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Study aim
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The amount of allogeneic transfusion after administration of injectable iron in patients candidates for fracture surgery
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Design
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A randomized clinical trial with a parallel standard treatment control group, phase 3, on 78 patients, randomization by computer random numbers.
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Settings and conduct
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The study in Shohada hospital is performed by double-blind method (researcher and patients) based on the fact that both of them are unaware of the group allocation.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: age over 65 years. Exclusion criteria: iron deficiency disorders, other anemia disorders, sensitivity to oral or injectable iron medications, asthma treatment with clopidogrel or acetylsalicylic acid, blood coagulation disorders, liver disease, hypothyroidism or hyperthyroidism, chronic kidney failure.
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Intervention groups
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The two groups will be under the treatment based on the protocol of the intertrocantric fracture treatment center of Shohada Tajrish hospital, Trauma Center. Patients in the case group will receive Venofer, manufactured by the French company Wafer, 10 days before surgery at a dose of 600 mg during a slow infusion, and no intervention will be performed for patients in the control group.
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Main outcome variables
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Bleeding during surgery; the rate of erythrocyte injection during surgery, hemoglobin and hematocrit, reticulocyte, and ferritin levels