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Preoperative saline versus gelatin for hip fracture patients; a randomized trial of 396 patients
M J Parker1, R Griffiths, A Boyle
1Department of Orthopaedicsand, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK. mjparker@doctors.org.uk
Background:
The aim of this study was to determine if the preoperative administration of 500 ml of a gelatin colloid solution intravenously before hip fracture surgery improves outcome, compared with a conventional i.v. fluid regime with a crystalloid solution.
Methods:
Randomized, double blind, controlled trial of i.v. saline vs colloid for 396 patients having hip fracture surgery admitted to a district general hospital. Patients were followed up for 1 yr.
Results:
There was no statistically significant difference between groups for mortality (30-day mortality 9/198 for saline group vs 19/198 for colloid group, 95% confidence intervals 0.21-1.02), length of hospital stay (22.5 days vs 17.3 days, 95% CI -10.78 to 0.38), or occurrence of postoperative complications.
Conclusions:
The inclusion of 500 ml of colloid solution to the i.v. fluid regime before hip fracture surgery does not improve outcome.