Blood ordering protocol based on proposed surgical implant in fractured neck of femur patients

Abstract

In fractured neck of femur patients awaiting operation, the type of implant can be used to anticipate blood loss and as a guide to blood ordering.

Efficacy of preoperative recombinant human erythropoietin administration for reducing transfusion requirements in patients undergoing surgery for hip fracture repair. An observational cohort study

“…Thus, should all patients received preoperative rHuEPO, the overall transfusion rate for entire series would have been reduced from 52AE6% to 42% (103/196 vs. 82/ 196, relative risk: 0AE80 [95% confidence interval 0AE64-0AE98]; P ¼ 0AE034). These results favourably compare with those reported in most studies of patients undergoing surgery for hip fracture repair (44-74%) [2,3,[5][6][7][8]10], especially with those in anaemic hip fracture patients (57-62%) [2,6].…”

“…In addition, up to 40-50% may present with preoperative anaemia on admission to the hospital [2,3]. As a result, 30 to 70% of these patients are transfused perioperatively to avoid the deleterious effects of acute postoperative anaemia [2][3][4][5][6][7][8][9][10][11].…”

Influence of timing and oral anticoagulant/antiplatelet therapy on outcomes of patients affected by hip fractures

“…The treatment turned out to be an important factor in bleeding and RBC transfusion, because we demonstrated that intramedullary nailing requires more RBC transfusions than hemiarthroplasty. Morritt et al [42] demonstrated, in a study published in 2005, that blood loss was dependent on the proposed surgical implant and it was significant higher for patients treated by intramedullary nailing, but only four patients were treated with intramedullary fixation in their study. This assertion was also supported in 2006 by Foss and Kehlet [43].…”

Utility and cost of low‐vacuum reinfusion drains in patients undergoing surgery for subcapital hip fracture repair. A before and after cohort study

“…In addition, for SHF with admission Hb < 13 g/dl, the intervention was cost-saving ( Table 4). The rate of ABT in hip fracture repair depends on the admission Hb level, the surgical technique, the type of prosthetic material employed and the transfusion trigger, as well as on the localization of fracture [3][4][5][6][7]. Extracapsular hip fractures (pertrochanteric) showed higher transfusion requirements than intracapsular fractures (subcapital).…”