PMID: 9524514Apr 3, 1998Paper

Postoperative blood salvage in hip and knee arthroplasty. A prospective study on cost effectiveness in 161 patients

Acta Orthopaedica Scandinavica
L RizziG Scudeller

Abstract

We conducted a prospective controlled study on 161 patients who underwent primary or revision total hip or knee arthroplasty to assess the efficacy and limitations of postoperative blood salvage. The actual quantity of blood salvaged after washing, the theoretical increase in hemoglobin concentration caused by its reinfusion and the cost of this procedure were studied. The mean amount of packed red cells after washing was 117 g. The average increase in hemoglobin concentration, which theoretically would have been achieved by retransfusion, was 0.47 g/dL. One third of the devices used were discarded as not effective enough and, in order to obtain an increase of 1 g/dL in the hemoglobin concentration, an average of 3.4 postoperative Solcotrans Plus Orthopaedic devices were used. To obtain the same increase in hemoglobin concentration as that given by an allogeneic blood transfusion, the overall cost of materials alone was more than five times the price of a single blood unit transfusion.

References

Aug 1, 1992·Acta Orthopaedica Scandinavica·P W KristensenH C Thyregod
Jul 1, 1991·The Journal of Bone and Joint Surgery. British Volume·S V SlagisG F Giordano
Sep 1, 1995·The Journal of Bone and Joint Surgery. American Volume·D C AyersD M Duerr

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Citations

Jun 9, 2006·International Orthopaedics·N TellisiK A H Wahab
Feb 19, 2010·Archives of Orthopaedic and Trauma Surgery·Konstantinos S BlatsoukasDionisios-Alexandros Verettas
Jun 22, 2012·Archives of Orthopaedic and Trauma Surgery·Georgios I DrososDionisios-Alexandros Verettas
Feb 20, 2004·The Journal of Arthroplasty·Kevin J BozicHarry E Rubash
Mar 22, 2003·The Knee·Shong Meng Ong, Grahame John Saint Clair Taylor
Oct 31, 2000·Current Opinion in Hematology·A Pereira
Dec 9, 2004·Transfusion·Ernil Hansen, Michael Pawlik Hansen
Aug 12, 2014·Clinical Orthopaedics and Related Research·Hany BedairJoseph C McCarthy
Jan 5, 2011·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Paul BakerIan McMurtry
Sep 29, 2005·The Journal of Bone and Joint Surgery. British Volume·P J WalmsleyI Brenkel
Apr 2, 2008·The Journal of Bone and Joint Surgery. British Volume·A AminM Loeffler
Feb 23, 2002·Clinical Orthopaedics and Related Research·G ShulmanA G Hadjipavlou
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·L K SmithV G Langkamer

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