Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures
Background and Objective: A high percentage of patients with multiple traumas sustained at least from an orthopedic problem. One of the high frequent lesions was femoral shaft fracture. The aim of this study was to determine the amount of bleeding and the need for blood transfusion in femoral shaft...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | fas |
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Golestan University of Medical Sciences
2017-03-01
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| Series: | مجله دانشگاه علوم پزشکی گرگان |
| Subjects: | |
| Online Access: | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-971&slc_lang=en&sid=1 |
| _version_ | 1811283934382653440 |
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| author | S Ghaffari M Shayesteh Azar MH Kariminasab SMM Daneshpoor M Anoosheh B Ghaffari |
| author_facet | S Ghaffari M Shayesteh Azar MH Kariminasab SMM Daneshpoor M Anoosheh B Ghaffari |
| author_sort | S Ghaffari |
| collection | DOAJ |
| description | Background and Objective: A high percentage of patients with multiple traumas sustained at least from an orthopedic problem. One of the high frequent lesions was femoral shaft fracture. The aim of this study was to determine the amount of bleeding and the need for blood transfusion in femoral shaft fractures and risk factors.
Methods: This descriptive, retrospective study was done on 84 patients with femoral shaft fractures whom were operated in Imam Khomeini Hospital in, Sari, in northern Iran during 2012-15. Age, sex, comorbidities, type of fracture, hospitalization period, pre and post-operative hemoglobin and blood unit's loss were recorded for each patient.
Results: In 43 patients (51.19%) plate and in 41 patients (48.80%) intramedullary naling were used for treatment of fractures.13 (15.47%), 33 (39.28%) and 37(44.04%) of patients were received one, two and three blood units, respectively. There was no significant relationship between energy intensity and age. There was significant relationship between the intensity and the type of fracture (P<0.05). A significant correlation existed between blood unit transfusion with sex, fracture type, hemoglobin before surgery and fracture energy intensity (P<0.05).
Conclusion: Based on the results of this study, it is recommended for hip fracture at least 3 units of blood should be reserved. |
| first_indexed | 2024-04-13T02:21:00Z |
| format | Article |
| id | doaj.art-41ee9fe9f8db45668932ffbbe8a355c7 |
| institution | Directory Open Access Journal |
| issn | 1562-4765 2008-4080 |
| language | fas |
| last_indexed | 2024-04-13T02:21:00Z |
| publishDate | 2017-03-01 |
| publisher | Golestan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشگاه علوم پزشکی گرگان |
| spelling | doaj.art-41ee9fe9f8db45668932ffbbe8a355c72022-12-22T03:06:59ZfasGolestan University of Medical Sciencesمجله دانشگاه علوم پزشکی گرگان1562-47652008-40802017-03-011917276Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fracturesS Ghaffari0M Shayesteh Azar1MH Kariminasab2SMM Daneshpoor3M Anoosheh4B Ghaffari5 Assistant Professor, Department of Orthopaedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Orthopaedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Orthopaedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Orthopaedic Surgeon, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran General Physician, Mazandaran University of Medical Sciences, Sari, Iran Medical Student, Mazandaran University of Medical Sciences, Sari, Iran Background and Objective: A high percentage of patients with multiple traumas sustained at least from an orthopedic problem. One of the high frequent lesions was femoral shaft fracture. The aim of this study was to determine the amount of bleeding and the need for blood transfusion in femoral shaft fractures and risk factors. Methods: This descriptive, retrospective study was done on 84 patients with femoral shaft fractures whom were operated in Imam Khomeini Hospital in, Sari, in northern Iran during 2012-15. Age, sex, comorbidities, type of fracture, hospitalization period, pre and post-operative hemoglobin and blood unit's loss were recorded for each patient. Results: In 43 patients (51.19%) plate and in 41 patients (48.80%) intramedullary naling were used for treatment of fractures.13 (15.47%), 33 (39.28%) and 37(44.04%) of patients were received one, two and three blood units, respectively. There was no significant relationship between energy intensity and age. There was significant relationship between the intensity and the type of fracture (P<0.05). A significant correlation existed between blood unit transfusion with sex, fracture type, hemoglobin before surgery and fracture energy intensity (P<0.05). Conclusion: Based on the results of this study, it is recommended for hip fracture at least 3 units of blood should be reserved.http://goums.ac.ir/journal/browse.php?a_code=A-10-1-971&slc_lang=en&sid=1Femoral shaftFractureBlood transfusion |
| spellingShingle | S Ghaffari M Shayesteh Azar MH Kariminasab SMM Daneshpoor M Anoosheh B Ghaffari Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures مجله دانشگاه علوم پزشکی گرگان Femoral shaft Fracture Blood transfusion |
| title | Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| title_full | Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| title_fullStr | Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| title_full_unstemmed | Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| title_short | Blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| title_sort | blood loss and need for transfusion assessment in open reduction and internal fixation of femoral shaft fractures |
| topic | Femoral shaft Fracture Blood transfusion |
| url | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-971&slc_lang=en&sid=1 |
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