Predicting allogeneic blood transfusion use in total joint arthroplasty.

Anesthesia and Analgesia
Saifudin RashiqBarry A Finegan

Abstract

Total joint arthroplasty (TJA) patients often receive allogeneic blood transfusion. In this study we sought to create and validate a clinical prediction rule for transfusion in TJA using data that are easily available when scheduling the procedure. Logistic regression modeling was applied to retrospective data from all TJA procedures performed in Edmonton, Alberta in 2000 (n = 1875). The area under the receiver operating curve for the resulting model in the training and validation data sets was 0.80 and 0.76 respectively. By assigning a simple score based on six independent predictors (age, gender, weight, hemoglobin, ASA operative risk classification and whether revision surgery was planned), it was possible to classify a given subject's risk of receiving allogeneic transfusion. We conclude that accurate prediction of transfusion risk in TJA is possible using a rule based on simple preoperative clinical and laboratory data. Such prediction could allow transfusion prevention strategies to be applied selectively to those at greatest risk.

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Citations

Jun 13, 2013·Archives of Orthopaedic and Trauma Surgery·Ann E OgbemudiaSteffen J Breusch
Jan 26, 2010·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Saifudin RashiqBarry Finegan
Mar 9, 2005·Critical Care Medicine·Athos J RassiasMark P Yeager
Dec 18, 2013·Archives of Orthopaedic and Trauma Surgery·Christian Medom MadsenJes Bruun Lauritzen
Feb 7, 2016·The Bone & Joint Journal·E M PadegimasS Namdari
Jun 7, 2011·Transfusion Medicine Reviews·Paul James BarrKaren Elizabeth Margaret Bailie
Nov 4, 2009·Journal of Shoulder and Elbow Surgery·Matthew P Abdel, Bernard F Morrey
Jul 7, 2009·The Orthopedic Clinics of North America·Alan Lane, Edward T Crosby
Dec 9, 2015·Clinical Orthopaedics and Related Research·Peter T McCunniffNicholas U Ahn
May 14, 2016·Orthopedics·Nicholas FrischCraig D Silverton
Jun 20, 2018·The Journal of Bone and Joint Surgery. American Volume·Matthew P AbdelDavid J Mayman
Jun 25, 2010·Clinical Orthopaedics and Related Research·Shahryar NoordinBassam A Masri
Feb 12, 2013·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Gerard M MarchPaul E Beaulé
Aug 24, 2017·BMC Musculoskeletal Disorders·Syed Hamza MufarrihShahryar Noordin
Oct 4, 2013·The Journal of Bone and Joint Surgery. American Volume·Jai Hyung ParkJavad Parvizi

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