Post-operative Blood Salvage and Retransfusion in Total Hip and Knee Arthroplasty
This retrospective study evaluated the safety and efficacy of post-operative blood salvage and retransfusion in 430 patients undergoing total hip arthroplasty and 530 patients undergoing total knee arthroplasty. Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in th...
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| Veröffentlicht in: | Journal of international medical research 2007-03, Vol.35 (2), p.268-275 |
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| container_title | Journal of international medical research |
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| creator | Athanasoulias, V Mavrogenis, AF Sdrenias, CV Mitsiokapa, EA Lourikas, V Papagelopoulos, PJ Christodoulou, NA |
| description | This retrospective study evaluated the safety and efficacy of post-operative blood salvage and retransfusion in 430 patients undergoing total hip arthroplasty and 530 patients undergoing total knee arthroplasty. Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in the hip and knee replacement groups, respectively. Overall, 230 patients (24%) also required allogeneic blood transfusion. In a subgroup of 150 randomly selected patients, the values of free haemoglobin in the allogeneic, autologous and patients' blood at the time of surgery were 0.568 ± 0.112, 0.272 ± 0.067 and 0.032 ± 0.011 g/l, respectively. On the first and third post-operative days, the levels in patients' blood were 0.092 ± 0.039 and 0.057 ± 0.028 g/l, respectively. There were no major complications; transient chills and fever were reported in 99 (10.3%) and 115 patients (12.0%), respectively. In conclusion, post-operative blood salvage and retransfusion is a safe way to reduce the need for allogeneic blood transfusion in patients undergoing elective orthopaedic surgery. |
| doi_str_mv | 10.1177/147323000703500211 |
| format | Article |
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Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in the hip and knee replacement groups, respectively. Overall, 230 patients (24%) also required allogeneic blood transfusion. In a subgroup of 150 randomly selected patients, the values of free haemoglobin in the allogeneic, autologous and patients' blood at the time of surgery were 0.568 ± 0.112, 0.272 ± 0.067 and 0.032 ± 0.011 g/l, respectively. On the first and third post-operative days, the levels in patients' blood were 0.092 ± 0.039 and 0.057 ± 0.028 g/l, respectively. There were no major complications; transient chills and fever were reported in 99 (10.3%) and 115 patients (12.0%), respectively. 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Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in the hip and knee replacement groups, respectively. Overall, 230 patients (24%) also required allogeneic blood transfusion. In a subgroup of 150 randomly selected patients, the values of free haemoglobin in the allogeneic, autologous and patients' blood at the time of surgery were 0.568 ± 0.112, 0.272 ± 0.067 and 0.032 ± 0.011 g/l, respectively. On the first and third post-operative days, the levels in patients' blood were 0.092 ± 0.039 and 0.057 ± 0.028 g/l, respectively. There were no major complications; transient chills and fever were reported in 99 (10.3%) and 115 patients (12.0%), respectively. In conclusion, post-operative blood salvage and retransfusion is a safe way to reduce the need for allogeneic blood transfusion in patients undergoing elective orthopaedic surgery.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Hip</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Blood Transfusion, Autologous</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><issn>0300-0605</issn><issn>1473-2300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0EoqXwBzggn7iFrt_1sVS8BBKvco6c1IFUaRxsB6n_HpdW4oDEaVazsyPth9ApgQtClBoTrhhlAKCACQBKyB4absxs4-6jISTJQIIYoKMQlgCcSkEP0YAowSknfIien1yImeusN7H-sviycW6BX03zZd4tNu0Cv9joTRuqPtSuxXWL5y6aBt_W3c_6vrUWT3388K5rTIjrY3RQmSbYk52O0Nv11Xx2mz083tzNpg9ZyTiJmaYaBINSllaXUExKwpSmEy4IZVQVZqJMVaSxoNRWmhEtdfK51dJwYTllI3S-7e28--xtiPmqDqVtGtNa14dcgZBCapmCdBssvQvB2yrvfL0yfp0TyDcg878g09HZrr0vVnbxe7IjlwLjbSAkUPnS9b5N3_5X-Q0_jnkC</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Athanasoulias, V</creator><creator>Mavrogenis, AF</creator><creator>Sdrenias, CV</creator><creator>Mitsiokapa, EA</creator><creator>Lourikas, V</creator><creator>Papagelopoulos, PJ</creator><creator>Christodoulou, NA</creator><general>SAGE Publications</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>20070301</creationdate><title>Post-operative Blood Salvage and Retransfusion in Total Hip and Knee Arthroplasty</title><author>Athanasoulias, V ; Mavrogenis, AF ; Sdrenias, CV ; Mitsiokapa, EA ; Lourikas, V ; Papagelopoulos, PJ ; Christodoulou, NA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-9290530c6ce9c0b8c1379284512327ba87afb232b22ef9319693274e96a45e423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Hip</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Blood Transfusion, Autologous</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Athanasoulias, V</creatorcontrib><creatorcontrib>Mavrogenis, AF</creatorcontrib><creatorcontrib>Sdrenias, CV</creatorcontrib><creatorcontrib>Mitsiokapa, EA</creatorcontrib><creatorcontrib>Lourikas, V</creatorcontrib><creatorcontrib>Papagelopoulos, PJ</creatorcontrib><creatorcontrib>Christodoulou, NA</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>Journal of international medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Athanasoulias, V</au><au>Mavrogenis, AF</au><au>Sdrenias, CV</au><au>Mitsiokapa, EA</au><au>Lourikas, V</au><au>Papagelopoulos, PJ</au><au>Christodoulou, NA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-operative Blood Salvage and Retransfusion in Total Hip and Knee Arthroplasty</atitle><jtitle>Journal of international medical research</jtitle><addtitle>J Int Med Res</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>35</volume><issue>2</issue><spage>268</spage><epage>275</epage><pages>268-275</pages><issn>0300-0605</issn><eissn>1473-2300</eissn><abstract>This retrospective study evaluated the safety and efficacy of post-operative blood salvage and retransfusion in 430 patients undergoing total hip arthroplasty and 530 patients undergoing total knee arthroplasty. Volumes of autologous blood retransfused (mean ± SD) were 525 ± 75 and 660 ± 95 ml in the hip and knee replacement groups, respectively. Overall, 230 patients (24%) also required allogeneic blood transfusion. In a subgroup of 150 randomly selected patients, the values of free haemoglobin in the allogeneic, autologous and patients' blood at the time of surgery were 0.568 ± 0.112, 0.272 ± 0.067 and 0.032 ± 0.011 g/l, respectively. On the first and third post-operative days, the levels in patients' blood were 0.092 ± 0.039 and 0.057 ± 0.028 g/l, respectively. There were no major complications; transient chills and fever were reported in 99 (10.3%) and 115 patients (12.0%), respectively. In conclusion, post-operative blood salvage and retransfusion is a safe way to reduce the need for allogeneic blood transfusion in patients undergoing elective orthopaedic surgery.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>17542414</pmid><doi>10.1177/147323000703500211</doi><tpages>8</tpages></addata></record> |
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| issn | 0300-0605 1473-2300 |
| language | eng |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Aged Aged, 80 and over Arthroplasty, Replacement, Hip Arthroplasty, Replacement, Knee Blood Transfusion, Autologous Female Humans Male Postoperative Period Retrospective Studies |
| title | Post-operative Blood Salvage and Retransfusion in Total Hip and Knee Arthroplasty |
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