Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—The study by Dr Carson
and colleagues1 addresses a crucial issue
in perioperative transfusion policy, as older subjects with hip fracture currently
require a major proportion of the blood units administered to surgical patients.
The authors conclude that perioperative transfusions in patients with hemoglobin
levels between 80 and 100 g/L do not yield any survival benefit. However,
the risk-benefit ratio of transfusions in these subjects may be even worse
than suggested by their study.
Zuccalà G, Bernabei R, Carbonin P. Perioperative Blood Transfusion. JAMA. 1998;279(20):1610. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-20-jbk0527