SavedAdd your journal

Journals / Türk Geriatri Dergisi / 2020 / Cilt: 23 - Sayı: 3

THE EFFECT OF BLOOD TRANSFUSION ANDTRANEXAMIC ACID ON LENGTH OF HOSPITALSTAY AND MORTALITY AFTER HIP FRACTURESURGERY IN ELDERLY PATIENTS

Mutlu AKDOĞAN
Halis Atıl ATİLLA
Pages
353–361
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Length of hospital stay, and intensive care unit stay were significantly higher for patients who received blood products (p0.05) but were significantly low in patients who received tranexamic acid (1.2% vs. 5.3% respectively, p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The timely and appropriate administration of the transfusion of blood and/or blood components may considerably improve patient outcomes of geriatric hip fractures.
📊
Key Findings & Data:The purpose of this study was to evaluate the outcomes of geriatric hip fracture patients who required transfusion and antifibrinolytic treatment.Material-Method: This study included geriatric patients with a hip fracture who were admitted to our institution between 2017 and 2018.
💡
Conclusion & Impact:Length of hospital stay, and intensive care unit stay were significantly higher for patients who received blood products (p0.05) but were significantly low in patients who received tranexamic acid (1.2% vs. 5.3% respectively, p
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: The timely and appropriate administration of the transfusion of blood and/or blood components may considerably improve patient outcomes of geriatric hip fractures. However, the transfusion requirement is not free of complications. The purpose of this study was to evaluate the outcomes of geriatric hip fracture patients who required transfusion and antifibrinolytic treatment.Material-Method: This study included geriatric patients with a hip fracture who were admitted to our institution between 2017 and 2018. Patient outcomes were evaluated in respect of mortality and length of hospital stay according to the need for blood transfusion.Results: The data of 502 patients were analyzed. In-hospital mortality was recorded for 20 patients (4%). A median of 2 units of red blood cells were used in 218 patients (43.4%), median 2 units of platelet concentrates were used in 4 patients (0.8%), and a median of 2 units of fresh frozen plasma were used in 29 patients (5.8%). Length of hospital stay, and intensive care unit stay were significantly higher for patients who received blood products (p0.05) but were significantly low in patients who received tranexamic acid (1.2% vs. 5.3% respectively, p

🔖

Cite This Article

AKDOĞAN, M., ATİLLA, H. A. (2022). THE EFFECT OF BLOOD TRANSFUSION ANDTRANEXAMIC ACID ON LENGTH OF HOSPITALSTAY AND MORTALITY AFTER HIP FRACTURESURGERY IN ELDERLY PATIENTS. Türk Geriatri Dergisi, Cilt: 23 - Sayı: 3, 353–361. https://ajindex.com/articles/623577

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. World Health Organization. The top 10 causes of death 2018. [Internet] Available from: https://www. who.int/news-room/fact-sheets/detail/the-top-10- causes-of-death Accessed 22.02.2020 2. Theusinger OM, Stein P, Spahn DR. Transfusion strategy in multiple trauma patients. Curr Opin Crit Care 2014
  2. 20(6):646-55. (PMID: 25314239). 3. Poole D, Cortegiani A, Chieregato A, Russo E, Pellegrini C, De Blasio E, et al. Blood component therapy and coagulopathy in trauma: a systematic review of the literature from the trauma update group. PLoS One 2016
  3. 11(10):e0164090. (PMID: 27695109). 4. Brohi K, Singh J, Heron M, Coats T. Acute traumatic coagulopathy. J Trauma 2003
  4. 54(6):1127-30. (PMID: 12813333). 5. Schlag G, Redl H. Mediators in trauma. Acta Anaesthesiol Belg 1987
  5. 38(4):281-91. (PMID: 3327335). 6. Öztürk A, Iltar S, Alemdaroğlu KB, Dinçel VE, Özmeriç A, Gökgöz B. Is functional outcome better after arthroplasty for trochanteric fractures in older adults? Acta Ortop Bras 2018
  6. 26(1):8-10. (PMID: 29977135). 7. Çopuroğlu C, Özcan M, Çiftdemir M, Volkan Ünver K, Sarıdoğan K. Frequency of hip fractures admitted to a university hospital for the last ten years. Turk Geriatri Derg 2011
  7. 14(3):199-203. 8. Deitelzweig SB, Johnson BH, Lin J, Schulman KL. Prevalence of clinical venous thromboembolism in the USA: current trends and future projections. Am J Hematol 2011
  8. 86(2):217-20. (PMID: 21264912). 9. Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA 2015
  9. 313(5):471-82. (PMID: 25647203). 10. Huber-Wagner S, Lefering R, Qvick M, Kay M V., Paffrath T, Mutschler W, et al. Outcome in 757 severely injured patients with traumatic cardiorespiratory arrest. Resuscitation 2007
  10. 75(2):276-85. (PMID: 17574721). 11. Ponnusamy KE, Kim TJ, Khanuja HS. Perioperative blood transfusions in orthopaedic surgery. J Bone Jt Surg - Am 2014
  11. 96(21):1836-44. (PMID: 25378512). 12. Müller S, Oberle D, Drechsel-Bäuerle U, Pavel J, Keller-Stanislawski B, Funk MB. Mortality, morbidity and related outcomes following perioperative blood transfusion in patients with major orthopaedic surgery: a systematic review. Transfus Med Hemotherapy 2018
  12. 45(5):355-67. (PMID: 30498414). 13. Carson JL, Terrin ML, Noveck H, Sanders DW, Chaitman BR, Rhoads GG, et al. Liberal or restrictive transfusion in high-risk patients after hi