{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:39:58Z","timestamp":1792665598622,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:00:00Z","timestamp":1698105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Preoperative anemia has been shown to be associated with complications after numerous orthopedic procedures. No studies to our knowledge have examined its impact on outcomes after open reduction internal fixation (ORIF) of distal radius fracture (DRF). We hypothesized that patients with preoperative anemia would have increased likelihood of adverse outcomes, and likelihood would increase with severity of anemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 14\u2009136 patients underwent ORIF for DRF over 2012-2021, identified in the National Surgical Quality Improvement Program database. Patients were classified by World Health Organization criteria as nonanemic (hematocrit &gt;36% for women, &gt;39% for men), mildly anemic (hematocrit 33%-36% for women, 33%-39% for men), or moderately to severely anemic (hematocrit &lt;33% for women or men). Multivariable regressions adjusted for age, sex, race, and comorbidities statistically different between anemic and nonanemic patients were used to examine the effect of anemia on postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mildly anemic patients had significantly longer length of stay and were significantly more likely to experience readmission and sepsis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05 all). Moderately to severely anemic patients had significantly longer length of stay and were significantly more likely to experience readmission, postoperative transfusion, septic shock, and any adverse event (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05 all).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Preoperative anemia is associated with increased likelihood of adverse outcomes after ORIF for DRF, and likelihood increases with severity of anemia. Surgeons should monitor patients for preoperative anemia and endeavor to identify the source of and, if safe and possible, correct the anemia preoperatively or manage and educate patients postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447231205615","type":"journal-article","created":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T01:40:18Z","timestamp":1698198018000},"page":"269-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3650-9883","authenticated-orcid":false,"given":"Jessica","family":"Schmerler","sequence":"first","affiliation":[{"name":"The Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3523-1680","authenticated-orcid":false,"given":"Jarod T.","family":"Olson","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyathi","family":"Prasad","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"LaPorte","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2012.02.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1716508"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-021-01611-5"},{"issue":"7","key":"e_1_3_2_5_2","article-title":"Readmissions after distal radius fracture open reduction and internal fixation: an analysis of 11,124 patients","volume":"4","author":"Malpani R","year":"2020","unstructured":"Malpani R, John TS, Mercier MR, et al. Readmissions after distal radius fracture open reduction and internal fixation: an analysis of 11,124 patients. 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Peri-operative treatment of anaemia in major orthopaedic surgery: a practical approach from Spain. Blood Transfus. 2017;15(4):296-306.","journal-title":"Blood Transfus"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/aas.14217"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181e08e97"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-1985-7660"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq361"},{"key":"e_1_3_2_25_2","unstructured":"WHO Scientific Group on Nutritional Anaemias & World Health Organization: Nutritional anaemias: report of a WHO scientific group [meeting held in Geneva from 13 to 17 March 1967]. https:\/\/apps.who.int\/iris\/handle\/10665\/40707. Published 1968. Accessed September 26 2023."},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2023.03.001"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2021.06.004"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2023.1133351"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.7888\/juoeh.37.111"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2021.03.004"},{"key":"e_1_3_2_31_2","article-title":"Interventions for reducing red blood cell transfusion in adults undergoing hip fracture surgery: an overview of systematic reviews","volume":"6","author":"Lewis SR","year":"2023","unstructured":"Lewis SR, Pritchard MW, Estcourt LJ, et al. Interventions for reducing red blood cell transfusion in adults undergoing hip fracture surgery: an overview of systematic reviews. 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