{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:37:46Z","timestamp":1787009866317,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Acute blood loss anemia is a common complication of hip fractures. Due to this complication, the rate of allogenic blood transfusions remains high in this patient population. More recently, surgeons have utilized intraoperative tranexamic acid as a strategy to minimize blood loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to identify risk factors and associated outcomes of blood transfusions in hip fracture patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A trauma database from one academic medical center was queried for hip fracture patients (OTA\/AO 31A or 31B). Demographic, clinical, quality, and cost data were obtained for each patient. A Score for Trauma Triage in Geriatric and Middle Aged (STTGMA), a validated risk predictive and matching tool, was calculated for each patient. Patients receiving blood transfusions during their hospitalization were identified. Multivariate logistic regression analysis identified independent risk factors for transfusion during admission. Patients receiving transfusions were matched to patients not receiving a transfusion based on STTGMA. Comparative analyses of matched cohorts were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In total, 1,344 hip fracture patients (29.8% male and 70.2% female) with mean age 81.04 \u00b1 10.18 were identified. Four hundred ninety-nine (37.1%) patients received a transfusion during their admission. Risk factors for transfusion included higher STTGMA scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .006), lower hemoglobin levels on admission (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), anticoagulation or antiplatelet use on admission (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .019), and fracture repair with a long cephalomedullary nail (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .005). Trauma risk score\u2013matched cohort outcomes show transfusions correlated with increased mortality, complications, readmission, and longer, more costly hospital stays.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgeons should be cognizant of transfusion risk factors such as repair with long cephalomedullary nail and poorer matched outcomes correlated with patients receiving transfusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level 3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bh9.0000000000000036","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T21:00:42Z","timestamp":1770238842000},"page":"191-196","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Allogeneic blood transfusion after hip fracture: risk factors and associated outcomes"],"prefix":"10.1097","volume":"83","author":[{"given":"Sanjit R.","family":"Konda","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody R.","family":"Perskin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rown","family":"Parola","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Jonathan","family":"Robitsek","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Ganta","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-7683","authenticated-orcid":false,"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York"},{"name":"Department of Orthopedic Surgery, Jamaica Hospital Medical Center, Richmond Hill, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"R1-20260205","doi-asserted-by":"crossref","first-page":"3124","DOI":"10.1097\/CCM.0b013e3181b39f1b","article-title":"Clinical practice guideline: red blood cell transfusion in adult trauma and critical care","volume":"37","author":"Napolitano","year":"2009","journal-title":"Crit Care Med"},{"key":"R2-20260205","doi-asserted-by":"crossref","first-page":"2453","DOI":"10.1056\/NEJMoa1012452","article-title":"Liberal or restrictive transfusion in high-risk patients after hip surgery","volume":"365","author":"Carson","year":"2011","journal-title":"N Engl J Med"},{"key":"R3-20260205","doi-asserted-by":"crossref","first-page":"887","DOI":"10.5435\/JAAOS-D-18-00374","article-title":"A restrictive hemoglobin transfusion threshold of less than 7 g\/dL decreases blood utilization without compromising outcomes in patients with hip fractures","volume":"27","author":"Amin","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"key":"R4-20260205","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1302\/0301-620X.104B11.BJJ-2022-0450.R1","article-title":"A nationwide study of blood transfusion in hip fracture patients: linked analysis from the Scottish hip fracture audit and the Scottish National Blood Transfusion Service","volume":"104-B","author":"Farrow","year":"2022","journal-title":"Bone Joint J"},{"key":"R5-20260205","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1097\/EJA.0000000000000883","article-title":"How current transfusion practices in geriatric patients with hip fracture still differ from current guidelines and the effects on outcome: a retrospective observational study","volume":"35","author":"Leuzinger","year":"2018","journal-title":"Eur J Anaesthesiol"},{"key":"R6-20260205","doi-asserted-by":"crossref","first-page":"e442","DOI":"10.1097\/BOT.0000000000002440","article-title":"The use of tranexamic acid in hip fracture surgery-A systematic review and meta-analysis","volume":"36","author":"Agius","year":"2022","journal-title":"J Orthop Trauma"},{"key":"R7-20260205","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1302\/0301-620X.103B3.BJJ-2020-1375.R2","article-title":"Is tranexamic acid use in patients with a hip fracture safe?","volume":"103-B","author":"Viberg","year":"2021","journal-title":"Bone Joint J"},{"issue":"Suppl 1","key":"R8-20260205","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and dislocation classification compendium\u20142018","volume":"32","author":"Meinberg","year":"2018","journal-title":"J Orthop 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Rehabil"},{"key":"R12-20260205","doi-asserted-by":"crossref","first-page":"e566","DOI":"10.5435\/JAAOS-D-18-00400","article-title":"Development of a value-based algorithm for inpatient triage of elderly hip fracture patients","volume":"28","author":"Konda","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"R13-20260205","doi-asserted-by":"crossref","first-page":"2151459318795311","DOI":"10.1177\/2151459318795311","article-title":"The coming hip and femur fracture bundle: a new inpatient risk stratification tool for care providers","volume":"9","author":"Konda","year":"2018","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"R14-20260205","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1097\/BOT.0000000000001791","article-title":"Ability of a risk prediction tool to stratify quality and cost for older patients with tibial shaft and Plateau fractures","volume":"34","author":"Konda","year":"2020","journal-title":"J Orthop Trauma"},{"key":"R15-20260205","doi-asserted-by":"crossref","first-page":"9793435","DOI":"10.1155\/2018\/9793435","article-title":"Predicting discharge location among low-energy hip fracture patients using the score for trauma triage in the geriatric and middle-aged (STTGMA)","volume":"2018","author":"Konda","year":"2018","journal-title":"Adv Orthop"},{"key":"R16-20260205","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/BOT.0000000000001561","article-title":"Using trauma triage score to risk-stratify inpatient triage, hospital quality measures, and cost in middle-aged and geriatric orthopaedic trauma patients","volume":"33","author":"Konda","year":"2019","journal-title":"J Orthop Trauma"},{"key":"R17-20260205","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/BOT.0000000000001446","article-title":"Ability of a risk prediction tool to stratify quality and cost for older patients with operative ankle 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Traumatol"},{"key":"R28-20260205","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s00590-018-2205-z","article-title":"Effect of blood transfusion on survival after hip fracture surgery","volume":"28","author":"Smeets","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"}],"container-title":["Bulletin of the Hospital for Joint 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