Allogeneic blood transfusion decreases with postoperative autotransfusion in hip and knee arthroplasty

dc.contributor.authorAtay, Evren Fehmi
dc.contributor.authorGüven, Melih
dc.contributor.authorAltıntaş, Faik
dc.contributor.authorKadıoğlu, Barış
dc.contributor.authorCeviz, Emrah
dc.contributor.authorİpek, Serdar
dc.date.accessioned2021-06-23T19:26:55Z
dc.date.available2021-06-23T19:26:55Z
dc.date.issued2010
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjectives: We aimed to evaluate the effectiveness of postoperative autotransfusion method on prevention of the need of allogeneic blood transfusion in hip and knee arthroplasty. Methods: Seventy-four patients who underwent 77 hip and knee arthroplasty operations were randomized into control and study groups, and evaluated prospectively. In the knee group (39 patients; 30 females, 9 males; mean age 66.6 years), cemented, cruciate retaining, and bicompartmental arthroplasty was performed under tourniquet control; whereas in the hip group (35 patients; 24 females, 11 males; mean age 59.3 years) cementless arthroplasty with posterolateral approach was performed. None of the patients received preoperative and intraoperative allogeneic blood transfusion. The collected blood in the surgical area was transfused with autotransfusion system to the patients in the study groups at the end of the fourth hour postoperatively. The mean amounts of autotransfused blood in hip and knee groups were 413 mL and 480 mL, respectively. Allogeneic blood transfusion was applied to the patients with hemoglobin level below 8 g/dL, hematocrit level below 25%, and clinical symptoms of anemia. Results: Preoperative and postoperative hemoglobin-hematocrit levels did not differ significantly between study and control groups. Allogeneic blood transfusion was applied to one patient (5%) in study and 8 patients (38%) in control groups during knee arthroplasty (p=0.01); whereas 9 patients (53%) in study and 15 patients (79%) in control groups received allogeneic blood transfusion during hip arthroplasty (p=0.044). The amount of allogeneic blood transfusion in study groups was significantly lower than that in control groups (p=0.008 for knee arthroplasty, p=0.048 for hip arthroplasty). Conclusion: The need and amount of allogeneic transfusion were reduced with postoperative autotransfusion in both knee and hip arthroplasty groups with greater extent in knee arthroplasty.en_US
dc.identifier.doi10.3944/AOTT.2010.2417
dc.identifier.endpage312en_US
dc.identifier.issn1017-995X
dc.identifier.issue4en_US
dc.identifier.pmid21252608en_US
dc.identifier.scopus2-s2.0-78650797713en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage306en_US
dc.identifier.urihttps://doi.org/10.3944/AOTT.2010.2417
dc.identifier.urihttps://hdl.handle.net/20.500.12491/6689
dc.identifier.volume44en_US
dc.identifier.wosWOS:000287942400009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGüven, Melih
dc.institutionauthorCeviz, Emrah
dc.institutionauthorİpek, Serdar
dc.language.isoenen_US
dc.publisherTurkish Assoc Orthopaedics Traumatologyen_US
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAllogeneic Transfusionen_US
dc.subjectArthroplastyen_US
dc.subjectAutotransfusionen_US
dc.subjectHematocriten_US
dc.subjectHemoglobinen_US
dc.subjectHipen_US
dc.subjectKneeen_US
dc.titleAllogeneic blood transfusion decreases with postoperative autotransfusion in hip and knee arthroplastyen_US
dc.typeArticleen_US

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