Utilization of Packed Cell and Whole Blood in Patients with Femur Fracture in a Tertiary Care Center: A Retrospective Study of 45 Cases

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.784

Open Access License: CC BY-NC 4.0

Submitted Date: 19 Sep 2025, Review Date: 23 Sept 2025, Accepted Date: 24 Oct 2025 & Published Date: 10 Dec 2025

Author: Sanjay Surase [1], Bharat Ghodke [1], Sumedha Shinde [1], Priya Borkar [1]

[1] Department of Pathology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Priya Borkar,
Department of Pathology, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai – 400008, Maharashtra, India.
E-mail: priyaborkar921@gmail.com

Abstract

Background: Femur fractures are often associated with substantial blood loss, necessitating timely transfusion support. Optimizing the use of whole blood (WB) and packed red blood cells (PRBC) is essential for effective management in tertiary care settings.
Materials and Methods: This retrospective observational study was conducted at a tertiary care center and included 45 patients aged ≥18 years with radiologically confirmed femur fractures admitted between July 2022 and June 2023. Data were obtained from hospital records, and the blood bank registers. Data include demographics, blood group, and transfusion details.`
Results: The study included 27 males (60.0%) and 18 females (40.0%), with a mean age of 46.1 ± 17.9 years. The most common blood groups were B+ (35.6%), O+ (31.1%), and A+ (24.4%). A total of 25 patients (55.6%) received WB and 27 (60.0%) received PRBC; of these, 20 (44.4%) received only PRBC, 18 (40.0%) only WB, and 7 (15.6%) both components. WB transfusions totaled 46 units (mean 1.67 ± 0.95/patient), while PRBC accounted for 50 units (mean 2.05 ± 1.12/patient). The highest WB utilization was in B+ patients (14 units), whereas O+ patients required the most PRBC (18 units). All patients (100%) required transfusion during hospitalization.
Conclusion: PRBC was the predominant transfusion modality in femur fracture patients, with higher utilization than WB. The predominance of B+ and O+ groups underscores the need for targeted inventory management. These findings support evidence‐based transfusion protocols and optimized resource planning in orthopedic emergencies.
Keywords: Femur fracture, Blood transfusion, Packed red blood cells, Whole blood, Blood utilization

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How to Cite this Article: Surase S, Ghodke B, Shinde S, Borkar P. Utilization of Packed Cell and Whole Blood in Patients with Femur Fracture in a Tertiary Care Center: A Retrospective Study of 45 Casess. Journal of Clinical Orthopaedics. July-December 2025;10(2):79-84.

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Author: Sanjay Surase [1], Bharat Ghodke [1], Sumedha Shinde [1], Priya Borkar [1]

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