The predictors of red cell transfusions in total hip arthroplasties

Transfusion
G A NuttallS Bryant

Abstract

Most blood crossmatched in a hospital blood bank is for surgical patients, and the majority is never transfused. The maximal standard blood order schedule is used to promote efficient ordering practices for surgical patients. To ascertain the predictors of red cell transfusions for patients undergoing total hip arthroplasty, the charts of 299 adult patients undergoing primary and revision total hip arthroplasty were reviewed. A surgical blood order equation was developed for calculating the number of units of red cells that should be ordered. Stepwise regression analysis was used to determine which patient-and-case-related variables should be considered in the surgical blood order equation. The significant indicators for allogeneic red cell transfusion to patients on the day of total hip arthroplasty were preoperative hemoglobin concentration, weight, age, estimated blood loss, and aspirin use. The surgical blood order equation would result in a lower crossmatch-to-transfusion ratio than would the maximal standard blood order schedule (1.23 vs. 3.14). Costs were also lower with the surgical blood order equation. Incorporation of patient factors resulted in increased efficiency of blood-ordering practices in total hip arthroplasty.

Citations

Apr 9, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Keyvan KarkoutiRoderrick Davey
Oct 15, 2008·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Helge MöllmannAlbrecht Elsässer
Jun 18, 2009·Internal and Emergency Medicine·Matteo Nicola Dario Di MinnoGiovanni Di Minno
Aug 8, 2012·Orthopedics·Steven F HarwinMichael A Mont
Oct 3, 2012·Orthopedics·Issaq AhmedPhilip Walmsley
Jun 4, 2014·The Journal of Arthroplasty·Hiroyuki Yoshihara, Daisuke Yoneoka
Jul 11, 2014·The Journal of Arthroplasty·Nicholas B FrischCraig D Silverton
Feb 22, 2012·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Angela NotarnicolaBiagio Moretti
Mar 12, 2008·Expert Review of Medical Devices·German A MarulandaMichael A Mont
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
Sep 14, 2010·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Devendra MahadevanJonathan Keenan
Dec 14, 2002·Mayo Clinic Proceedings·Gregory A NuttallDavid O Warner
Jul 27, 2007·Best Practice & Research. Clinical Anaesthesiology·Pierre-Guy ChassotDonat R Spahn
Aug 1, 2006·Neurosurgery Clinics of North America·R Shay Bess, Lawrence G Lenke
Aug 29, 2006·Neurologic Clinics·Melissa J ArmstrongJosé Biller
Sep 11, 2012·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Roger M BrowningUNKNOWN Western Australian Patient Blood Management Program
Aug 26, 2010·Transfusion Medicine·I KajjaC T S Sibinga
Aug 26, 2015·Journal of Orthopaedic Surgery and Research·Jian-Gang CaoJun Liu
Oct 11, 2014·Journal of Orthopaedic Surgery and Research·Yang YangYong-Ming Lv
Apr 7, 2004·Transfusion Medicine Reviews·Sarah L Haynes, Francesco Torella
Jul 2, 2005·The Journal of Arthroplasty·John J CallaghanSteve S Liu

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