Manning, B. J.,O'Brien, N.,Aravindan, S.,Cahill, R. A.,McGreal, G.,Redmond, H. P.;

2004

Injury-International Journal of The Care of The Injured

The effect of aspirin on blood loss and transfusion requirements in patients with femoral neck fractures

Validated

()

35

22

121

124121

Although it is widely accepted that aspirin will increase the risk of intra-and post-operative bleeding, clinical studies have not consistently supported this assumption. We aimed to assess the effect of pre-operative aspirin on blood toss and transfusion requirements in patients undergoing emergency fixation of femoral neck fractures. A prospective case-control. study was undertaken in patients presenting with femoral neck fractures. Parameters recorded included intra-operative blood Loss, post-operative blood toss, transfusion requirements and peri-operative reduction in haemoglobin concentration. Of 89 patients presenting with femoral neck fractures 32 were on Long-term aspirin therapy. Pre-operative aspirin ingestion did not significantly affect peri-operative blood Loss, or change in haemoglobin concentration or haematocrit. However those patients taking aspirin pre-operatively had a significantly lower haemoglobin concentration and haematocrit and were more likely to be anaemic at presentation than those who were not receiving aspirin. Patients taking aspirin were also more likely to receive blood transfusion post-operatively. (C) 2003 Elsevier Science Ltd. All rights reserved.Although it is widely accepted that aspirin will increase the risk of intra-and post-operative bleeding, clinical studies have not consistently supported this assumption. We aimed to assess the effect of pre-operative aspirin on blood toss and transfusion requirements in patients undergoing emergency fixation of femoral neck fractures. A prospective case-control. study was undertaken in patients presenting with femoral neck fractures. Parameters recorded included intra-operative blood Loss, post-operative blood toss, transfusion requirements and peri-operative reduction in haemoglobin concentration. Of 89 patients presenting with femoral neck fractures 32 were on Long-term aspirin therapy. Pre-operative aspirin ingestion did not significantly affect peri-operative blood Loss, or change in haemoglobin concentration or haematocrit. However those patients taking aspirin pre-operatively had a significantly lower haemoglobin concentration and haematocrit and were more likely to be anaemic at presentation than those who were not receiving aspirin. Patients taking aspirin were also more likely to receive blood transfusion post-operatively. (C) 2003 Elsevier Science Ltd. All rights reserved.

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