Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures

Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures

BACKGROUNDPreoperative 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 pr...

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Veröffentlicht in:Hand (New York, N.Y.) N.Y.), 2023-10, p.15589447231205615-15589447231205615
Hauptverfasser: Schmerler, Jessica, Olson, Jarod T., Prasad, Niyathi, LaPorte, Dawn
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creator Schmerler, Jessica
Olson, Jarod T.
Prasad, Niyathi
LaPorte, Dawn
description BACKGROUNDPreoperative 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. METHODSA total of 14 136 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 >36% for women, >39% for men), mildly anemic (hematocrit 33%-36% for women, 33%-39% for men), or moderately to severely anemic (hematocrit
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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. METHODSA total of 14 136 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. RESULTSMildly anemic patients had significantly longer length of stay and were significantly more likely to experience readmission and sepsis (P &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 (P &lt; .05 all). CONCLUSIONSPreoperative 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.</description><identifier>ISSN: 1558-9447</identifier><identifier>EISSN: 1558-9455</identifier><identifier>DOI: 10.1177/15589447231205615</identifier><language>eng</language><ispartof>Hand (New York, N.Y.), 2023-10, p.15589447231205615-15589447231205615</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c278t-757929c7e137d20fe0f05b67710779d3e336e3fc7d66c7c09b0de25c98fe05593</citedby><cites>FETCH-LOGICAL-c278t-757929c7e137d20fe0f05b67710779d3e336e3fc7d66c7c09b0de25c98fe05593</cites><orcidid>0000-0002-3523-1680 ; 0000-0002-3650-9883</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Schmerler, Jessica</creatorcontrib><creatorcontrib>Olson, Jarod T.</creatorcontrib><creatorcontrib>Prasad, Niyathi</creatorcontrib><creatorcontrib>LaPorte, Dawn</creatorcontrib><title>Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures</title><title>Hand (New York, N.Y.)</title><description>BACKGROUNDPreoperative 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. METHODSA total of 14 136 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. RESULTSMildly anemic patients had significantly longer length of stay and were significantly more likely to experience readmission and sepsis (P &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 (P &lt; .05 all). CONCLUSIONSPreoperative 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.</description><issn>1558-9447</issn><issn>1558-9455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNplkEFLwzAYhoMoOKc_wFuOXqZJ2vRrjmM6HQw2hrJjydKvGGmbmqSiP8D_bedED57el4eH9_AScsnZNecAN1zKXKUpiIQLJjMuj8hozyYqlfL4t6dwSs5CeGEszfJcjcjn2qPr0Oto35BOW2yspotApyE4Y3XEkm5tfKZb5wPStQvxz1710bgGB7mK6Omqw5ZusOxNtK6li3aAra7p3L7rb-IqemtDHNBGl7YPdO61ib3HcE5OKl0HvPjJMXma3z3OHibL1f1iNl1OjIA8TkCCEsoA8gRKwSpkFZO7DIAzAFUmmCQZJpWBMssMGKZ2rEQhjcoHVUqVjMnVYbfz7rXHEIvGBoN1rVt0fShEnnPgXAoYVH5QjXcheKyKzttG-4-Cs2J_efHv8uQLDHN1Qw</recordid><startdate>20231024</startdate><enddate>20231024</enddate><creator>Schmerler, Jessica</creator><creator>Olson, Jarod T.</creator><creator>Prasad, Niyathi</creator><creator>LaPorte, Dawn</creator><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3523-1680</orcidid><orcidid>https://orcid.org/0000-0002-3650-9883</orcidid></search><sort><creationdate>20231024</creationdate><title>Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures</title><author>Schmerler, Jessica ; Olson, Jarod T. ; Prasad, Niyathi ; LaPorte, Dawn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c278t-757929c7e137d20fe0f05b67710779d3e336e3fc7d66c7c09b0de25c98fe05593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmerler, Jessica</creatorcontrib><creatorcontrib>Olson, Jarod T.</creatorcontrib><creatorcontrib>Prasad, Niyathi</creatorcontrib><creatorcontrib>LaPorte, Dawn</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hand (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmerler, Jessica</au><au>Olson, Jarod T.</au><au>Prasad, Niyathi</au><au>LaPorte, Dawn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures</atitle><jtitle>Hand (New York, N.Y.)</jtitle><date>2023-10-24</date><risdate>2023</risdate><spage>15589447231205615</spage><epage>15589447231205615</epage><pages>15589447231205615-15589447231205615</pages><issn>1558-9447</issn><eissn>1558-9455</eissn><abstract>BACKGROUNDPreoperative 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. METHODSA total of 14 136 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. RESULTSMildly anemic patients had significantly longer length of stay and were significantly more likely to experience readmission and sepsis (P &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 (P &lt; .05 all). CONCLUSIONSPreoperative 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.</abstract><doi>10.1177/15589447231205615</doi><orcidid>https://orcid.org/0000-0002-3523-1680</orcidid><orcidid>https://orcid.org/0000-0002-3650-9883</orcidid></addata></record>
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title Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures
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