[Preoperative intravenous iron as a strategy for blood saving in surgery for hip fracture]. / Hierro intravenoso preoperatorio como estrategia de ahorro de sangre en cirugía de fractura de cadera.
Med Clin (Barc)
; 141(9): 371-5, 2013 Nov 02.
Article
em Es
| MEDLINE
| ID: mdl-23246172
ABSTRACT
BACKGROUND AND OBJECTIVE:
To determine whether administration of intravenous iron in a patient diagnosed with hip fracture reduces the need for blood transfusion. PATIENTS ANDMETHODS:
A retrospective observational case-control study was performed comparing a control group of 63 patients diagnosed with hip fracture with another group of 57 patients treated with parenteral iron. Demographic, clinical condition/clinical record and hematometric differences of the case-control patients were described. We analyzed the morbidity (post-surgical infection) and mortality rate. SPSS(®) was used for statistical studies.RESULTS:
Being statistically significant, after the administration of intravenous iron sucrose, the need of blood transfusion was reduced in the case group, as well as the quantity of concentrates required (1.37 vs 0.6). In the case group, there was a statistically significant decreasing trend in hospital mortality rate (case group 0.8%/control group 8.3%). It was not been proven the relation between the decrease in nosocomial infection and the administration of intravenous ironCONCLUSIONS:
The administration of intravenous iron sucrose in patients diagnosed with hip fracture before surgery could be effective blood saving measure in this type of trauma surgery. Furthermore, its use has been reliable without causing any side effects.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
/
Agentes_cancerigenos
Base de dados:
MEDLINE
Assunto principal:
Pré-Medicação
/
Transfusão de Sangue
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Compostos Férricos
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Ácido Glucárico
/
Fraturas do Quadril
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Med Clin (Barc)
Ano de publicação:
2013
Tipo de documento:
Article