An audit on the current practice of red blood cell transfusion following elective primary hip arthroplasty.
This audit encompassing a six-month period on the current practice of red blood cell transfusion following elective primary total hip arthroplasty showed that the rate of allogeneic blood avoidance was 84.8% for preoperative autologous blood donors and 47.8% for non-donors (p<0.001). Lower preoperative hemoglobin level was associated with an increased allogeneic unit transfusion (p<0.001). The intraoperative use of autologous blood collection and transfusion systems did not reduce the transfusion risk, and the use of the colloid volume expander was associated with a 1.8-fold increased risk of transfusion (p=0.022).
Ozgönenel
Bülent
B
Division of Transfusion Medicine and Blood Banking, Clinical Pathology, William Beaumont Hospital, Royal Oak, MI 48073-6769, USA.
Kanhere
Rujuta
R
O'Malley
Barbara
B
Balasubramaniam
Mamtha
M
Eisenbrey
A Bradley
AB
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D001804:Blood Transfusion, Autologous; D017558:Elective Surgical Procedures; D017707:Erythrocyte Transfusion; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011300:Preoperative Care; D011364:Professional Practice; D012189:Retrospective Studies; D012307:Risk Factors
D006454:Hemoglobins