TP9.1.3The Effect of Hip Fracture Anatomy and Surgical Modality on the Rate of Red Blood Cell Transfusion and Mortality: A Retrospective Analysis

Abstract Aims This study assesses the effect of hip fracture anatomy and operation performed on transfusion rates within our centre. We aim to identify patients most likely require early, improve outcomes. Methods A retrospective cohort 324 consecutive presenting a district general hospital over one year. Data was collected from patient records, local laboratory national database. Results fractures were categorised as 188 (58%) intracapsular, 121 (37%) intertrochanteric 15 (5%) subtrochanteric fractures. The common hemiarthroplasty (128), followed by dynamic screw fixation (75). 75 (23%) received blood transfusion. 15% 35% 33% transfusions. 47% long intramedullary nails, 45% short 29% screws, 18% hemiarthroplasties 9% total arthroplasties resulted in One-year mortality higher transfused at 52% compared 30.5% non-transfused, with an odds ratio 2.466 (95% CI 1.4555 4.178, p = 0.0008). Conclusions Almost quarter transfusion, which associated almost two half times increased risk one-year mortality. Extracapsular (intertrochanteric subtrochanteric) commonly led Long nailings transfusions least. Patients more subsequently have can therefore be identified presentation.