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- N M Kurdy and R Hokan.
- Orthopaedic Department, Northampton General Hospital, UK.
- Injury. 1993 Sep 1;24(8):521-4.
AbstractCross-matching and transfusion policies for patients with a fracture of the proximal third of the femur are poorly formulated. A series of 90 patients who underwent operation for such fractures at a district general hospital were evaluated. Unnecessary cross-matching was most frequent in intracapsular fractures, and discrepancies in indications for postoperative transfusions were demonstrated. If postoperative transfusion is indicated for haemoglobin levels of less than 9 g/dl, we recommend routine preoperative cross-matching only for patients admitted with trochanteric fractures and haemoglobin levels between 10 and 12 g/dl. This practice is safe and is a potential area for savings in cost and resources.
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