ArticleJournal of orthopaedic surgery and research2021
Preoperative risk factors for postoperative blood transfusion after hip fracture surgery: establishment of a nomogram.
Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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30 citing papers in PubMed, 38 citations in OpenAlex.
- Application of machine learning model in predicting the likelihood of blood transfusion after hip fracture surgery.Aging clinical and experimental research · 2023Trial
- Impact of Preoperative Waiting Time on Intraoperative Blood Transfusion in Older Patients with Hip Fracture: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- A nomogram for assessing the risk of deep vein thrombosis following surgery for pilon fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- A Machine Learning-Based Clinical Decision Support Tool for Intertrochanteric Hip Fracture Patients to Predict Postoperative Anemia Risk: A Retrospective Cohort Study.Bioengineering (Basel, Switzerland) · 2026Article
- Interpretable artificial intelligence for predicting blood transfusion after surgery for femoral shaft fractures: A retrospective analysis.Indian journal of anaesthesia · 2026Article
- Predicting deep vein thrombosis risk in patients with knee fractures: a nomogram-based study.Perioperative medicine (London, England) · 2026Article
- Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies.Clinical interventions in aging · 2026Review
- Construction of a prediction model for perioperative blood transfusion in elderly hip fracture patients: a retrospective study.Perioperative medicine (London, England) · 2025Article
- A nomogram for predicting ischaemic muscle sequelae after revascularization in patients with traumatic femoral-popliteal artery injuries: a retrospective cohort study.International orthopaedics · 2025Article
- Factors contributing to perioperative blood transfusion during total hip arthroplasty in patients continuing preoperative aspirin treatment: a nomogram prediction model.BMC musculoskeletal disorders · 2025Article
- Development and validation of a predictive model and tool for functional recovery in patients after postero-lateral interbody fusion.Journal of orthopaedic surgery and research · 2025Article
- Article
- Construction and validation of a perioperative blood transfusion model for patients undergoing total hip arthroplasty with osteonecrosis of the femoral head based on machine learning.Frontiers in medicine · 2025Article
- An explainable and supervised machine learning model for prediction of red blood cell transfusion in patients during hip fracture surgery.BMC anesthesiology · 2024Article
- Development and validation of machine learning models to predict perioperative transfusion risk for hip fractures in the elderly.Annals of medicine · 2024Article
- Development and validation of a predictive model for preoperative deep vein thrombosis following traumatic thoracolumbar fractures.Scientific reports · 2024Article
- Establishment of a predictive model for blood transfusion after femoral head replacement in elderly patients.Joint diseases and related surgery · 2024Article
- Development and Validation of a Machine Learning Algorithm to Predict the Risk of Blood Transfusion after Total Hip Replacement in Patients with Femoral Neck Fractures: A Multicenter Retrospective Cohort Study.Orthopaedic surgery · 2024Article
- The Effect of Varying Preoperative Hemoglobin Levels on the Risk of Major Complications and Surgical Site Infections After Single Level Lumbar Fusion.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty.BMC musculoskeletal disorders · 2024Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to explore the preoperative risk factors related to blood transfusion after hip fracture operations and to establish a nomogram prediction model. The application of this model will likely reduce unnecessary transfusions and avoid wasting blood products.
methodsThis was a retrospective analysis of all patients undergoing hip fracture surgery from January 2013 to January 2020. Univariate and multivariate logistic regression analyses were used to evaluate the association between preoperative risk factors and blood transfusion after hip fracture operations. Finally, the risk factors obtained from the multivariate regression analysis were used to establish the nomogram model. The validation of the nomogram was assessed by the concordance index (C-index), the receiver operating characteristic (ROC) curve, decision curve analysis (DCA), and calibration curves.
resultsA total of 820 patients were included in the present study for evaluation. Multivariate logistic regression analysis demonstrated that low preoperative hemoglobin (Hb), general anesthesia (GA), non-use of tranexamic acid (TXA), and older age were independent risk factors for blood transfusion after hip fracture operation. The C-index of this model was 0.86 (95% CI, 0.83-0.89). Internal validation proved the nomogram model's adequacy and accuracy, and the results showed that the predicted value agreed well with the actual values.
conclusionsA nomogram model was developed based on independent risk factors for blood transfusion after hip fracture surgery. Preoperative intervention can effectively reduce the incidence of blood transfusion after hip fracture operations.
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