The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty

Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intrao...
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Autor*in:	Kai Song [verfasserIn] Pin Pan [verfasserIn] Yao Yao [verfasserIn] Tao Jiang [verfasserIn] Qing Jiang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level

Übergeordnetes Werk:	In: Journal of Orthopaedic Surgery and Research - BMC, 2006, 14(2019), 1, Seite 6
Übergeordnetes Werk:	volume:14 ; year:2019 ; number:1 ; pages:6

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s13018-019-1329-0

Katalog-ID:	DOAJ030003636

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520			\|a Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.
650		4	\|a Total knee arthroplasty
650		4	\|a Total hip arthroplasty
650		4	\|a Allogenic blood transfusion
650		4	\|a Preoperative hemoglobin level
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653		0	\|a Diseases of the musculoskeletal system
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allfields	10.1186/s13018-019-1329-0 doi (DE-627)DOAJ030003636 (DE-599)DOAJ6705848cc2254fb7876a221ec288b5b3 DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Kai Song verfasserin aut The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period. Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level Orthopedic surgery Diseases of the musculoskeletal system Pin Pan verfasserin aut Yao Yao verfasserin aut Tao Jiang verfasserin aut Qing Jiang verfasserin aut In Journal of Orthopaedic Surgery and Research BMC, 2006 14(2019), 1, Seite 6 (DE-627)518346145 (DE-600)2252548-8 1749799X nnns volume:14 year:2019 number:1 pages:6 https://doi.org/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 kostenfrei http://link.springer.com/article/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/toc/1749-799X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 1 6
spelling	10.1186/s13018-019-1329-0 doi (DE-627)DOAJ030003636 (DE-599)DOAJ6705848cc2254fb7876a221ec288b5b3 DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Kai Song verfasserin aut The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period. Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level Orthopedic surgery Diseases of the musculoskeletal system Pin Pan verfasserin aut Yao Yao verfasserin aut Tao Jiang verfasserin aut Qing Jiang verfasserin aut In Journal of Orthopaedic Surgery and Research BMC, 2006 14(2019), 1, Seite 6 (DE-627)518346145 (DE-600)2252548-8 1749799X nnns volume:14 year:2019 number:1 pages:6 https://doi.org/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 kostenfrei http://link.springer.com/article/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/toc/1749-799X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 1 6
allfields_unstemmed	10.1186/s13018-019-1329-0 doi (DE-627)DOAJ030003636 (DE-599)DOAJ6705848cc2254fb7876a221ec288b5b3 DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Kai Song verfasserin aut The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period. Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level Orthopedic surgery Diseases of the musculoskeletal system Pin Pan verfasserin aut Yao Yao verfasserin aut Tao Jiang verfasserin aut Qing Jiang verfasserin aut In Journal of Orthopaedic Surgery and Research BMC, 2006 14(2019), 1, Seite 6 (DE-627)518346145 (DE-600)2252548-8 1749799X nnns volume:14 year:2019 number:1 pages:6 https://doi.org/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 kostenfrei http://link.springer.com/article/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/toc/1749-799X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 1 6
allfieldsGer	10.1186/s13018-019-1329-0 doi (DE-627)DOAJ030003636 (DE-599)DOAJ6705848cc2254fb7876a221ec288b5b3 DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Kai Song verfasserin aut The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period. Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level Orthopedic surgery Diseases of the musculoskeletal system Pin Pan verfasserin aut Yao Yao verfasserin aut Tao Jiang verfasserin aut Qing Jiang verfasserin aut In Journal of Orthopaedic Surgery and Research BMC, 2006 14(2019), 1, Seite 6 (DE-627)518346145 (DE-600)2252548-8 1749799X nnns volume:14 year:2019 number:1 pages:6 https://doi.org/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 kostenfrei http://link.springer.com/article/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/toc/1749-799X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 1 6
allfieldsSound	10.1186/s13018-019-1329-0 doi (DE-627)DOAJ030003636 (DE-599)DOAJ6705848cc2254fb7876a221ec288b5b3 DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Kai Song verfasserin aut The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period. Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level Orthopedic surgery Diseases of the musculoskeletal system Pin Pan verfasserin aut Yao Yao verfasserin aut Tao Jiang verfasserin aut Qing Jiang verfasserin aut In Journal of Orthopaedic Surgery and Research BMC, 2006 14(2019), 1, Seite 6 (DE-627)518346145 (DE-600)2252548-8 1749799X nnns volume:14 year:2019 number:1 pages:6 https://doi.org/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 kostenfrei http://link.springer.com/article/10.1186/s13018-019-1329-0 kostenfrei https://doaj.org/toc/1749-799X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 14 2019 1 6
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The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Total knee arthroplasty</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Total hip arthroplasty</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Allogenic blood transfusion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Preoperative hemoglobin level</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the musculoskeletal system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Pin Pan</subfield><subfield code="e">verfasserin</subfield><subfield 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callnumber-first	R - Medicine
author	Kai Song
spellingShingle	Kai Song misc RD701-811 misc RC925-935 misc Total knee arthroplasty misc Total hip arthroplasty misc Allogenic blood transfusion misc Preoperative hemoglobin level misc Orthopedic surgery misc Diseases of the musculoskeletal system The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
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topic_title	RD701-811 RC925-935 The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty Total knee arthroplasty Total hip arthroplasty Allogenic blood transfusion Preoperative hemoglobin level
topic	misc RD701-811 misc RC925-935 misc Total knee arthroplasty misc Total hip arthroplasty misc Allogenic blood transfusion misc Preoperative hemoglobin level misc Orthopedic surgery misc Diseases of the musculoskeletal system
topic_unstemmed	misc RD701-811 misc RC925-935 misc Total knee arthroplasty misc Total hip arthroplasty misc Allogenic blood transfusion misc Preoperative hemoglobin level misc Orthopedic surgery misc Diseases of the musculoskeletal system
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title	The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
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title_full	The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
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title_sort	incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
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title_auth	The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
abstract	Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.
abstractGer	Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.
abstract_unstemmed	Abstract Background Excessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). Conclusions Given the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.
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title_short	The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty
url	https://doi.org/10.1186/s13018-019-1329-0 https://doaj.org/article/6705848cc2254fb7876a221ec288b5b3 http://link.springer.com/article/10.1186/s13018-019-1329-0 https://doaj.org/toc/1749-799X
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up_date	2024-07-04T01:13:48.199Z
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The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA). Methods We conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors. Results Total, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001). 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The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty

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