Evidence map›Paper›PMID 41854641›Full record

ArticleOrthopaedic surgery2026

Temporal Changes in Key Hematological and Inflammatory-Immune Markers Among Elderly Patients Following Hip Fracture: A Five-Day Serial Assessment.

Yuening Han, Shanshan Zhang, Xinqun Cheng, Yuqing Li, Chengsi Li, Yingze Zhang, Yanbin Zhu, Cici Bai, Xiuting Li

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Article in Orthopaedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Yuening HanEconomic Development Institute of Nankai University, Nankai University, Tianjin, P. R. China.
Shanshan ZhangDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Xinqun ChengDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Yuqing LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Chengsi LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Yingze ZhangDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Yanbin ZhuDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.
Cici BaiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.ORCID https://orcid.org/0009-0009-4156-0710
Xiuting LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, P. R. China.

Funding

Hebei Provincial Department of Finance/Hebei Provincial Health Commission 2024 Government funded Clinical Medicine Excellent Talent Training Project ZF2024075Hygiene and Health Innovation Project of Major Project Assignment for Research and Development in Hebei Province 21377731D
6 · The paper itself

Abstract

objectiveHip fracture is a severe injury in the elderly population and can trigger a strong physiologic stress reaction with potential impact on clinical outcomes. However, few data are available on the temporal evolution of hematologic parameters after this injury. This study aimed to evaluate the temporal trends of key hematological and inflammatory-immune markers in elderly patients with hip fractures.

methodsA retrospective cohort study was conducted among elderly patients with hip fractures managed at a tertiary referral center from January 2022 to October 2024. Included patients were required to have both complete serial hematological measurements obtained during the first 5 days post-fracture and relevant clinical data. We used generalized estimating equation models for repeated measurements to describe the temporal trends of key hematological markers, with analyses stratified by fracture type and age group.

resultsA total of sixty patients were included, with a mean age of 80 ± 7.4 years (range: 65-96 years) and 68.3% females (n = 41). Within the first 1-5 days post-fracture, hemoglobin decreased by a mean of 9.66 g/L, hematocrit by 3.10 percentage points, neutrophil percentage by 8.12 percentage points, neutrophil count by a mean of 2.41 × 10

conclusionsHemoglobin, hematocrit, neutrophil percentage, neutrophil count, and NLR progressively decrease during days 1-5 after hip fracture in older patients, whereas lymphocyte and monocyte counts exhibit biphasic patterns and vary significantly according to fracture type and age. These findings may help clinicians in interpreting early post-fracture laboratory dynamics and provide a basis for future outcome-oriented validation.

Indexed as

Hip FracturesAgedAged, 80 and overBiomarkersFemaleHematocritHemoglobinsHumansLeukocyte CountMaleNeutrophilsRetrospective StudiesTime FactorsBiomarkersHemoglobinselderly patientshematological markership fractureperioperative managementprognostic stratificationtemporal trends

Identifiers

PMID41854641
PMCPMC13056469

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