Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed?
The need for perioperative blood transfusion in elderly patients with trochanteric fracture scheduled for elective dynamic hip screw fixation has recently been questioned following reports on the association between allogeneic blood transfusion and post-operative infections. This retrospective study...
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| Format: | Article |
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Malaysian Medical Association
2005
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| _version_ | 1825719956013056000 |
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| author | Chua, Y.P. Kwan, Mun Keong Saw, A. |
| author_facet | Chua, Y.P. Kwan, Mun Keong Saw, A. |
| author_sort | Chua, Y.P. |
| collection | UM |
| description | The need for perioperative blood transfusion in elderly patients with trochanteric fracture scheduled for elective dynamic hip screw fixation has recently been questioned following reports on the association between allogeneic blood transfusion and post-operative infections. This retrospective study was undertaken to assess the amount of per operative blood loss and transfusion requirement in relation to pre-operative haemoglobin level in 198 patients with trochanteric fractures. The average per operative blood loss was 409 ml and it correlated well with the duration of the operation. More than half of the patients (52.5) required blood transfusion and nearly three-quarters were anaemic prior to the surgery. Proactive pre-operative measures to optimize the patient's haemoglobin level and intra-operative minimization of blood loss are essential steps to obviate the need for perioperative allogeneic blood transfusion. |
| first_indexed | 2024-03-06T05:27:38Z |
| format | Article |
| id | um.eprints-11055 |
| institution | Universiti Malaya |
| last_indexed | 2024-03-06T05:27:38Z |
| publishDate | 2005 |
| publisher | Malaysian Medical Association |
| record_format | dspace |
| spelling | um.eprints-110552019-03-01T05:55:22Z http://eprints.um.edu.my/11055/ Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? Chua, Y.P. Kwan, Mun Keong Saw, A. R Medicine The need for perioperative blood transfusion in elderly patients with trochanteric fracture scheduled for elective dynamic hip screw fixation has recently been questioned following reports on the association between allogeneic blood transfusion and post-operative infections. This retrospective study was undertaken to assess the amount of per operative blood loss and transfusion requirement in relation to pre-operative haemoglobin level in 198 patients with trochanteric fractures. The average per operative blood loss was 409 ml and it correlated well with the duration of the operation. More than half of the patients (52.5) required blood transfusion and nearly three-quarters were anaemic prior to the surgery. Proactive pre-operative measures to optimize the patient's haemoglobin level and intra-operative minimization of blood loss are essential steps to obviate the need for perioperative allogeneic blood transfusion. Malaysian Medical Association 2005 Article PeerReviewed Chua, Y.P. and Kwan, Mun Keong and Saw, A. (2005) Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? Medical Journal of Malaysia, 60 (Spp. C). pp. 78-82. ISSN 0300-5283, https://www.ncbi.nlm.nih.gov/pubmed/16381289 |
| spellingShingle | R Medicine Chua, Y.P. Kwan, Mun Keong Saw, A. Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title | Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title_full | Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title_fullStr | Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title_full_unstemmed | Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title_short | Operative treatment of trochanteric fractures with dynamic hip screw--is perioperative blood transfusion needed? |
| title_sort | operative treatment of trochanteric fractures with dynamic hip screw is perioperative blood transfusion needed |
| topic | R Medicine |
| work_keys_str_mv | AT chuayp operativetreatmentoftrochantericfractureswithdynamichipscrewisperioperativebloodtransfusionneeded AT kwanmunkeong operativetreatmentoftrochantericfractureswithdynamichipscrewisperioperativebloodtransfusionneeded AT sawa operativetreatmentoftrochantericfractureswithdynamichipscrewisperioperativebloodtransfusionneeded |