Key result
Postoperative day one hemoglobin checks record a greater hemoglobin drop versus day-of-surgery measurements.
Why the study?
The optimum timing of postoperative hemoglobin check in elderly hip fracture patients was unclear.
Does postoperative hemoglobin check on the first postoperative day compared to the day of surgery better reflect hemoglobin drop in elderly hip fracture patients?
Observational (n=253)
Does postoperative hemoglobin check on the first postoperative day compared to the day of surgery better reflect hemoglobin drop in elderly hip fracture patients?
p-value: p=< 0.05
Postoperative hemoglobin measurement on the first postoperative day reflects hemoglobin drop more accurately than measurement on the day of surgery in elderly hip fracture patients.
May support day-1 over day-of-surgery hemoglobin checks in elderly hip fracture patients; leaves open effects on transfusion or outcomes.
Objective The purpose of our study was to analyze the effect of postoperative hemoglobin check on the day of surgery and 1 day postoperatively in elderly hip fracture patients with an aim to determine an optimum timing of postoperative hemoglobin check. Material and methods A retrospective study of 253 patients. Age, Charlson morbidity index, fracture type, time from admission to surgery, type of surgery, preoperative hemoglobin, postoperative hemoglobin, hemoglobin drop, day of postoperative hemoglobin measurement, blood transfusion, length of hospital stay, and 30‐day mortality were recorded. Results One hundred and sixty‐three patients (Group I) had postoperative hemoglobin check on the first postoperative day and 90 patients (Group II) on the day of surgery. Mean age in Group I was 82 years and 80 years in Group II. Mean Charlson morbidity index for Group I was 5.9 and Group II was 5.7. There was a significantly higher hemoglobin drop in Group I (P < 0.05) but no difference in blood transfusion requirement, length of stay, or 30‐day mortality in the two groups (P > 0.05). Conclusion Our results suggest that postoperative hemoglobin measurement on the day of surgery is not a true reflection of hemoglobin drop and recommend estimation of hemoglobin on the first postoperative day.
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Fazal et al. (2021) conducted an observational in elderly hip fractures (n=253). Postoperative hemoglobin check on the first postoperative day vs. Postoperative hemoglobin check on the day of surgery was evaluated on hemoglobin drop (p=< 0.05). Postoperative hemoglobin measurement on the first postoperative day recorded a significantly higher hemoglobin drop compared to measurement on the day of surgery (P < 0.05).
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