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International Orthopaedics (SICOT) (2017) 41:1839–1844 DOI 10.1007/s00264-017-3571-6 ORIGINAL PAPER A retrospective comparison between delayed and early hip fracture surgery in patients taking clopidogrel: same total bleeding but different timing of blood transfusion 1,2,3 4 1 Claire Pailleret & Zakaria Ait Hamou & Nadia Rosencher & 1,2,3 4 4 Charles-Marc Samama & Violaine Eyraud & François Chilot & 1,3,4 Christophe Baillard Received: 26 April 2017 /Accepted: 30 June 2017 /Published online: 25 July 2017 SICOT aisbl 2017 Abstract shorter for the early surgery group than for the delayed surgery Purpose Managing hip fracture surgery in patients taking group: 11 ± three versus 15 ± four days (p =0.004). clopidogrel is challenging. The optimal timing for surgery Conclusions Early surgical treatment of hip fracture in pa- remains unclear. Early surgery in such patients potentially tients receiving clopidogrel does not increase the overall red increases peri-operative bleeding, whereas delayed surgery blood cell loss or the transfusion requirement, but may affect has been shown to be associated with worse postoperative the timing of blood transfusion. Hip fracture surgery should outcomes. The aim of this study was to investigate whether preferably be performed without delay in patients taking a delay to surgery affects total
International Orthopaedics – Springer Journals
Published: Jul 25, 2017
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