In this large trial of elderly patients with hip fracture and known or high risk for cardiac disease, they were randomized to a liberal (Hb=10) or restrictive (Hb=8) transfusion threshold. All outcomes were similar between the groups, including mortality, and 60 day ability to walk without assistance, but median number of transfusions were significantly less in the restrictive group (2 versus 0). This trial supports a restrictive transfusion practice in elderly patients with hip fractures (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.