Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2022; 89(1):48-52 | DOI: 10.55095/achot2022/006

Analýza rizikových faktorů pro požadavek pooperační alogenní krevní transfuze u intertrochanterických zlomenin femuruPůvodní práce

G. CANSABUNCU^1,*, A. TURGUT²

¹ Department of Orthopaedic and Traumatology, Bartin State Hospital, Bartin, Turkey

² Department of Orthopaedic and Traumatology, Tepecik Training and Research Hospital, İzmir, Turkey

PURPOSE OF THE STUDY:
Hemoglobin (Hb) levels tend to decrease in patients after hip fractures. There are several factors that is responsible for this decrease in Hb levels. The primary aim in this study was to evaluate the risk factors of blood loss in patients with IFF and to determine the limits that may require allogeneic blood transfusion (ABT), and the secondary aim was to prevent unnecessary blood crossing outside these limits.

MATERIAL AND METHODS:
119 patients with intertrochanteric femur fracture (IFF) were included in the study. The patients were divided into two groups according to the use of ABT in the postoperative period. Age, gender, fracture side, height, weight, body mass index (BMI), American Society of Anesthesiologist (ASA) score, preoperative hemoglobin (Hb) level, platelet (Plt) number, International Normalized Ratio (INR), prothrombin time (PT), activated partial thromboplastin time (aPTT) values, comorbid diseases, history of drug use, whether ABT was applied in the preoperative period or not, and the postoperative 1st day Hb levels were evaluated from the medical records. A p value below than 0.05 was accepted as statistically significant.

RESULTS:
Advanced age [odds ratio (OR) 1.069, 95% confidence interval (CI) 0.372-3.202], unstable fracture type [OR 0.258, 95% CI 0.496-6.632], and hemoglobin level

Klíčová slova: intertrochanteric femur fracture, allogenic blood transfusion, blood loss hemoglobin level

Zveřejněno: 15. únor 2022  Zobrazit citaci