Evidence map›Paper›PMID 34106338›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022

Transfusion timing relative to surgery does not impact outcomes in hip fracture patients.

Rown Parola, Sanjit R Konda, Cody R Perskin, Abhishek Ganta, Kenneth A Egol

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Rown ParolaDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Sanjit R KondaDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Cody R PerskinDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Abhishek GantaDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Kenneth A EgolDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA. Kenneth.Egol@nyulangone.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to determine the effects of blood transfusion timing in hip fracture patients.

methodsA 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.

resultsPrior 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).

conclusionMatching 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.

Indexed as

Hip FracturesPelvic BonesBlood TransfusionHumansIncidenceMalePostoperative ComplicationsRetrospective StudiesRisk FactorsFractureGeriatric traumaHip fractureOrthopedic traumaOutcomeTransfusion

Identifiers

PMID34106338

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