Intra-operative blood transfusions raise the risk of postoperative delirium and impede functional recovery in elderly hip fracture patients: a propensity score-matched study DOI Creative Commons
Yanan Li, Tao Wang, Jiajie Zhang

et al.

Journal of Orthopaedics and Traumatology, Journal Year: 2025, Volume and Issue: 26(1)

Published: Feb. 28, 2025

Abstract Background This retrospective analysis was performed to investigate the potential influence of intra-operative blood transfusion (IBT) in patients aged 65 years or older with intertrochanteric fractures (IF) who underwent intramedullary fixation. Methods The outcomes interest included incidence postoperative delirium (POD), pain score at discharge, length hospital stay (LOS), functional outcomes, and mortality. study all surgically treated IF between Jan. 2018 Dec. 2021. Data on patient demographics, injury-related factors, surgical procedures, intraoperative details, in-hospital information, were collected. In order mitigate confounding selection bias, researchers employed propensity matching (PSM) technique using a 1:1 ratio via caliper method. Following PSM, association IBT outcome analyses assessed McNemar's Chi-square tests. Additionally, Spearman correlations IBT, POD computed. Results Out initial 2159 consecutive screened, final sample 1681 individuals included, consisting 1278 non-IBT group 403 group. After each comprised 298 participants. disparities rate became significant after employing score-based ( P < 0.001 0.029, respectively), despite their lack significance prior matching. There no notable distinctions observed other operation-related data, LOS, crude mortality rates 30-day, 90-day, 12-month intervals before PSM. Furthermore, = 0.006) 0.013) significantly associated IBT. Conclusion conclusion, increases hinders recovery elderly hip fracture.

Language: Английский

Intra-operative blood transfusions raise the risk of postoperative delirium and impede functional recovery in elderly hip fracture patients: a propensity score-matched study DOI Creative Commons
Yanan Li, Tao Wang, Jiajie Zhang

et al.

Journal of Orthopaedics and Traumatology, Journal Year: 2025, Volume and Issue: 26(1)

Published: Feb. 28, 2025

Abstract Background This retrospective analysis was performed to investigate the potential influence of intra-operative blood transfusion (IBT) in patients aged 65 years or older with intertrochanteric fractures (IF) who underwent intramedullary fixation. Methods The outcomes interest included incidence postoperative delirium (POD), pain score at discharge, length hospital stay (LOS), functional outcomes, and mortality. study all surgically treated IF between Jan. 2018 Dec. 2021. Data on patient demographics, injury-related factors, surgical procedures, intraoperative details, in-hospital information, were collected. In order mitigate confounding selection bias, researchers employed propensity matching (PSM) technique using a 1:1 ratio via caliper method. Following PSM, association IBT outcome analyses assessed McNemar's Chi-square tests. Additionally, Spearman correlations IBT, POD computed. Results Out initial 2159 consecutive screened, final sample 1681 individuals included, consisting 1278 non-IBT group 403 group. After each comprised 298 participants. disparities rate became significant after employing score-based ( P < 0.001 0.029, respectively), despite their lack significance prior matching. There no notable distinctions observed other operation-related data, LOS, crude mortality rates 30-day, 90-day, 12-month intervals before PSM. Furthermore, = 0.006) 0.013) significantly associated IBT. Conclusion conclusion, increases hinders recovery elderly hip fracture.

Language: Английский

Citations

0