Hemodynamics, fluids & transfusion

Construction of a prediction model for perioperative blood transfusion in elderly hip fracture patients: a retrospective study

Perioper Med (Lond)Published Retrospective cohort study

Authors' conclusion

In this study, we identified surgery type, preoperative hemoglobin level, platelet count, osteoporosis, and cerebrovascular disease as the risk factors for postoperative blood transfusion in elderly hip fracture patients. The nomogram, established based on these risk factors, showed an acceptable discriminative ability to predict intraoperative blood transfusion in elderly patients during hip fracture surgery.

Study context

Population
Elderly patients undergoing hip fracture surgery, Xiangyang Central Hospital (Hubei, China), January 2021–December 2023
Participants
1,092 patients
Exposure
Training set vs Test set
Outcome
Perioperative blood transfusion (prediction model performance)
Methodological detailssingle-centre, prediction model (nomogram)
  • Single-centre
  • Prediction model (nomogram)

Main finding

As reported in the abstract

Nomogram discrimination (AUC)
GroupAUC
Training set0.730 (95% CI: 0.686-0.773)
Test set0.726 (95% CI: 0.671-0.781)

AUC

Training set0.730 (95% CI: 0.686-0.773)
Test set0.726 (95% CI: 0.671-0.781)

Observational data: associations, not effects.

Original publication

Construction of a prediction model for perioperative blood transfusion in elderly hip fracture patients: a retrospective study. Perioper Med (Lond). Published 14 November 2025. doi:10.1186/s13741-025-00616-7

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