Intraoperative Blood Salvage in Revision Total Hip Arthroplasty: Who Benefits Most?

Abstract The purpose of the present study was to identify factors that predict reinfusion following intraoperative blood salvage (IOBS). We retrospectively identified 298 patients who underwent aseptic revision total hip arthroplasty at our institution between February 2005 and January 2007. Of thes...

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Veröffentlicht in:The Journal of arthroplasty 2014-06, Vol.29 (6), p.1298-1300
Hauptverfasser: Greenky, Max, BS, Shaner, Julie, MD, Rasouli, Mohammad R., MD, Han, Seung-Beom, MD, Parvizi, Javad, MD, FRCS, Hozack, William J., MD
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container_end_page 1300
container_issue 6
container_start_page 1298
container_title The Journal of arthroplasty
container_volume 29
creator Greenky, Max, BS
Shaner, Julie, MD
Rasouli, Mohammad R., MD
Han, Seung-Beom, MD
Parvizi, Javad, MD, FRCS
Hozack, William J., MD
description Abstract The purpose of the present study was to identify factors that predict reinfusion following intraoperative blood salvage (IOBS). We retrospectively identified 298 patients who underwent aseptic revision total hip arthroplasty at our institution between February 2005 and January 2007. Of these, 160 (53.7%) received reinfusion from IOBS. In the reinfusion group, an average of 850 mL (range, 300–4300) of fluid was collected and an average of 270 mL (range, 135–1350) of red blood cells was returned. Exchange of both the femoral and acetabular components, use of a trochanteric osteotomy, increased body mass index, and advanced age were associated with reinfusion. Based on these results, surgeons may consider using IOBS on patients with these preoperative characteristics.
doi_str_mv 10.1016/j.arth.2013.12.009
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
blood loss
Blood Loss, Surgical
Blood Transfusion, Autologous
Female
Humans
intraoperative blood salvage
Male
Middle Aged
Operative Blood Salvage
Orthopedics
Postoperative Hemorrhage - therapy
Reoperation
Retrospective Studies
revision total hip arthroplasty
transfusion
title Intraoperative Blood Salvage in Revision Total Hip Arthroplasty: Who Benefits Most?
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