Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. May 18, 2021; 12(5): 292-300
Published online May 18, 2021. doi: 10.5312/wjo.v12.i5.292
Reducing unnecessary crossmatching for hip fracture patients by accounting for preoperative hemoglobin concentration
Raj M Amin, Varun Puvanesarajah, Yash P Chaudhry, Matthew J Best, Sandesh S Rao, Steven M Frank, Erik A Hasenboehler
Raj M Amin, Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA 94305, United States
Varun Puvanesarajah, Sandesh S Rao, Department of Orthopaedic Surgery, Johns Hopkins School of Medicine, Baltimore, MD 21205, United States
Yash P Chaudhry, Department of Orthopaedic Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA 19122, United States
Matthew J Best, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MD 02114, United States
Steven M Frank, Department of Anesthesiology, Critical Care Medicine, Baltimore, MD 21205, United States
Erik A Hasenboehler, Department of Orthopaedics, Johns Hopkins School of Medicine, Baltimore, MD 21205, United States
Author contributions: Amin RM, Puvanesarajah V, Best MJ, and Hasenboehler EA designed the research study; Amin RM, Chaudhry YP, and Rao SS analyzed the data; Amin RM, Chaudhry YP, Puvanesarajah V, Frank SM, and Hasenboehler EA wrote and edited the manuscript; All authors have read and approve the final manuscript.
Institutional review board statement: Institutional review board approval was obtained for this study (IRB CR00016216).
Conflict-of-interest statement: Hasenboehler EA is a paid consultant for DePuy Synthes Trauma. He receives grant support as well as a grant for a research fellow from DePuy Synthes Trauma. He is also a paid lecturer and faculty for AO North America Trauma and has stock ownership in Summit Med Ventures. Other authors have no conflict-of-interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Erik A Hasenboehler, MD, Assistant Professor, Department of Orthopaedics, Johns Hopkins School of Medicine, 4940 Eastern Avenue, Baltimore, MD 21205, United States. ehasenb1@jhmi.edu
Received: January 16, 2021
Peer-review started: January 16, 2021
First decision: January 24, 2021
Revised: February 18, 2021
Accepted: April 9, 2021
Article in press: April 9, 2021
Published online: May 18, 2021
Core Tip

Core Tip: Implementation of patient blood management programs has led to a decrease in transfusion needs in hip fracture surgery patients. Preoperative hemoglobin plays a significant role in determining transfusion needs in these patients. Maximum surgical blood order schedules should be adjusted based on preoperative hemoglobin values to reduce unnecessary blood product waste and conserve resources.