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ACE Report #7427
Ace Report Cover General Orthopaedics

Long-term mortality unchanged by liberal blood transfusions in older hip surgery patients


Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:N/A

Liberal versus restrictive blood transfusion strategy: 3-year survival and cause of death results from the FOCUS randomised controlled trial

Lancet. 2014 Dec 9. pii: S0140-6736(14)62286-8.

Contributing Authors: JL Carson F Sieber DR Cook DR Hoover H Noveck BR Chaitman L Fleisher L Beaupre W Macaulay GG Rhoads B Paris A Zagorin DW Sanders KJ Zakriya J Magaziner

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Synopsis

Two thousand and sixteen patients over the age of 50 undergoing hip fracture surgery at 47 different hospitals in the United States of America and Canada were randomized to receive either liberal blood transfusions, to maintain hemoglobin level at or above 100g/L, or restrictive blood transfusions, for patients with symptoms of anemia or if hemoglobin levels were below 80g/L. Mortality rates and c...

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