ArticleActa orthopaedica et traumatologica turcica2016
An analysis of postoperative hemoglobin levels in patients with a fractured neck of femur.
Article in Acta orthopaedica et traumatologica turcica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04803591 (Efficacy of Tranexamic Acid in Femoral Shaft Fractures Osteosynthesis; A Double Blind Randomized Controlled Trial), which is not on this map. Cited by 10 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Efficacy of Tranexamic Acid in Femoral Shaft Fractures Osteosynthesis; A Double Blind Randomized Controlled Trial
Who cites it
10 citing papers in PubMed.
- CHANGES IN PACKED CELL VOLUME AFTER GYNAECOLOGICAL SURGERIES: A COMPARISON OF DAY 1 AND DAY 2 VALUES.Annals of Ibadan postgraduate medicine · 2025Article
- Article
- Impact of enhanced recovery after surgery on postoperative blood management following primary total knee arthroplasty: a propensity score-matched analysis.International orthopaedics · 2025Article
- Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania.Advances in orthopedics · 2024Article
- Decrease in Haemoglobin in Association with Aneurysm Volume Loss after Endovascular Repair of Abdominal Aortic Aneurysm.Reviews in cardiovascular medicine · 2023Article
- Article
- Blood-Transfusion Risk Factors after Intramedullary Nailing for Extracapsular Femoral Neck Fracture in Elderly Patients.Journal of functional morphology and kinesiology · 2023Article
- Postoperative haemoglobin estimation in elderly hip fractures.Aging medicine (Milton (N.S.W)) · 2021Article
- Efficacy of a three-day prolonged-course of multiple-dose versus a single-dose of tranexamic acid in total hip and knee arthroplasty.Annals of translational medicine · 2020Article
- Early Surgical Fixation for Hip Fractures in Patients Taking Direct Oral Anticoagulation: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to analyze the changes in hemoglobin level and to determine a suitable timeline for post-operative hemoglobin monitoring in patients undergoing fixation of femoral neck fracture. PATIENTS AND
methodsPatients who underwent either dynamic hip screw (DHS) fixation (n = 74, mean age: 80 years) or hip hemiarthroplasty (n = 104, mean age: 84 years) for femoral neck fracture were included into the study. The hemoglobin level of the patients was monitored perioperatively.
resultsAnalysis found a statistically and clinically significant mean drop in hemoglobin of 31.1 g/L over time from pre-operatively (D0) to day-5 post-operatively (p < 0.001), with significant reductions from D0 to day-1 and day-1 to day-2 (p < 0.001). At each post-operative time point, DHS patients had lower hemoglobin values over hemiarthroplasty patients (p = 0.046).
conclusionThe decrease in hemoglobin in the first 24-h post-operative period (D0 to day-1) is an underestimation of the ultimate lowest value in hemoglobin found at day-2. Relying on the day-1 hemoglobin could be detrimental to patient care. We propose a method of predicting patients likely to be transfused, and recommend a protocol for patients undergoing femoral neck fracture surgery to standardize postoperative hemoglobin monitoring. LEVEL OF EVIDENCE: Level IV Prognostic study.
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