Display Settings:

Format

Send to:

Choose Destination
Arch Orthop Trauma Surg. 2004 Dec;124(10):699-701. Epub 2004 Oct 29.

The influence of preclinical anaemia on outcome following total hip replacement.

Author information

  • 1Regional Orthopaedic Unit, Our Lady's Hospital, Navan, Co. Meath, Ireland. eddie7763@yahoo.co.uk

Erratum in

  • Arch Orthop Trauma Surg. 2006 Dec;126(10):719. Grady, P O [corrected to O'Grady, P].

Abstract

INTRODUCTION:

Preoperative anaemia confers a higher intraoperative and postoperative risk of complications on a patient. Preclinical anaemia is defined as a patient with laboratory indices of anaemia but without any of the symptoms. The patient population who undergo total hip replacement (THR) are elderly and are more likely to fall into this category. Our aim was to assess the effect of preclinical anaemia on a patient's postoperative course.

MATERIALS AND METHODS:

A prospective analysis of elective THRs performed over a 10-month period was carried out. Preoperative haematological indices were recorded and correlated with postoperative complication rates.

RESULTS:

A total of 225 elective THRs were included in the study. Patients with preclinical anaemia on admission had a higher incidence of postoperative infection and transfusion (p<0.001) and a longer postoperative inpatient stay. Preoperative iron supplementation in patients with preclinical iron deficiency anaemia resulted in a reduction in transfusion requirements (p=0.00125).

CONCLUSIONS:

Identification and treatment of patients with preclinical anaemia preoperatively may reduce postoperative infection and transfusion needs and result in a shorter inpatient stay.

PMID:
15517315
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Springer
    Loading ...
    Write to the Help Desk