ArticleClinics in orthopedic surgery2019
Preoperative Iron Supplementation and Restrictive Transfusion Strategy in Hip Fracture Surgery.
Article in Clinics in orthopedic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Best practices in the management of proximal femoral fractures in elderly patients on the ward: a narrative review.EFORT open reviews · 2026Review
- Perioperative Anemia and Transfusion Management in Older Adults with Osteoporotic Hip Fractures: A Narrative Review of Current Evidence and Emerging Strategies.Clinical interventions in aging · 2026Review
- The Effect of Preoperative Intravenous Iron Supplementation on Mortality and Blood Transfusion Requirements in Elderly Patients Undergoing Hip Fracture Surgery: A Prospective Randomized Controlled Trial.Journal of clinical medicine · 2025Article
- Preoperative Anemia Is Associated With Worse Postoperative Outcomes After Open Reduction Internal Fixation of Distal Radius Fractures.Hand (New York, N.Y.) · 2025Article
- Outcomes of Hip Arthroplasty in Patients with Preoperative Thrombocytopenia.Clinics in orthopedic surgery · 2024Article
- Admission Hemoglobin Associated with Increased Mortality in Hip Fracture Surgical Patients: An Observational Study.Biomedicines · 2024Article
- Predeposit Autologous Blood Donation in Rh(D)-Negative Pregnant Women: A Single-Center Study.AJP reports · 2024Article
- Perioperative intravenous iron to treat patients with fractured hip surgery: A systematic review and meta-analysis.Health science reports · 2022Review
- Clinical Application Effects of Different Preoperative Blood Management Schemes in Older Patients with Delayed Intertrochanteric Fracture Surgery.Clinical interventions in aging · 2022Article
- Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus.Aging clinical and experimental research · 2021Review
- The Ideal Time for Iron Administration in Anemia Secondary to Blood Loss-An Experimental Animal Model.Life (Basel, Switzerland) · 2021Article
- Association between intravenous iron therapy and short-term mortality risk in older patients undergoing hip fracture surgery: an observational study.Journal of orthopaedic surgery and research · 2021Observational
- Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture.International journal of environmental research and public health · 2021Review
- No association between telomere length and osteonecrosis of the femoral head.BMC musculoskeletal disorders · 2021Article
- Allogeneic Red Blood Cell Transfusion Rate and Risk Factors After Hemiarthroplasty in Elderly Patients With Femoral Neck Fracture.Frontiers in physiology · 2021Article
- Factors affecting the need of postoperative blood transfusion in elderly patients with intertrochanteric hip fracture.Science progressArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip fracture surgery (HFS) is often associated with perioperative blood loss, and it frequently necessitates transfusion. However, the hemoglobin (Hb) threshold for transfusion remains controversial in hip fracture patients. We evaluated the usefulness of the restrictive strategy and preoperative intravenous iron supplementation in HFS.
methodsWe retrospectively reviewed the medical records of 1,634 patients (> 60 years of age) who underwent HFS between May 2003 and June 2014 and were followed up for 1 year or more after surgery. We used the liberal transfusion strategy until May 2009 to determine the transfusion threshold; afterwards, we switched to the restrictive transfusion strategy. Patients with the restrictive transfusion strategy (restrictive group) received intravenous iron supplementation before surgery. We compared the transfusion rate, morbidity, and mortality of the restrictive group with those of the patients with the liberal transfusion strategy (liberal group).
resultsPreoperative intravenous iron supplementation was not associated with any adverse reactions. The transfusion rate was 65.3% (506/775) in the liberal group and 48.2% (414/859) in the restrictive group (
conclusionsOur blood management protocol involving restrictive strategy combined with preoperative intravenous iron supplementation appears to be effective and safe in HFS of elderly patients.
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