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Pneumatic wound compression after hip fracture surgery did not reduce postoperative blood transfusion: A randomized controlled trial involving 292 fractures.

Apelqvist A, Waldén M, Larsson GU, Atroshi I - Acta Orthop (2009)

Bottom Line: A pneumatic compression bandage has been shown to reduce transfusion after primary hip arthroplasty for osteoarthritis.The primary outcome measures were similar in both groups.Blood transfusion was given to 84 patients (62%) in the compression group and to 85 patients (55%) in the non-compression group.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Hässleholm-Kristianstad, Hässleholm Hospital, Sweden. anna.apelqvist@skane.se

ABSTRACT

Background and purpose: Patients with fracture of the proximal femur often undergo blood transfusion. A pneumatic compression bandage has been shown to reduce transfusion after primary hip arthroplasty for osteoarthritis. In this randomized trial, we evaluated the efficacy of this bandage following surgery for hip fracture.

Patients and methods: 288 patients, 50 years or older with 292 fractured hips treated with hemiarthroplasty or internal fixation (except pinning), were randomized to an experimental group with pneumatic wound compression applied after surgery (n = 138) and a control group with the same dressing but no compression (n = 154). Transfusion threshold was blood hemoglobin below 100 g/L. The primary outcome measures were the number of blood units and the proportion of patients transfused after surgery.

Results: The primary outcome measures were similar in both groups. The mean number of postoperatively transfused blood units was 1.3 in the compression group and 1.1 in the non-compression group. Blood transfusion was given to 84 patients (62%) in the compression group and to 85 patients (55%) in the non-compression group.

Interpretation: Pneumatic wound compression does not reduce the need for transfusion after hip fracture surgery.

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Related in: MedlinePlus

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Pneumatic wound compression after hip fracture surgery did not reduce postoperative blood transfusion: A randomized controlled trial involving 292 fractures.

Apelqvist A, Waldén M, Larsson GU, Atroshi I - Acta Orthop (2009)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2823243&req=5

Bottom Line: A pneumatic compression bandage has been shown to reduce transfusion after primary hip arthroplasty for osteoarthritis.The primary outcome measures were similar in both groups.Blood transfusion was given to 84 patients (62%) in the compression group and to 85 patients (55%) in the non-compression group.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Hässleholm-Kristianstad, Hässleholm Hospital, Sweden. anna.apelqvist@skane.se

ABSTRACT

Background and purpose: Patients with fracture of the proximal femur often undergo blood transfusion. A pneumatic compression bandage has been shown to reduce transfusion after primary hip arthroplasty for osteoarthritis. In this randomized trial, we evaluated the efficacy of this bandage following surgery for hip fracture.

Patients and methods: 288 patients, 50 years or older with 292 fractured hips treated with hemiarthroplasty or internal fixation (except pinning), were randomized to an experimental group with pneumatic wound compression applied after surgery (n = 138) and a control group with the same dressing but no compression (n = 154). Transfusion threshold was blood hemoglobin below 100 g/L. The primary outcome measures were the number of blood units and the proportion of patients transfused after surgery.

Results: The primary outcome measures were similar in both groups. The mean number of postoperatively transfused blood units was 1.3 in the compression group and 1.1 in the non-compression group. Blood transfusion was given to 84 patients (62%) in the compression group and to 85 patients (55%) in the non-compression group.

Interpretation: Pneumatic wound compression does not reduce the need for transfusion after hip fracture surgery.

Show MeSH
Related in: MedlinePlus