Evidence map›Paper›PMID 36852856›Full record

ArticleJournal of Korean medical science2023

Effect of a Patient Blood Management Program on the Appropriateness of Red Blood Cell Transfusion and Clinical Outcomes in Elderly Patients Undergoing Hip Fracture Surgery.

Jong Hun Kim, Hyeon Ju Shin, Hae Sun You, Yoonsun Park, Ki Hoon Ahn, Jae Seung Jung, Seung-Beom Han, Jong Hoon Park, Korea University Bloodless Medicine Center Scientific Committee

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 27% of its field
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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Jong Hun KimDivision of Infectious Diseases, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.ORCID https://orcid.org/0000-0001-6703-5804
Hyeon Ju ShinDepartment of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul, Korea. may335@naver.com.ORCID https://orcid.org/0000-0003-3150-6840
Hae Sun YouDepartment of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul, Korea. sunhae67@naver.com.ORCID https://orcid.org/0000-0002-2403-2256
Yoonsun ParkDepartment of Anesthesiology and Pain Medicine, Anam Hospital, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6108-3936
Ki Hoon AhnDepartment of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-6314-4621
Jae Seung JungDepartment of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8848-4112
Seung-Beom HanDepartment of Orthopedic Surgery, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1880-4229
Jong Hoon ParkDepartment of Orthopedic Surgery, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-6798-6762
Korea University Bloodless Medicine Center Scientific Committee
Korea University · KRKorea University Medical Center · KRCHA University Bundang Medical Center · KR

Funding

Korea University Research & Business Foundation Q2217521
6 · The paper itself

Abstract

backgroundElderly patients with hip fractures frequently receive perioperative transfusions, which are associated with increased morbidity and mortality. This study aimed to evaluate the impact of a patient blood management (PBM) program on the appropriateness of red blood cell (RBC) transfusion and clinical outcomes in geriatric patients undergoing hip fracture surgery.

methodsIn 2018, the revised PBM program was implemented at the Korea University Anam Hospital, Seoul, Republic of Korea. Elderly patients aged ≥ 65 years who underwent hip fracture surgery from 2017 to 2020 were evaluated. Clinical characteristics and outcomes were analyzed according to the timing of PBM implementation (pre-PBM, early-PBM, and late-PBM). Multiveriate regression analysis was used to evaluate the risk factors of the adverse outcomes, such as in-hospital mortality or 30-day readmission.

resultsA total of 884 elderly patients were included in this study. The proportion of patients who received perioperative RBC transfusions decreased significantly (43.5%, 40.1%, and 33.2% for pre-PBM, early-PBM, and late-PBM, respectively;

conclusionImplementing the PBM program increased the appropriateness of RBC transfusion without compromising transfusion quality and clinical outcomes. Therefore, adopting the PBM program may improve the clinical management of elderly patients following hip fracture surgery.

Indexed as

Erythrocyte TransfusionHip FracturesAgedHospital MortalityHospitals, UniversityHumansLength of StayAgedErythrocyte TransfusionHip FracturesPatient Outcome AssessmentProgram EvaluationRisk Factors

Identifiers

PMID36852856
PMCPMC9970785
OpenAlexW4320901976

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.