Blood management in total hip replacement: an analysis of factors associated with allogenic blood transfusion

ANZ Journal of Surgery
Samuel WongRichard de Steiger

Abstract

The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk of receiving allogenic blood transfusion. This study uses a retrospective audit of 787 patients who had undergone primary THR surgery at three Melbourne hospitals: Epworth Richmond, Epworth Eastern and Epworth Freemasons in 2010. Patient demographics, transfusion requirements and blood-conserving techniques were recorded. One hundred and eighty (23%) patients received allogenic blood transfusion and 18 (2.3%) patients received autologous blood transfusion. On multivariate analysis, preoperative anaemia (odds ratio (OR) 4.7, P < 0.0001), female gender (OR 3.1, P < 0.0001) and patient age (OR 1.07 per year of age increase, P < 0.0001) were shown to be significantly associated with higher risk of allogenic blood transfusion. Use of spinal anaesthetic was found to be associated with lower risk of transfusion (OR 0.6, P = 0.0180) compared with general anaesthetic alone. Cell saver, acute normovolaemic haemodilution and re-infusio...Continue Reading

References

May 1, 1997·Transfusion·M GoldmanF Décary
Oct 16, 2004·British Journal of Anaesthesia·C Madjdpour, D R Spahn
Dec 7, 2005·Clinical Orthopaedics and Related Research·Kevin L GarvinElizabeth R Lyden
Feb 3, 2007·The Journal of Bone and Joint Surgery. American Volume·J P BridgensA J Hamer
Aug 21, 2007·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Bülent OzgönenelA Bradley Eisenbrey
Dec 16, 2011·The New England Journal of Medicine·Jeffrey L CarsonUNKNOWN FOCUS Investigators

❮ Previous
Next ❯

Citations

Dec 13, 2016·International Orthopaedics·Josef HochreiterReinhold Ortmaier
Dec 8, 2020·Geriatric Orthopaedic Surgery & Rehabilitation·Aris LuangwaranyooVarah Yuenyongviwat

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.