dc.contributor.author | Martinsen, Mette | en_US |
dc.contributor.author | Valland, Haldor | en_US |
dc.contributor.author | Solheim, Ludvig Fjeld | en_US |
dc.contributor.author | Holvik, Kristin | en_US |
dc.contributor.author | Ranhoff, Anette Hylen | en_US |
dc.date.accessioned | 2017-04-28T13:05:35Z | |
dc.date.available | 2017-04-28T13:05:35Z | |
dc.date.issued | 2016-02-09 | |
dc.Published | Martinsen M, Valland H, Solheim Lf, Holvik K, Ranhoff AH. A restrictive policy for red blood cell transfusion in older hip fracture patients: experiences from a patient register. BMC Research Notes. 2016;9:75 | eng |
dc.identifier.issn | 1756-0500 | |
dc.identifier.uri | https://hdl.handle.net/1956/15759 | |
dc.description.abstract | Background: Allogeneic red blood cell transfusions (ABT) are common in older hip fracture patients. Recent research supports a restrictive transfusion policy. The aim was to study variation in hemoglobin (Hb) concentration, and clinical outcomes in these patients. Results: Cross-sectional study with one-year follow-up in an orthogeriatric unit. Data were obtained from a quality register with demographic and medical information collected by an interdisciplinary team. 106 (22 %) of the 491 patients admitted from September 2011 throughout September 2012 (76 % women, mean age 85 years) received ABT. When given ABT, 80 % had Hb <80 g/l and mean Hb was 78 g/l. Mean Hb, regardless ABT, showed variation from 125 g/l (±16) on admission to 106 g/l (±17), 101 g/l (±16) and 102 g/l (±14) on 1st, 3rd and 5th postoperative day respectively. Patients with per-/subtrochanteric fractures more often received ABT than those with femur neck fractures (p < 0.001), 70 % of the patients receiving ABT had a per-/subtrochanteric fracture. Patients who received ABT were older, had more chronic diseases and lower mean Hb throughout the hospital stay. Length of stay was longer (median 7 vs. 6 days, p = 0.01), and medical complications more common. In-hospital and 30-day mortalities were similar in patients given ABT and in those who were not, but 1-year mortality was higher among patients who were given ABT (p = 0.008). Conclusions: Hb had a tendency to fall during the three first days after surgery and seemed to be stabilized on day 5. Patients who received ABT had poorer health, but not significantly higher short-term mortality. This study demonstrates a restrictive transfusion policy | en_US |
dc.language.iso | eng | eng |
dc.publisher | BioMed Central | eng |
dc.relation.uri | http://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-016-1885-x | |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0 | eng |
dc.subject | Hip fracture | eng |
dc.subject | Hemoglobin concentration | eng |
dc.subject | Blood transfusion | eng |
dc.title | A restrictive policy for red blood cell transfusion in older hip fracture patients: experiences from a patient register | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2017-02-07T10:02:04Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2016 The Author(s) | |
dc.identifier.doi | https://doi.org/10.1186/s13104-016-1885-x | |
dc.identifier.cristin | 1335098 | |
dc.source.journal | BMC Research Notes | |