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Pneumatic wound compression after hip fracture surgery did not reduce postoperative blood transfusion

Apelqvist, Anna; Walden, Markus; Larsson, Gert-Uno and Atroshi, Isam LU (2009) In Acta Orthopaedica 80(1). p.26-31
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
80
issue
1
pages
26 - 31
publisher
Taylor & Francis
external identifiers
  • wos:000264347300006
  • scopus:62849117157
ISSN
1745-3682
DOI
10.1080/17453670902804893
language
English
LU publication?
yes
id
79690f22-c1aa-4014-b89d-8f379baf519e (old id 1402430)
date added to LUP
2009-06-15 09:44:40
date last changed
2017-01-01 06:35:25
@article{79690f22-c1aa-4014-b89d-8f379baf519e,
  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.},
  author       = {Apelqvist, Anna and Walden, Markus and Larsson, Gert-Uno and Atroshi, Isam},
  issn         = {1745-3682},
  language     = {eng},
  number       = {1},
  pages        = {26--31},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica},
  title        = {Pneumatic wound compression after hip fracture surgery did not reduce postoperative blood transfusion},
  url          = {http://dx.doi.org/10.1080/17453670902804893},
  volume       = {80},
  year         = {2009},
}