| Analysis of influencing factors of blood transfusion in patients with intertrochanteric fracture during perioperative period |
| Received:September 16, 2019 Revised:May 07, 2020 Click here to download the full text |
| Citation of this paper:XU Zhao-ning,CHEN Fang-yi,LI De-fang,DING Lei,YAN Bing-shan,YU Zuo-chong,ZHANG Xin-chao.Analysis of influencing factors of blood transfusion in patients with intertrochanteric fracture during perioperative period[J].Chinese Journal of Clinical Medicine,2020,27(5):822-826 |
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| Author Name | Affiliation | E-mail | | XU Zhao-ning | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | CHEN Fang-yi | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | LI De-fang | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | DING Lei | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | YAN Bing-shan | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | YU Zuo-chong | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | | | ZHANG Xin-chao | Department of Orthopedics, Jinshan Hospital, Fudan University, Shanghai 201508, China | zhangxc410@aliyun.com |
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| Abstract:Objective: To explore the influencing factors of blood transfusion in patients with intertrochanteric fracture during perioperative period. Methods: Data of 281 cases with intertrochanteric fractures treated in Jinshan Hospital, Fudan University from January 2013 to January 2018 were collected, include gender, age, classification of fracture, hypertension, coronary heart disease, diabetes mellitus, cerebral infarction, preoperative levels of albumin, hemoglobin, platelet, and activated partial thromboplastin time (APTT), preoperative waiting days, surgical method, American Society of Anesthesiologists (ASA) classification and blood transfusion. The t test, rank sum test, χ2 test and logistic regression were used for statistical analysis. Results: The transfusion rate was 45.20% (127/281). There were significant differences in gender, age, classification of fracture, diabetes mellitus, cerebral infarction, surgical method, ASA classification, preoperative waiting days and preoperative levels of albumin, hemoglobin, and platelet between the transfusion group and the non-transfusion group (P<0.05). Multivariate logistic regression analysis showed that the influencing factors of blood transfusion were fracture type 4 or 5, preoperative hemoglobin <90 g/L, history of cerebral infarction, and surgical method of artificial femoral head replacement or open reduction with proximal femoral nail antirotation. Conclusions: The influencing factors of perioperative blood transfusion of patients with intertrochanteric fracture include the classification of type 4 or type 5, preoperative hemoglobin <90 g/L, history of cerebral infarction, artificial femoral head replacement or open reduction and proximal femoral nail fixation. |
| keywords:intertrochanteric fracture blood transfusion influence factors perioperative period |
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