Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery
Objectives To determine whether preoperative anemia, perioperative blood transfusion, and predischarge anemia affect function and health‐related quality of life (HRQoL) after hip fracture surgery. Design Retrospective single‐center cohort study Participants Individuals undergoing traumatic hip fract...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2018-08, Vol.66 (8), p.1524-1531 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1531 |
|---|---|
| container_issue | 8 |
| container_start_page | 1524 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 66 |
| creator | Sim, Yilin Eileen Sim, Shao‐en David Seng, Chusheng Howe, Tet Sen Koh, Suang Bee Abdullah, Hairil Rizal |
| description | Objectives
To determine whether preoperative anemia, perioperative blood transfusion, and predischarge anemia affect function and health‐related quality of life (HRQoL) after hip fracture surgery.
Design
Retrospective single‐center cohort study
Participants
Individuals undergoing traumatic hip fracture surgery from 2012 to 2016 (N=973).
Measurements
Demographic data, Charlson Comorbidity Index, preoperative hemoglobin level, perioperative blood transfusion, predischarge hemoglobin level, type of surgery (replacement or fixation). Anemia was divided into quintiles at 10.0, 11.0, 12.0, and 13.0 g/dL. Baseline, 6‐week, and 6‐month Harris Hip Scale (HHS), Parker Mobility Scale (PMS), and Medical Outcomes Study 36‐item Short‐Form Health Survey (SF‐36) scores were obtained. PMS; HHS and SF‐36 role physical (RP), physical function (PF), and social functioning (SF) domains had more than 20% change from baseline to 6 weeks and from 6 weeks to 6 months. Univariate and multivariate analyses were conducted to examine the association between preoperative anemia, transfusion and predischarge anemia on 6‐month scores.
Results
On univariate analysis, preoperative hemoglobin less than 10.0 g/dL was associated with lower baseline prefall PMS, PF, RP, and SF scores. Predischarge anemia did not affect 6‐month scores. On multivariate analysis, preoperative anemia (hemoglobin |
| doi_str_mv | 10.1111/jgs.15428 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2086257484</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2086257484</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4198-b1408ecec49d14f77f38110c12cfb26898d29de1242170a7bc79fd69496fc3d3</originalsourceid><addsrcrecordid>eNp1kE1LJDEQQIO46Kx68A9IwIvCtKbS6e7kKOKoy8DsogdvTSZdkQz9MSYdZf69WUc9LGxd6vLqQT1CjoFdQJrL1XO4gEJwuUMmUOQ8KwQUu2TCGOOZLEHsk58hrBgDzqTcI_s5YwogVxPy9NvjsEavR_eK9KrHzukpncXejG7odUsXcTRDh2FKdd_QP1G3btzQwdK5s-nAjujpnVvTmddmjB7pQ_TP6DeH5IfVbcCjz31AHmc3j9d32Xxxe399Nc-MACWzJQgm0aARqgFhq8rmEoAZ4MYueSmVbLhqELjgUDFdLU2lbFMqoUpr8iY_IGdb7doPLxHDWHcuGGxb3eMQQ50eLnlRCSkSevoPuhqiTz8mChikIJJXiTrfUsYPIXi09dq7TvtNDaz-W7tOteuP2ok9-TTGZYfNN_mVNwGXW-DNtbj5v6n-dfuwVb4DpeWHSw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2101911827</pqid></control><display><type>article</type><title>Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Sim, Yilin Eileen ; Sim, Shao‐en David ; Seng, Chusheng ; Howe, Tet Sen ; Koh, Suang Bee ; Abdullah, Hairil Rizal</creator><creatorcontrib>Sim, Yilin Eileen ; Sim, Shao‐en David ; Seng, Chusheng ; Howe, Tet Sen ; Koh, Suang Bee ; Abdullah, Hairil Rizal</creatorcontrib><description>Objectives
To determine whether preoperative anemia, perioperative blood transfusion, and predischarge anemia affect function and health‐related quality of life (HRQoL) after hip fracture surgery.
Design
Retrospective single‐center cohort study
Participants
Individuals undergoing traumatic hip fracture surgery from 2012 to 2016 (N=973).
Measurements
Demographic data, Charlson Comorbidity Index, preoperative hemoglobin level, perioperative blood transfusion, predischarge hemoglobin level, type of surgery (replacement or fixation). Anemia was divided into quintiles at 10.0, 11.0, 12.0, and 13.0 g/dL. Baseline, 6‐week, and 6‐month Harris Hip Scale (HHS), Parker Mobility Scale (PMS), and Medical Outcomes Study 36‐item Short‐Form Health Survey (SF‐36) scores were obtained. PMS; HHS and SF‐36 role physical (RP), physical function (PF), and social functioning (SF) domains had more than 20% change from baseline to 6 weeks and from 6 weeks to 6 months. Univariate and multivariate analyses were conducted to examine the association between preoperative anemia, transfusion and predischarge anemia on 6‐month scores.
Results
On univariate analysis, preoperative hemoglobin less than 10.0 g/dL was associated with lower baseline prefall PMS, PF, RP, and SF scores. Predischarge anemia did not affect 6‐month scores. On multivariate analysis, preoperative anemia (hemoglobin <10.0 g/dL) was associated with lower 6‐month HHS, PMS, PF, and RP scores, whereas transfusion was not significant.
Conclusion
Preoperative anemia (hemoglobin <10.0 g/dL) is associated with poorer physical function and HRQoL after hip fracture surgery. Perioperative blood transfusion and predischarge anemia had no effect.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.15428</identifier><identifier>PMID: 30091139</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Anemia ; Anemia - complications ; Anemia - epidemiology ; Arthroplasty, Replacement, Hip - rehabilitation ; Blood transfusion ; Blood transfusions ; elderly ; Female ; Fracture Fixation - rehabilitation ; Fractures ; Health risk assessment ; health‐related quality of life ; Hemoglobin ; Hip ; hip fracture ; Hip Fractures - complications ; Hip Fractures - surgery ; Humans ; Male ; Multivariate analysis ; Postoperative Period ; Preoperative Period ; Quality of Life ; Recovery of Function ; Retrospective Studies ; Surgery ; transfusion ; Treatment Outcome</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2018-08, Vol.66 (8), p.1524-1531</ispartof><rights>2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society</rights><rights>2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.</rights><rights>2018 American Geriatrics Society and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4198-b1408ecec49d14f77f38110c12cfb26898d29de1242170a7bc79fd69496fc3d3</citedby><cites>FETCH-LOGICAL-c4198-b1408ecec49d14f77f38110c12cfb26898d29de1242170a7bc79fd69496fc3d3</cites><orcidid>0000-0002-1155-3781</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.15428$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.15428$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30091139$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sim, Yilin Eileen</creatorcontrib><creatorcontrib>Sim, Shao‐en David</creatorcontrib><creatorcontrib>Seng, Chusheng</creatorcontrib><creatorcontrib>Howe, Tet Sen</creatorcontrib><creatorcontrib>Koh, Suang Bee</creatorcontrib><creatorcontrib>Abdullah, Hairil Rizal</creatorcontrib><title>Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To determine whether preoperative anemia, perioperative blood transfusion, and predischarge anemia affect function and health‐related quality of life (HRQoL) after hip fracture surgery.
Design
Retrospective single‐center cohort study
Participants
Individuals undergoing traumatic hip fracture surgery from 2012 to 2016 (N=973).
Measurements
Demographic data, Charlson Comorbidity Index, preoperative hemoglobin level, perioperative blood transfusion, predischarge hemoglobin level, type of surgery (replacement or fixation). Anemia was divided into quintiles at 10.0, 11.0, 12.0, and 13.0 g/dL. Baseline, 6‐week, and 6‐month Harris Hip Scale (HHS), Parker Mobility Scale (PMS), and Medical Outcomes Study 36‐item Short‐Form Health Survey (SF‐36) scores were obtained. PMS; HHS and SF‐36 role physical (RP), physical function (PF), and social functioning (SF) domains had more than 20% change from baseline to 6 weeks and from 6 weeks to 6 months. Univariate and multivariate analyses were conducted to examine the association between preoperative anemia, transfusion and predischarge anemia on 6‐month scores.
Results
On univariate analysis, preoperative hemoglobin less than 10.0 g/dL was associated with lower baseline prefall PMS, PF, RP, and SF scores. Predischarge anemia did not affect 6‐month scores. On multivariate analysis, preoperative anemia (hemoglobin <10.0 g/dL) was associated with lower 6‐month HHS, PMS, PF, and RP scores, whereas transfusion was not significant.
Conclusion
Preoperative anemia (hemoglobin <10.0 g/dL) is associated with poorer physical function and HRQoL after hip fracture surgery. Perioperative blood transfusion and predischarge anemia had no effect.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anemia</subject><subject>Anemia - complications</subject><subject>Anemia - epidemiology</subject><subject>Arthroplasty, Replacement, Hip - rehabilitation</subject><subject>Blood transfusion</subject><subject>Blood transfusions</subject><subject>elderly</subject><subject>Female</subject><subject>Fracture Fixation - rehabilitation</subject><subject>Fractures</subject><subject>Health risk assessment</subject><subject>health‐related quality of life</subject><subject>Hemoglobin</subject><subject>Hip</subject><subject>hip fracture</subject><subject>Hip Fractures - complications</subject><subject>Hip Fractures - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Multivariate analysis</subject><subject>Postoperative Period</subject><subject>Preoperative Period</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>transfusion</subject><subject>Treatment Outcome</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LJDEQQIO46Kx68A9IwIvCtKbS6e7kKOKoy8DsogdvTSZdkQz9MSYdZf69WUc9LGxd6vLqQT1CjoFdQJrL1XO4gEJwuUMmUOQ8KwQUu2TCGOOZLEHsk58hrBgDzqTcI_s5YwogVxPy9NvjsEavR_eK9KrHzukpncXejG7odUsXcTRDh2FKdd_QP1G3btzQwdK5s-nAjujpnVvTmddmjB7pQ_TP6DeH5IfVbcCjz31AHmc3j9d32Xxxe399Nc-MACWzJQgm0aARqgFhq8rmEoAZ4MYueSmVbLhqELjgUDFdLU2lbFMqoUpr8iY_IGdb7doPLxHDWHcuGGxb3eMQQ50eLnlRCSkSevoPuhqiTz8mChikIJJXiTrfUsYPIXi09dq7TvtNDaz-W7tOteuP2ok9-TTGZYfNN_mVNwGXW-DNtbj5v6n-dfuwVb4DpeWHSw</recordid><startdate>201808</startdate><enddate>201808</enddate><creator>Sim, Yilin Eileen</creator><creator>Sim, Shao‐en David</creator><creator>Seng, Chusheng</creator><creator>Howe, Tet Sen</creator><creator>Koh, Suang Bee</creator><creator>Abdullah, Hairil Rizal</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1155-3781</orcidid></search><sort><creationdate>201808</creationdate><title>Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery</title><author>Sim, Yilin Eileen ; Sim, Shao‐en David ; Seng, Chusheng ; Howe, Tet Sen ; Koh, Suang Bee ; Abdullah, Hairil Rizal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4198-b1408ecec49d14f77f38110c12cfb26898d29de1242170a7bc79fd69496fc3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anemia</topic><topic>Anemia - complications</topic><topic>Anemia - epidemiology</topic><topic>Arthroplasty, Replacement, Hip - rehabilitation</topic><topic>Blood transfusion</topic><topic>Blood transfusions</topic><topic>elderly</topic><topic>Female</topic><topic>Fracture Fixation - rehabilitation</topic><topic>Fractures</topic><topic>Health risk assessment</topic><topic>health‐related quality of life</topic><topic>Hemoglobin</topic><topic>Hip</topic><topic>hip fracture</topic><topic>Hip Fractures - complications</topic><topic>Hip Fractures - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Multivariate analysis</topic><topic>Postoperative Period</topic><topic>Preoperative Period</topic><topic>Quality of Life</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>transfusion</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sim, Yilin Eileen</creatorcontrib><creatorcontrib>Sim, Shao‐en David</creatorcontrib><creatorcontrib>Seng, Chusheng</creatorcontrib><creatorcontrib>Howe, Tet Sen</creatorcontrib><creatorcontrib>Koh, Suang Bee</creatorcontrib><creatorcontrib>Abdullah, Hairil Rizal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sim, Yilin Eileen</au><au>Sim, Shao‐en David</au><au>Seng, Chusheng</au><au>Howe, Tet Sen</au><au>Koh, Suang Bee</au><au>Abdullah, Hairil Rizal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2018-08</date><risdate>2018</risdate><volume>66</volume><issue>8</issue><spage>1524</spage><epage>1531</epage><pages>1524-1531</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><abstract>Objectives
To determine whether preoperative anemia, perioperative blood transfusion, and predischarge anemia affect function and health‐related quality of life (HRQoL) after hip fracture surgery.
Design
Retrospective single‐center cohort study
Participants
Individuals undergoing traumatic hip fracture surgery from 2012 to 2016 (N=973).
Measurements
Demographic data, Charlson Comorbidity Index, preoperative hemoglobin level, perioperative blood transfusion, predischarge hemoglobin level, type of surgery (replacement or fixation). Anemia was divided into quintiles at 10.0, 11.0, 12.0, and 13.0 g/dL. Baseline, 6‐week, and 6‐month Harris Hip Scale (HHS), Parker Mobility Scale (PMS), and Medical Outcomes Study 36‐item Short‐Form Health Survey (SF‐36) scores were obtained. PMS; HHS and SF‐36 role physical (RP), physical function (PF), and social functioning (SF) domains had more than 20% change from baseline to 6 weeks and from 6 weeks to 6 months. Univariate and multivariate analyses were conducted to examine the association between preoperative anemia, transfusion and predischarge anemia on 6‐month scores.
Results
On univariate analysis, preoperative hemoglobin less than 10.0 g/dL was associated with lower baseline prefall PMS, PF, RP, and SF scores. Predischarge anemia did not affect 6‐month scores. On multivariate analysis, preoperative anemia (hemoglobin <10.0 g/dL) was associated with lower 6‐month HHS, PMS, PF, and RP scores, whereas transfusion was not significant.
Conclusion
Preoperative anemia (hemoglobin <10.0 g/dL) is associated with poorer physical function and HRQoL after hip fracture surgery. Perioperative blood transfusion and predischarge anemia had no effect.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30091139</pmid><doi>10.1111/jgs.15428</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1155-3781</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2018-08, Vol.66 (8), p.1524-1531 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2086257484 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Aged Aged, 80 and over Anemia Anemia - complications Anemia - epidemiology Arthroplasty, Replacement, Hip - rehabilitation Blood transfusion Blood transfusions elderly Female Fracture Fixation - rehabilitation Fractures Health risk assessment health‐related quality of life Hemoglobin Hip hip fracture Hip Fractures - complications Hip Fractures - surgery Humans Male Multivariate analysis Postoperative Period Preoperative Period Quality of Life Recovery of Function Retrospective Studies Surgery transfusion Treatment Outcome |
| title | Preoperative Anemia, Functional Outcomes, and Quality of Life After Hip Fracture Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T19%3A08%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preoperative%20Anemia,%20Functional%20Outcomes,%20and%20Quality%20of%20Life%20After%20Hip%20Fracture%20Surgery&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Sim,%20Yilin%20Eileen&rft.date=2018-08&rft.volume=66&rft.issue=8&rft.spage=1524&rft.epage=1531&rft.pages=1524-1531&rft.issn=0002-8614&rft.eissn=1532-5415&rft_id=info:doi/10.1111/jgs.15428&rft_dat=%3Cproquest_cross%3E2086257484%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2101911827&rft_id=info:pmid/30091139&rfr_iscdi=true |