[Autotransfusion in prosthetic hip surgery].
BACKGROUND
Homologous transfusion implies a risk for transmission of infectious diseases and transfusion reactions. The aim of the present study was to compare homologue transfusion with mechanical autotransfusion perioperatively in prosthetic hip surgery.


METHODS
111 patients were included in the study; group 1: 29 patients operated between June 2001 and June 2002 (before using autotransfusion); group 2: 35 patients operated between September 2002 and March 2003 (using common autotransfusion); group 3: 47 patients operated after March 2003 (using common autotransfusion and salvaging of rinsing fluid).


RESULTS
Postoperative hemoglobin was significantly higher in group 3 (10,9 +/- 0.3 g/dl) than in group 2 (9,6 +/- 0.3 g/dl; p < 0.01) and group 1 (9,5 +/- 0,4 g/dl; p < 0.01). Amount of autologous erythrocyte concentrate in group 3 was significant higher than in group 2 (440 +/- 51 ml vs. 238 31 ml; p < 0.01). There were fewer patients in group 3 (9%) than in group 2 (29%; p < 0.04) and in group 1 (76%; < 0.01) who required homologous blood.


CONCLUSIONS
The use of perioperative blood collection and retransfusion significantly reduces homologue blood transfusion in prosthetic hip surgery.
Rossner
Stephan
S
Anestesiavdelingen, Volda sjukehus, Postboks 113, 6101 Volda. stephan.rossner@helse-sunnmore.no
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001804:Blood Transfusion, Autologous; D017707:Erythrocyte Transfusion; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D065227:Transfusion Reaction
D006454:Hemoglobins