prescription of iron / joint replacement

Discussion in 'Health and medical' started by Doe, Feb 10, 2004.

  1. Doe

    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]

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