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 |
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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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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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.12.009</identifier><identifier>PMID: 24412146</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of arthroplasty, 2014-06, Vol.29 (6), p.1298-1300</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-8dcf413e1b467ee42ee26bc088adc10c5d64f07204a5ce2c85f8ea806afaf4943</citedby><cites>FETCH-LOGICAL-c411t-8dcf413e1b467ee42ee26bc088adc10c5d64f07204a5ce2c85f8ea806afaf4943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2013.12.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24412146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greenky, Max, BS</creatorcontrib><creatorcontrib>Shaner, Julie, MD</creatorcontrib><creatorcontrib>Rasouli, Mohammad R., MD</creatorcontrib><creatorcontrib>Han, Seung-Beom, MD</creatorcontrib><creatorcontrib>Parvizi, Javad, MD, FRCS</creatorcontrib><creatorcontrib>Hozack, William J., MD</creatorcontrib><title>Intraoperative Blood Salvage in Revision Total Hip Arthroplasty: Who Benefits Most?</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>blood loss</subject><subject>Blood Loss, Surgical</subject><subject>Blood Transfusion, Autologous</subject><subject>Female</subject><subject>Humans</subject><subject>intraoperative blood salvage</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Blood Salvage</subject><subject>Orthopedics</subject><subject>Postoperative Hemorrhage - therapy</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>revision total hip arthroplasty</subject><subject>transfusion</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EokvhD3BAPnJJmHGc1IsQqK2AVipCYovgZnmdCfXijYPtXWn_PY62cODAaS7vvZn5HmPPEWoE7F5tahPzXS0AmxpFDbB8wBbYNqJSErqHbAFKNVUroTlhT1LaACC2rXzMToSUKFB2C7a6HnM0YaJostsTv_Ah9Hxl_N78IO5G_oX2Lrkw8tuQjedXbuLnZWsMkzcpH17zb3eBX9BIg8uJfwopv3vKHg3GJ3p2P0_Z1w_vby-vqpvPH68vz28qKxFzpXo7SGwI17I7I5KCSHRrW442vUWwbd_JAc4ESNNaEla1gyKjoDODGeRSNqfs5TF3iuHXjlLWW5cseW9GCruksRWqkYBKFKk4Sm0MKUUa9BTd1sSDRtAzTL3RM0w9w9QodIFZTC_u83frLfV_LX_oFcGbo4DKl3tHUSfraLTUu0g26z64_-e__cduvRudNf4nHShtwi6OhZ9GnYpBr-Y65zaxAVBL9b35DRxjmr4</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Greenky, Max, BS</creator><creator>Shaner, Julie, MD</creator><creator>Rasouli, Mohammad R., MD</creator><creator>Han, Seung-Beom, MD</creator><creator>Parvizi, Javad, MD, FRCS</creator><creator>Hozack, William J., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Intraoperative Blood Salvage in Revision Total Hip Arthroplasty: Who Benefits Most?</title><author>Greenky, Max, BS ; Shaner, Julie, MD ; Rasouli, Mohammad R., MD ; Han, Seung-Beom, MD ; Parvizi, Javad, MD, FRCS ; Hozack, William J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-8dcf413e1b467ee42ee26bc088adc10c5d64f07204a5ce2c85f8ea806afaf4943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>blood loss</topic><topic>Blood Loss, Surgical</topic><topic>Blood Transfusion, Autologous</topic><topic>Female</topic><topic>Humans</topic><topic>intraoperative blood salvage</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Blood Salvage</topic><topic>Orthopedics</topic><topic>Postoperative Hemorrhage - therapy</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>revision total hip arthroplasty</topic><topic>transfusion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greenky, Max, BS</creatorcontrib><creatorcontrib>Shaner, Julie, MD</creatorcontrib><creatorcontrib>Rasouli, Mohammad R., MD</creatorcontrib><creatorcontrib>Han, Seung-Beom, MD</creatorcontrib><creatorcontrib>Parvizi, Javad, MD, FRCS</creatorcontrib><creatorcontrib>Hozack, William J., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greenky, Max, BS</au><au>Shaner, Julie, MD</au><au>Rasouli, Mohammad R., MD</au><au>Han, Seung-Beom, MD</au><au>Parvizi, Javad, MD, FRCS</au><au>Hozack, William J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Blood Salvage in Revision Total Hip Arthroplasty: Who Benefits Most?</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>29</volume><issue>6</issue><spage>1298</spage><epage>1300</epage><pages>1298-1300</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24412146</pmid><doi>10.1016/j.arth.2013.12.009</doi><tpages>3</tpages></addata></record> |
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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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