prescription of iron / joint replacement



D

Doe

Guest
<<snip>> prescription of iron to all anaemic patients post-operatively should be avoided <<snip>>

J Bone Joint Surg Br. 2004 Jan;86(1):31-3. Related Articles, Links

Treatment of anaemia after joint replacement. A double-blind, randomised, controlled trial of
ferrous sulphate versus placebo.

Sutton PM, Cresswell T, Livesey JP, Speed K, Bagga T.

Diana, Princess of Wales Hospital, Grimsby, North Lincolnshire, England, UK.

After total hip and knee replacement arthroplasty, patients may become anaemic and may be prescribed
oral iron. There is, however, no published evidence that this is of benefit when used
postoperatively. We treated 72 patients who were anaemic after primary total hip and knee
arthroplasty by randomly allocating them to receive six weeks of either oral ferrous sulphate (35
patients) or a placebo (37 patients). Both groups of patients were similar in all aspects except for
the treatment given. There was no statistically significant difference in the change of haemoglobin
levels between the two groups. We therefore believe that the prescription of iron to all anaemic
patients post-operatively should be avoided. The level of serum ferritin should be monitored at
preoperative assessment.

PMID: 14765861 [PubMed - in process]

--------------------------------------------------------------------------
------

Who loves ya. Tom Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com Man Is A Herbivore!
http://pages.ivillage.com/ironjustice/manisaherbivore DEAD PEOPLE WALKING
http://pages.ivillage.com/ironjustice/deadpeoplewalking