ArticleInternational orthopaedics2022
Risk factors analysis and nomogram construction for blood transfusion in elderly patients with femoral neck fractures undergoing hemiarthroplasty.
Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 20 citations in OpenAlex.
- Article
- Construction and validation of a predictive model for acute pain after total knee arthroplasty.Medicine · 2026Article
- Hidden blood loss and its risk factors after hip hemiarthroplasty for hip fracture in the elderly.Joint diseases and related surgery · 2026Article
- Construction of a prediction model for perioperative blood transfusion in elderly hip fracture patients: a retrospective study.Perioperative medicine (London, England) · 2025Article
- CT-based sarcopenia is independently associated with blood transfusions after hip arthroplasty in elderly patients with femoral neck fractures: a retrospective cohort study.BMC geriatrics · 2025Article
- Hidden blood loss and its risk factors between high tibial osteotomy and unicompartmental knee arthroplasty for knee osteoarthritis: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Development and Validation of a Risk Model to Predict Intraoperative Blood Transfusion.JAMA network open · 2025Article
- Effects of ultrasound‑guided pericapsular nerve group block in combination with laryngeal mask airway on anesthesia, postoperative analgesia, and recovery of elderly patients with femoral neck fracture undergoing closed reduction and internal fixation.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- The geriatric nutritional risk index predicts blood transfusion risk in elderly patients undergoing posterior lumbar interbody fusion: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
- Establishment of a predictive model for blood transfusion after femoral head replacement in elderly patients.Joint diseases and related surgery · 2024Article
- Risk factors of preoperative deep vein thrombosis in patients with non-traumatic osteonecrosis of the femoral head.BMC musculoskeletal disorders · 2024Article
- Development of machine learning models to predict perioperative blood transfusion in hip surgery.BMC medical informatics and decision making · 2024Article
- Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty.BMC musculoskeletal disorders · 2024Article
- The correlation between serum calcium levels and prognosis in patients with severe acute osteomyelitis.Frontiers in immunology · 2024Article
- Letter to the editor: "radiographic adjacent segment degeneration and risk factors for osteoporotic vertebral compression fractures treated with percutaneous kyphoplasty".International orthopaedics · 2023Article
- Risk factors analysis and nomogram construction for blood transfusion in elderly patients with femoral neck fractures undergoing hemiarthroplasty.International orthopaedics · 2022Article
- Association Between Low Serum Albumin and Preoperative Deep Vein Thrombosis in Patients Undergoing Total Joint Arthroplasty: A Retrospective Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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7 authors at 2 institutions in 1 country.
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Abstract
introductionElderly patients with femoral neck fractures (FNFs) undergoing hemiarthroplasty usually have poor physical condition. The main aim of this study was to identify risk factors for blood transfusion in these patients and construct a nomogram to intuitively predict the requirement of transfusion. The secondary purpose was to examine the relationship between blood transfusion and complications within 30 days post-operatively. Our hypothesis was that chronic kidney disease (CKD) and hypoalbuminemia may increase the requirement of transfusion.
methodsData of 414 elderly patients undergoing hemiarthroplasty for FNFs were retrospectively collected. Univariate and multiple regression analysis were performed to identify independent risk factors for blood transfusion, which were used to construct a nomogram subsequently. The discrimination and calibration of the nomogram model were assessed with concordance index (C-index), the area under receiver operating characteristic curve (AUC), and calibration curve. Furthermore, the complications of blood transfusion within 30 days post-operatively were also analyzed.
resultsOut of 414 patients, 127 (30.7%) received a blood transfusion. Independent risk factors for blood transfusion included CKD, hypoalbuminemia, pre-operative anaemia, general anaesthesia, higher American Society of Anesthesiologists score, more intraoperative blood loss, and longer surgical time. Increased hidden blood loss, deep vein thrombosis, superficial wound infection, and prolonged hospital stays were more common in transfused patients. The C-index of the nomogram model was 0.848 (95% CI = 0.811-0.885), and the AUC value was 0.859. The calibration curve showed a good consistency between the actual transfusion and the predicted probability. DISCUSSION: We observed a transfusion rate of 30.7% in elderly FNF patients undergoing hemiarthroplasty. CKD and hypoalbuminemia were firstly identified as independent risk for blood transfusion. In addition, blood transfusion can increase the occurrence of early post-operative complications.
conclusionTargeted pre-operative intervention, such as optimizing CKD and correcting hypoalbuminemia is essential and highly regarded.
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