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. 2021 Aug 11:12:21514593211038387.
doi: 10.1177/21514593211038387. eCollection 2021.

Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients

Sanjit R Konda  1   2 , Cody R Perskin  1 , Rown Parola  1 , R Jonathan Robitsek  2 , Abhishek Ganta  1   2 , Kenneth A Egol  1   2
Affiliations

Trauma Risk Score Also Predicts Blood Transfusion Requirements in Hip Fracture Patients

Sanjit R Konda et al. Geriatr Orthop Surg Rehabil. .

Abstract

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.

Keywords: STTGMA; geriatric trauma; hip fracture; risk stratification; transfusion.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Risk of receiving packed red blood cell transfusions for minimal, low, moderate, and high risk groups.
See this image and copyright information in PMC

References

    1. Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49(8):1458–1460. doi:10.1016/j.injury.2018.04.015 - DOI - PubMed
    1. Brown CA, Starr AZ, Nunley JA. Analysis of past secular trends of hip fractures and predicted number in the future 2010–2050. J Orthop Trauma. 2012;26(2):117–122. doi:10.1097/BOT.0b013e318219c61a - DOI - PubMed
    1. Endo A, Baer HJ, Nagao M, Weaver MJ. Prediction model of in-hospital mortality after hip fracture surgery. J Orthop Trauma. 2018;32(1):34–38. doi:10.1097/BOT.0000000000001026 - DOI - PubMed
    1. Alzahrani K, Gandhi R, Davis A, Mahomed N. In-hospital mortality following hip fracture care in southern Ontario. Can J Surg. 2010;53(5):294–298. - PMC - PubMed
    1. Smeets SJM, Verbruggen JPAM, Poeze M. Effect of blood transfusion on survival after hip fracture surgery. Eur J Orthop Surg Traumatol. 2018;28(7):1297–1303. doi:10.1007/s00590-018-2205-z - DOI - PMC - PubMed

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