• Clin. Geriatr. Med. · May 2014

    Review

    Management of postoperative complications: anemia.

    • Laura Rees Willett and Jeffrey L Carson.
    • Division of Education, Rutgers Robert Wood Johnson Medical School, 1 RWJ Place, MEB-486, New Brunswick, NJ 08903, USA. Electronic address: willetlr@rwjms.rutgers.edu.
    • Clin. Geriatr. Med. 2014 May 1;30(2):279-84.

    AbstractAnemia is extremely common following hip fracture. Consistent data from randomized trials show that transfusion of less blood, with a transfusion threshold around 8 g/dL hemoglobin concentration, is preferable to a traditional threshold of 10 g/dL. Adoption of a lower threshold leads to at least equivalent clinical outcomes, with much less exposure to transfusion costs and risks. The most common complication of transfusion is circulatory overload. Future research may elucidate the optimal transfusion threshold for these elderly patients and address the specific needs of subgroups of patients, including those with acute coronary syndrome or chronic kidney disease.Copyright © 2014 Elsevier Inc. All rights reserved.

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