Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients
Introduction The purpose of this study is to determine if the risk of receiving a blood transfusion during hip fracture hospitalization can be predicted by a validated risk profiling score (Score for Trauma Triage in Geriatric and Middle Aged (STTGMA)). Materials and Methods A consecutive series of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-08-01
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| Series: | Geriatric Orthopaedic Surgery & Rehabilitation |
| Online Access: | https://doi.org/10.1177/21514593211038387 |
| _version_ | 1818597193767976960 |
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| author | Sanjit R. Konda MD Cody R Perskin BA Rown Parola MS R. Jonathan Robitsek PhD Abhishek Ganta MD Kenneth A Egol MD |
| author_facet | Sanjit R. Konda MD Cody R Perskin BA Rown Parola MS R. Jonathan Robitsek PhD Abhishek Ganta MD Kenneth A Egol MD |
| author_sort | Sanjit R. Konda MD |
| collection | DOAJ |
| description | Introduction The purpose of this study is to determine if the risk of receiving a blood transfusion during hip fracture hospitalization can be predicted by a validated risk profiling score (Score for Trauma Triage in Geriatric and Middle Aged (STTGMA)). Materials and Methods A consecutive series of 1449 patients 55 years and older admitted for a hip fracture at one academic medical center were identified from a trauma database. The STTGMA risk score was calculated for each patient. Patients were stratified into risk groups based on their STTGMA score quantile: minimal risk (0–50%), low risk (50–80%), moderate risk (80–95%), and high risk (95–100%). Incidence and volume of blood transfusions were compared between risk groups. Results There were 562 (38.8%) patients who received a transfusion during their admission. 58.3% of patients in the high risk group received a transfusion during admission compared to 31.2% of minimal risk group patients, 42.6% of low risk group patients, and 50.0% of moderate risk group patients ( p < 0.001). STTGMA was predictive of first transfusion incidence in both the preoperative and postoperative periods. There was no difference in mean total transfusion volume between the four risk groups. Conclusion The STTGMA model is capable of risk stratifying hip fracture patients more likely to receive blood transfusions during hospitalization. Surgeons can use this tool to anticipate transfusion requirements. |
| first_indexed | 2024-12-16T11:43:55Z |
| format | Article |
| id | doaj.art-ed6edd0c974d4c4a9b2b30c2cd50ec1d |
| institution | Directory Open Access Journal |
| issn | 2151-4593 |
| language | English |
| last_indexed | 2024-12-16T11:43:55Z |
| publishDate | 2021-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Geriatric Orthopaedic Surgery & Rehabilitation |
| spelling | doaj.art-ed6edd0c974d4c4a9b2b30c2cd50ec1d2022-12-21T22:32:53ZengSAGE PublishingGeriatric Orthopaedic Surgery & Rehabilitation2151-45932021-08-011210.1177/21514593211038387Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture PatientsSanjit R. Konda MDCody R Perskin BARown Parola MSR. Jonathan Robitsek PhDAbhishek Ganta MDKenneth A Egol MDIntroduction The purpose of this study is to determine if the risk of receiving a blood transfusion during hip fracture hospitalization can be predicted by a validated risk profiling score (Score for Trauma Triage in Geriatric and Middle Aged (STTGMA)). Materials and Methods A consecutive series of 1449 patients 55 years and older admitted for a hip fracture at one academic medical center were identified from a trauma database. The STTGMA risk score was calculated for each patient. Patients were stratified into risk groups based on their STTGMA score quantile: minimal risk (0–50%), low risk (50–80%), moderate risk (80–95%), and high risk (95–100%). Incidence and volume of blood transfusions were compared between risk groups. Results There were 562 (38.8%) patients who received a transfusion during their admission. 58.3% of patients in the high risk group received a transfusion during admission compared to 31.2% of minimal risk group patients, 42.6% of low risk group patients, and 50.0% of moderate risk group patients ( p < 0.001). STTGMA was predictive of first transfusion incidence in both the preoperative and postoperative periods. There was no difference in mean total transfusion volume between the four risk groups. Conclusion The STTGMA model is capable of risk stratifying hip fracture patients more likely to receive blood transfusions during hospitalization. Surgeons can use this tool to anticipate transfusion requirements.https://doi.org/10.1177/21514593211038387 |
| spellingShingle | Sanjit R. Konda MD Cody R Perskin BA Rown Parola MS R. Jonathan Robitsek PhD Abhishek Ganta MD Kenneth A Egol MD Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients Geriatric Orthopaedic Surgery & Rehabilitation |
| title | Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients |
| title_full | Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients |
| title_fullStr | Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients |
| title_full_unstemmed | Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients |
| title_short | Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients |
| title_sort | trauma risk score also predicts blood transfusion requirements in hip fracture patients |
| url | https://doi.org/10.1177/21514593211038387 |
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