scholarly journals Allogeneic red blood cell transfusion is an independent risk factor for 1-year mortality in elderly patients undergoing femoral neck fracture surgery

Medicine ◽  
2020 ◽  
Vol 99 (35) ◽  
pp. e21897
Author(s):  
Hyeon Ju Shin ◽  
Jong Hun Kim ◽  
Seung-Beom Han ◽  
Jong Hoon Park ◽  
Woo Young Jang
Keyword(s):  
Risk Factor ◽  
Femoral Neck ◽  
Elderly Patients ◽  
Blood Cell ◽  
Femoral Neck Fracture ◽  
Red Blood Cell ◽  
Independent Risk Factor ◽  
Red Blood Cell Transfusion ◽  
Neck Fracture ◽  
Fracture Surgery

Impaired renal function is an independent risk factor for complications after surgery for femoral neck fracture

2021 ◽  
pp. 112070002110285
Author(s):  
Pradip Ramamurti ◽  
Safa C Fassihi ◽  
David Sacolick ◽  
Alex Gu ◽  
Chapman Wei ◽  
...  
Keyword(s):  
Renal Function ◽  
Risk Factor ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Impaired Renal Function ◽  
Independent Risk Factor ◽  
Femoral Neck Fractures ◽  
Stage 4 ◽  
Ckd Stage ◽  
Neck Fracture

Background: The metabolic abnormalities that occur secondary to chronic kidney disease (CKD) increase the risk of femoral neck fractures compared to the general population. The purpose of this study is to determine whether impaired renal function is an independent risk factor for complications after surgery for femoral neck fracture. Methods: The ACS-NSQIP database was reviewed for patients who underwent total hip arthroplasty, hemiarthroplasty and open reduction internal fixation (ORIF) for femoral neck fractures between 2007 and 2018. Patients were split into cohorts based on calculated estimated glomerular filtration rate. Demographic information, comorbidities, and 30-day complications were analysed with univariate and multivariate analyses using chi-square, Fischer’s exact and analysis of variance testing. Results: The total number of patients for the study was 163,717. Patients with CKD stage 4 and 5 had an increased rate of any complication (39.1 and 36.7% respectively) compared with higher eGFRs ( p  < 0.001). Similarly, 30-day mortality was increased at 6.0% and 6.7% for both stage 4 and 5 ( p  < 0.001). By multivariate regression, those with CKD Stage 4 and 5 were at increased risk for any complication compared to patients with a normal preoperative eGFR of 90–120 ( p  < 0.001). Conclusions: This study demonstrated that patients with CKD Stage 4 and 5 are at increased risks of all complications, including death, renal, pulmonary and thromboembolic disease. Therefore, these patients should be cared for from a multidisciplinary approach with close attention to postoperative medications and fall prevention to help mitigate the risk of complications in the immediate postoperative period.

scholarly journals Deep vein thrombosis in the lower extremities after femoral neck fracture: A retrospective observational study

2020 ◽  
Vol 28 (1) ◽  
pp. 230949901990117
Author(s):  
Ya-Hui Fu ◽  
Ping Liu ◽  
Xin Xu ◽  
Peng-Fei Wang ◽  
Kun Shang ◽  
...  
Keyword(s):  
Risk Factor ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Independent Risk Factor ◽  
Incidence Rates ◽  
Femoral Neck Fractures ◽  
Vein Thrombosis ◽  
Before And After ◽  
Neck Fracture ◽  
Deep Vein

Purpose: The actual incidence of deep vein thrombosis (DVT) in femoral neck fractures is underestimated. This study aimed to investigate the incidence of DVT in the lower extremities after femoral neck fracture before and after operation. Methods: The clinical data of patients with femoral neck fractures treated at Xi’an Honghui Hospital between July 1, 2016, and December 31, 2018, were collected. The patients were examined with ultrasonography before and after operation and divided into thrombosis and non-thrombosis groups according to their ultrasonographic results. The incidence of DVT was reported as a percentage. Results: The incidence rates of preoperative and postoperative DVT were 32% and 56%, respectively. DVT on the uninjured side constituted 45% of all preoperative DVT and 43% of all postoperative DVT. Peripheral DVT constituted 90% and 84% of all preoperative and postoperative DVT, respectively. Diabetes was an independent risk factor of preoperative DVT. Blood loss was an independent risk factor of postoperative DVT, and open reduction and internal fixation surgical procedure was independent protective factor of postoperative DVT as compared with hemiarthroplasty and total hip replacement. Conclusions: The incidence rates of preoperative and postoperative DVT in the patients with femoral neck fracture were high, and orthopedists should pay more attention to DVT as a complication.

Body mass index, risk of allogeneic red blood cell transfusion, and mortality in elderly patients undergoing hip fracture surgery

2016 ◽  
Vol 27 (9) ◽  
pp. 2765-2775 ◽  
Author(s):  
A. B. Pedersen ◽  
D. Cronin Fenton ◽  
M. Nørgaard ◽  
N. R. Kristensen ◽  
B. Kuno Møller ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Blood Cell ◽  
Body Mass ◽  
Red Blood Cell ◽  
Red Blood Cell Transfusion ◽  
Hip Fracture Surgery ◽  
Fracture Surgery

Allogeneic Red Blood Cell Transfusion Is an Independent Risk Factor for the Development of Postoperative Bacterial Infection

Vox Sanguinis ◽  
2000 ◽  
Vol 78 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Hong Chang ◽  
Gregory A. Hall ◽  
William H. Geerts ◽  
Celia Greenwood ◽  
Robin S. McLeod ◽  
...  
Keyword(s):  
Risk Factor ◽  
Blood Cell ◽  
Bacterial Infection ◽  
Red Blood Cell ◽  
Independent Risk Factor ◽  
Red Blood Cell Transfusion

scholarly journals The Probability of And Risk Factors For Femoral Neck Shortening And Internal Fixation Failure After Femoral Neck Fracture Treatment Using Cannulated Screws Combined With A Medial Buttress Plate

2021 ◽  
Author(s):  
Jinglei Xu ◽  
Xue Bai ◽  
Chenyang Xu ◽  
Xianzhong Ma
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Femoral Neck ◽  
Internal Fixation ◽  
Femoral Neck Fracture ◽  
Independent Risk Factor ◽  
Cannulated Screws ◽  
Fixation Failure ◽  
Neck Fracture ◽  
Buttress Plate

Abstract Background: Femoral neck shortening and internal fixation failure are two most prevalent complications associated with surgical treatment of femoral neck fracture. This study evaluates the probability of and risk factors for these complications after the treatment of femoral neck fracture using cannulated screws combined with a medial buttress plate.Methods: Data of 70 patients with femoral neck fractures treated using cannulated screws combined with a medial buttress plate in our hospital between March 2016 and March 2019 were retrospectively analyzed, and 40 patients who were followed up for no less than 6 months were enrolled in the study. We evaluated the probability of postoperative femoral neck shortening and internal fixation failure and conducted multivariate logistic regression analysis to determine risk factors.Results: Among 40 patients, 11 had femoral neck shortening＞5 mm and 8 had fracture nonunion or screw cutout. There were significant differences in screw quality between the shortening and non-shortening groups; There were significant differences in fracture site and shortening between the fixation failure and non-failure groups. According to the multivariate analysis, screw quality was an independent risk factor for femoral neck shortening (odds ratio [OR]: 8.58; 95% confidence interval [CI]: 1.35–50.57; P=0.022), and femoral neck shortening was an independent risk factor for internal fixation failure (OR: 11.82; 95% CI: 1.66–84.36; P=0.014).Conclusions: Femoral neck fracture treatment using cannulated screws combined with a medial buttress plate led to a femoral neck shortening rate lower than that of other internal fixation methods and an internal fixation failure rate lower than or equivalent to that of other internal fixation methods. The quality of cannulated screws is a risk factor for postoperative shortening of the femoral neck, and femoral neck shortening is a risk factor for postoperative internal fixation failure.

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