title: Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures.
abstract: Postoperative complications and perioperative transfusions are common after hemiarthroplasty or total hip arthroplasty (THA) and can lead to increased morbidity and mortality.
  
  
  
  The National Surgical Quality Improvement Program Database was queried to compare 30-day major complications and perioperative transfusions after femoral neck fractures.
  
  
  
  A total of 4058 patients were included in the study: 3192 were treated with hemiarthroplasty and 866 with THA. Multivariable logistic regression analysis revealed that having a THA was not an independent risk factor for major complications (odds ratio = 0.8, P = .18) but was an independent risk factor for requiring transfusions (odds ratio = 1.68, P < .001).
  
  
  
  The risk of major complications is influenced by patient factors rather than the choice of procedure. However, THA was a risk factor for transfusions after controlling for all other variables.
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Liodakis
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: John
authors.initials: J
authors.lastname: Antoniou
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: David J
authors.initials: DJ
authors.lastname: Zukor
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Olga L
authors.initials: OL
authors.lastname: Huk
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Epure
authors.affiliation: Department of Orthopaedic Surgery, Jewish General Hospital, McGill University, Montreal, Canada.
authors.forename: Stephane G
authors.initials: SG
authors.lastname: Bergeron
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001803:Blood Transfusion; D016208:Databases, Factual; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D062785:Hemiarthroplasty / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011183:Postoperative Complications / Q000209:etiology*; D058996:Quality Improvement; D012307:Risk Factors
keywords: NSQIP database; complications; femoral neck fracture; hemiarthroplasty; total hip arthroplasty; transfusions