Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures

Jiqi Wang,1 Youming Zhao,1 Bingjie Jiang,1 Xiaojing Huang2 1Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, People’s Republic of China; 2Department of Orthopaedics, The First Affili...

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Autores principales:	Wang J, Zhao Y, Jiang B, Huang X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	blood transfusion femoral intertrochanteric fracture elderly nomograms risk factors intramedullary nail fixation. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3744eb70d8fb4c56842f693a8c128aea
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spelling	oai:doaj.org-article:3744eb70d8fb4c56842f693a8c128aea2021-12-02T11:55:28ZDevelopment of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures1178-1998https://doaj.org/article/3744eb70d8fb4c56842f693a8c128aea2021-01-01T00:00:00Zhttps://www.dovepress.com/development-of-a-nomogram-to-predict-postoperative-transfusion-in-the--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jiqi Wang,1 Youming Zhao,1 Bingjie Jiang,1 Xiaojing Huang2 1Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, People’s Republic of China; 2Department of Orthopaedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, People’s Republic of ChinaCorrespondence: Xiaojing HuangDepartment of Orthopaedics, The First Affiliated Hospital of Wenzhou Medical University, Shangcai Village Ouhai District, Wenzhou 325000, Zhejiang, People’s Republic of ChinaEmail wzhuangxiaojing@hotmail.comPurpose: The aim of our study was to explore the risk factors related to blood transfusion after intramedullary nail fixation of elderly femoral intertrochanteric fracture (FTF) and establish a nomogram prediction model.Patients and Methods: We conducted a retrospective study including elderly FTF patients treated by intramedullary nail between January 2017 and December 2019. Perioperative information was obtained retrospectively, uni- and multivariate regression analyses were performed to determine risk factors for blood transfusion. A nomogram model was established to predict the risk of blood transfusion, and consistency coefficient (C-index) and correction curve were used to evaluate the prediction performance and consistency of the model.Results: Of 148 patients, 119 were finally enrolled in the study and and 46 patients (38.7%) received a blood transfusion after the operation. Logistic regression analysis the female, lower preoperative Hb, ASA score > 2, general anesthesia, and higher intraoperative blood loss were independently associated with the blood transfusion. The accuracy of the contour map for predicting transfusion risk was 0.910.Conclusion: These risk factors are shown on the nomogram and verified. Through the assessment of the risk of blood transfusion and the intervention of modifiable risk factors, we may be able to reduce the blood transfusion rate to a certain extent, so as to further guarantee the safety of the elderly patients during the perioperative period.Keywords: blood transfusion, femoral intertrochanteric fracture (FTF), elderly, nomograms, risk factors, intramedullary nail fixationWang JZhao YJiang BHuang XDove Medical Pressarticleblood transfusionfemoral intertrochanteric fractureelderlynomogramsrisk factorsintramedullary nail fixation.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood transfusion femoral intertrochanteric fracture elderly nomograms risk factors intramedullary nail fixation. Geriatrics RC952-954.6
spellingShingle	blood transfusion femoral intertrochanteric fracture elderly nomograms risk factors intramedullary nail fixation. Geriatrics RC952-954.6 Wang J Zhao Y Jiang B Huang X Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
description	Jiqi Wang,1 Youming Zhao,1 Bingjie Jiang,1 Xiaojing Huang2 1Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, People’s Republic of China; 2Department of Orthopaedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, People’s Republic of ChinaCorrespondence: Xiaojing HuangDepartment of Orthopaedics, The First Affiliated Hospital of Wenzhou Medical University, Shangcai Village Ouhai District, Wenzhou 325000, Zhejiang, People’s Republic of ChinaEmail wzhuangxiaojing@hotmail.comPurpose: The aim of our study was to explore the risk factors related to blood transfusion after intramedullary nail fixation of elderly femoral intertrochanteric fracture (FTF) and establish a nomogram prediction model.Patients and Methods: We conducted a retrospective study including elderly FTF patients treated by intramedullary nail between January 2017 and December 2019. Perioperative information was obtained retrospectively, uni- and multivariate regression analyses were performed to determine risk factors for blood transfusion. A nomogram model was established to predict the risk of blood transfusion, and consistency coefficient (C-index) and correction curve were used to evaluate the prediction performance and consistency of the model.Results: Of 148 patients, 119 were finally enrolled in the study and and 46 patients (38.7%) received a blood transfusion after the operation. Logistic regression analysis the female, lower preoperative Hb, ASA score > 2, general anesthesia, and higher intraoperative blood loss were independently associated with the blood transfusion. The accuracy of the contour map for predicting transfusion risk was 0.910.Conclusion: These risk factors are shown on the nomogram and verified. Through the assessment of the risk of blood transfusion and the intervention of modifiable risk factors, we may be able to reduce the blood transfusion rate to a certain extent, so as to further guarantee the safety of the elderly patients during the perioperative period.Keywords: blood transfusion, femoral intertrochanteric fracture (FTF), elderly, nomograms, risk factors, intramedullary nail fixation
format	article
author	Wang J Zhao Y Jiang B Huang X
author_facet	Wang J Zhao Y Jiang B Huang X
author_sort	Wang J
title	Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
title_short	Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
title_full	Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
title_fullStr	Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
title_full_unstemmed	Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures
title_sort	development of a nomogram to predict postoperative transfusion in the elderly after intramedullary nail fixation of femoral intertrochanteric fractures
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/3744eb70d8fb4c56842f693a8c128aea
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Development of a Nomogram to Predict Postoperative Transfusion in the Elderly After Intramedullary Nail Fixation of Femoral Intertrochanteric Fractures

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