Comparison of Blood Loss and Blood Transfusion Following Hip Surgery Using Proximal Femoral Nail Antirotation in Elderly Patients with Intertrochanteric Hip Fractures: Early Surgery Within 48 hours Versus Late Surgery
Keywords:
hip fracture in elderly, proximal femoral nail antirotation (PFNA), blood loss, blood transfusionAbstract
Objective: This study aimed to compare the amount of blood loss and blood transfusion between patients undergoing surgery within 48 hours and those who had surgery longer than 48 hours.
Methods: A retrospective descriptive study was conducted in 168 patients with fragility intertrochanteric hip fractures, aged over 60 years, who underwent proximal femoral nail antirotation and admitted to the Phrachomklao Hospital from 1 January 2017 to 31 December 2022. Data were analyzed using frequency, percentage, mean, standard deviation, and Mann-Whitney U test.
Results: The group of patients who underwent surgery within 48 hours and those who had surgery longer than 48 hours did not differ significantly in the amount of blood loss and the amount of blood transfusion (p = .115; p = .322, respectively). However, there was a statistically significant difference (p = .008) in the amount of blood transfusion between patients who did not take thrombolytic drugs and those who took thrombolytic drugs.
Conclusion: Waiting time for hip fracture fixation surgery in elderly patients with hip fracture at Phrachomklao Hospital, Phetchaburi Province, has no effect on blood loss and blood transfusion volume.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
