Preoperative Correction of Low Hemoglobin Levels Can Reduce 1-Year All-Cause Mortality in Osteoporotic Hip Fracture Patients: A Retrospective Observational Study

被引:17
作者
Manosroi, Worapaka [1 ]
Atthakomol, Pichitchai [2 ,3 ]
Isaradech, Natthanaphop [4 ]
Phinyo, Phichayut [3 ,5 ]
Vaseenon, Tanawat [2 ]
机构
[1] Chiang Mai Univ, Div Endocrinol, Dept Internal Med, Fac Med, Chiang Mai, Thailand
[2] Chiang Mai Univ, Dept Orthopaed, Fac Med, Chiang Mai, Thailand
[3] Chiang Mai Univ, Clin Epidemiol & Clin Stat Ctr, Fac Med, Chiang Mai, Thailand
[4] Chiang Mai Univ, Dept Family Med, Biomed Informat Ctr, Chiang Mai, Thailand
[5] Chiang Mai Univ, Dept Family Med, Fac Med, Chiang Mai, Thailand
关键词
osteoporosis; hip fracture; anemia; mortality; BLOOD-TRANSFUSION; ELDERLY-PATIENTS; ANEMIA; INFECTION; CAPACITY; PROGRAM; SURGERY; FRAIL;
D O I
10.2147/CIA.S354519
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: Osteoporotic hip fracture surgery is associated with a risk of morbidity and mortality. Admission hemoglobin levels 10 g/dL have been documented asa strong predictor of mortality risk. This study aimed to investigate the mortality outcome between osteoporotic hip fracture patients who had preoperative hemoglobin levels raised to 10 g/dL. Patients were categorized into two groups: those with corrected preoperative hemoglobin 10 g/dL. Outcomes were analyzed using Cox proportional hazard regression adjusted for confounders. Results are presented as hazard ratio (HR) and 95% confidence interval (95% CI). Results: Among 226 the patients, the overall mortality rate was 17.25% (n=39/226) of the 226 patients, 93 (41.15%) had their hemoglobin levels raised to 10g/dL, raising preoperative hemoglobin levels to 10 g/dL can significantly reduce the risk of mortality. Testing for and correction of low preoperative hemoglobin levels is of value in hip surgery patients.
引用
收藏
页码:165 / 173
页数:9
相关论文
共 37 条
  • [1] Abouleish AE., 2015, ASA Newsl, V79, P38
  • [2] Prognostic Factors for All-Cause Mortality in Thai Patients with Fragility Fracture of Hip: Comorbidities and Laboratory Evaluations
    Atthakomol, Pichitchai
    Manosroi, Worapaka
    Phinyo, Phichayut
    Pipanmekaporn, Tanyong
    Vaseenon, Tanawat
    Rojanasthien, Sattaya
    [J]. MEDICINA-LITHUANIA, 2020, 56 (06): : 1 - 11
  • [3] Mortality Risk Associated With Low-Trauma Osteoporotic Fracture and Subsequent Fracture in Men and Women
    Bliuc, Dana
    Nguyen, D. Nguyen
    Milch, Vivienne E.
    Nguyen, Tuan V.
    Eisman, John A.
    Center, Jacqueline R.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 301 (05): : 513 - 521
  • [4] Liberal or Restrictive Transfusion in High-Risk Patients after Hip Surgery
    Carson, Jeffrey L.
    Terrin, Michael L.
    Noveck, Helaine
    Sanders, David W.
    Chaitman, Bernard R.
    Rhoads, George G.
    Nemo, George
    Dragert, Karen
    Beaupre, Lauren
    Hildebrand, Kevin
    Macaulay, William
    Lewis, Courtland
    Cook, Donald Richard
    Dobbin, Gwendolyn
    Zakriya, Khwaja J.
    Apple, Fred S.
    Horney, Rebecca A.
    Magaziner, Jay
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (26) : 2453 - 2462
  • [5] Geographic and ethnic disparities in osteoporotic fractures
    Cauley, Jane A.
    Chalhoub, Didier
    Kassem, Ahmed M.
    El-Hajj Fuleihan, Ghada
    [J]. NATURE REVIEWS ENDOCRINOLOGY, 2014, 10 (06) : 338 - 351
  • [6] Functional outcomes and mortality in geriatric and fragility hip fracturesresults of an integrated, multidisciplinary model experienced by the "Florence hip fracture unit"
    Civinini, Roberto
    Paoli, Tommaso
    Cianferotti, Luisella
    Cartei, Alessandro
    Boccaccini, Alberto
    Peris, Adriano
    Brandi, Maria Luisa
    Rostagno, Carlo
    Innocenti, Massimo
    [J]. INTERNATIONAL ORTHOPAEDICS, 2019, 43 (01) : 187 - 192
  • [7] Gregersen M, 2016, DAN MED J, V63
  • [8] Postoperative blood transfusion strategy in frail, anemic elderly patients with hip fracture The TRIFE randomized controlled trial
    Gregersen, Merete
    Borris, Lars C.
    Damsgaard, Else Marie
    [J]. ACTA ORTHOPAEDICA, 2015, 86 (03) : 363 - 372
  • [9] Mortality after osteoporotic hip fracture: incidence, trends, and associated factors
    Guzon-Illescas, Olalla
    Perez Fernandez, Elia
    Crespi Villarias, Natalia
    Quiros Donate, Francisco Javier
    Pena, Marina
    Alonso-Blas, Carlos
    Garcia-Vadillo, Alberto
    Mazzucchelli, Ramon
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2019, 14 (1)
  • [10] Meta-analysis: Excess Mortality After Hip Fracture Among Older Women and Men
    Haentjens, Patrick
    Magaziner, Jay
    Colon-Emeric, Cathleen S.
    Vanderschueren, Dirk
    Milisen, Koen
    Velkeniers, Brigitte
    Boonen, Steven
    [J]. ANNALS OF INTERNAL MEDICINE, 2010, 152 (06) : 380 - +