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Archives of Orthopaedic and Trauma Surgery

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01-05-2009 | Osteoporotic Fracture Management

Centenarians versus patients within the most frequent age range for hip fractures: transfusion practice

Authors: Andrés Diego Pelavski Atlas, María J. Colomina, Marcos De Miguel, Jaume Roigé

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2009

Abstract

Introduction

Descriptive retrospective review to compare transfusion among centenarians operated for a hip fracture with a control group within the “typical” age range for that surgery.

Method

Fractured centenarians admitted between 2001 and 2006 were compared with a randomly selected control group aged 75–83 years, with the same pathology. Main variables recorded: demographic data; pre- and post-operative status; haemoglobin levels and blood use. A comparative statistical analysis was performed.

Results

Both groups were similar: each had 17 patients and a majority of females had a pertrochanteric hip fracture. Although there was a trend towards higher comorbidity rates and transfusion indexes among centenarians, a significant difference could only be found in post-operative and trigger haemoglobin levels, and in the incidence of post-operative complications.

Conclusion

Despite intuitive beliefs, centenarians had results similar to those of the younger population: only a higher complication rate could be proved. Larger samples and prospective studies might be needed to confirm the trends noted.

Alarcón T, Gonzalez-Montalvo J, Bárcena A, Saez P (2001) Further experience of nonagenarians with hip fractures. Injury 32:555–558PubMedCrossRef

Jennings AG, De Boer P (1999) Should we operate in nonagenarians with hip fractures? Injury 30:169–172PubMedCrossRef

Pelavski AD, Colomina MJ, De Miguel M (2006) Demographic of nonagenarians and centenarians with a hip fracture. Anesth Analg 103(6):1597–1599PubMedCrossRef

Huusko TM, Karppi P, Avikainen V, Kautianinen H, Sulkova R (1999) The changing picture of hip fractures: dramatic change in age distribution and no change in age-adjusted incidence within 10 years in Central Finland. Bone 24:257–259PubMedCrossRef

Lyons AR (1997) Clinical outcomes and treatment of hip fractures. Am J Med 103(2A):51S–63SPubMedCrossRef

Forster MC, Cathorpe D (2000) Mortality following surgery for proximal femoral fractures in centenarians. Injury 31:537–539PubMedCrossRef

Oliver CW, Burke C (2004) Hip fractures in centenarians. Injury 35:1025–1030PubMedCrossRef

Kottinen N, Rosenberg PH (2006) Outcome after anaesthesia and emergency surgery in patients over 100 years old. Acta Anaesthesiol Scand 50:283–289CrossRef

Shabat S, Mann G, Gepstein R, Fredman B, Folman Y, Nyska M (2004) Operative treatment for hip fractures in patients 100 years of age and older: is it justified? J Orthop Trauma 18:431–435PubMedCrossRef

10.

Moran CG, Wenn RT, Sikand M, Taylor AM (2005) Early mortality after hip fracture: is delay before sugery important? J Bone Joint Surg Am 87:483–489PubMedCrossRef

11.

Agence Française de Sécurité Sanitaire des Produits de Santé (AFSSAPS). Transfusion de globules rouges homologues: produits, indications, alternatives. Méthode générale et recommandations. Transfus Clin Biol 2002; 9: 333–356

12.

Halm EA, Wang JJ, Boockvar WK, Penrod J, Silberzweig SB et al (2003) Effects of blood transfusion on clinical and functional outcomes in patients with hip fracture. Transfusion 43:1358–1365PubMedCrossRef

13.

Freter SH, Dunbar MJ, Macleod H, Morrison M, MacKnight C, Rockwood K (2005) Predicting post-operative delirium in elective orthopaedic patients: the Delirium Elderly At-Risk (DEAR) instrument. Age Ageing 34:169–172PubMedCrossRef

14.

Kannus P, Parkkari J, Sievanen H, Hinonen A, Vuori I et al (1996) Epìdemiology of hip fractures. Bone 18:57S–63SPubMedCrossRef

Title: Centenarians versus patients within the most frequent age range for hip fractures: transfusion practice
Authors: Andrés Diego Pelavski Atlas
María J. Colomina
Marcos De Miguel
Jaume Roigé
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0842-8

At a glance: The STEP trials

Springer Medicine

Centenarians versus patients within the most frequent age range for hip fractures: transfusion practice

Abstract

Introduction

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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