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KMID : 1120320190050000012
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Osteoporosis and Sarcopenia
2019 Volume.5 No. 0 p.12 ~ p.12
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Clinical outcomes of anaemia on admission in patients with acute hip fracture
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Teh Yi Ting
Teh Ching Wen
Khor Hui Min
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Abstract
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Introduction: Anaemia is commonly seen in elderly patients with acute hip fracture which is also associated with poorer functional recovery and higher mortality risk.
Objectives: This study was done to identify the prevalence of anaemia in elderly with acute hip fracture and its associated clinical outcomes following 3 months post-fracture.
Methods: Consecutive patients aged 65 years old and above whom were admitted to the orthopaedic ward with acute hip fracture were recruited. Information including patient socio-demographic details, residence, mobility status, comorbidities, fracture type, type of surgical intervention and haemoglobin (Hb) level on admission were recorded. Anaemia was defined as Hb of <13.0 g/dl (men) and <12.0 g/dl (women). Clinical outcomes including length of stay, complications, mobility status and mortality were collected 3 months post-fracture.
Results: A total of 200 patients were recruited between March 2016 and March 2017 with mean age of 81.55(SD7.05) years old. 132/200(66%) patients were anaemic on admission with mean Hb level of 10.32(SD1.40) g/dL. Patients with chronic kidney disease (CKD) and history of incontinence were significant risk factors for anaemia on admission. There was no association between anaemia on admission with short-term clinical outcomes. Out of 132 anaemic patients, 42(31.8%) had severe anaemia (Hb?
Conclusion: Anaemia is common in patients with acute hip fracture. We have found that patients who required blood transfusion had longer length of hospitalisation. A longer duration of follow up is required to investigate the clinical outcomes associated with anaemia among these vulnerable patients.
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