus closed reduction percutaneous pinning: A matched cohort analysis of 18,242 patients.Journal of orthopaedics · 2025Article
- Comparative efficacy of cementless bipolar hemiarthroplasty and proximal femoral nail anti-rotation in unstable intertrochanteric fractures: A meta-analysis.World journal of orthopedics · 2025Article
- Comparison of clinical outcomes of trochanteric femoral nail advanced system (TFNA) with and without cement augmentation for geriatric unstable trochanteric fractures: a single-center retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Hypocalcemia was associated with increased perioperative blood loss and blood transfusion in elderly patients with hip fracture: a retrospective study.BMC surgery · 2025Article
- Analysis of factors affecting the clinical management of infection in culture-negative patients following percutaneous endoscopic decompression: a retrospective study.Frontiers in cellular and infection microbiology · 2025Article
- Impact of surgical approaches on stem position and hidden blood loss in total hip arthroplasty: minimally invasive vs. posterolateral.BMC musculoskeletal disorders · 2024Article
- Hidden blood loss and its risk factors after hip reconstruction in children.Journal of orthopaedic surgery and research · 2024Article
- Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty.BMC musculoskeletal disorders · 2024Article
- Social determinants of health in patients undergoing hemiarthroplasty: are they associated with medical complications, healthcare utilization, and payments for care?Archives of orthopaedic and trauma surgery · 2023Article
- Influencing factors of hidden blood loss after primary total hip arthroplasty through the posterior approach: a retrospective study.BMC musculoskeletal disorders · 2023Article
- Anticoagulants and fracture morphology have a significant influence on total blood loss after proximal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Risk factors analysis and nomogram construction for blood transfusion in elderly patients with femoral neck fractures undergoing hemiarthroplasty.International orthopaedics · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral authors have reported the degree of total blood loss (TBL) following hemiarthroplasty for displaced femoral neck fracture; however, the research specifically investigating on hidden blood loss (HBL) after hip hemiarthroplasty is still lacking. The purpose of this study is to evaluate the HBL in patients who underwent hip hemiarthroplasty for displaced femoral neck fractures and to analyze its risk factors. PATIENTS AND
methodsFrom January 2015 to December 2016, 212 patients (57 males and 155 females) with displaced femoral neck fracture undergoing hip hemiarthroplasty were included in this study. The demographic and relevant clinical information of the patients were collected. According to the Gross's formula, each patient's height, weight, and preoperative and postoperative hematocrit were recorded and used for calculating the total perioperative blood loss and HBL. Risk factors were further analyzed by multivariate linear regression.
resultsThe HBL was 525±217 mL, with 61.0%±13.6% in the total perioperative blood loss (859±289 mL), and the perioperative hemoglobin (Hb) loss was 23.8±7.4 g/L. Multivariate linear regression analysis revealed that HBL was positively associated with higher American Society of Anesthesiologists (ASA) classification (regression coefficient=62.169, 95% CI=15.616-108.722;
conclusionHBL should not be ignored in patients who underwent hip hemiarthroplasty for displaced femoral neck fractures in the perioperative period, because it is a significant portion of TBL. Female patients, patients with higher ASA classification and perioperative gastrointestinal bleeding/ulcer, patients who were administered general anesthesia, or patients who underwent transfusion had a greater amount of HBL after hip hemiarthroplasty was performed. Having a correct understanding of HBL may help surgeons improve clinical assessment capabilities and ensure patients' safety.
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