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Decline in allogeneic blood transfusion usage in total hip arthroplasty patients: National Inpatient Sample 2009 to 2013
- Source :
- Hip international : the journal of clinical and experimental research on hip pathology and therapy. 28(4)
- Publication Year :
- 2017
-
Abstract
- Introduction: Although total hip arthroplasty (THA) is an effective treatment for end-stage arthritis, it is also associated with substantial blood loss that may require allogeneic blood transfusion. However, these transfusions may increase the risk of certain complications. The purpose of our study is to evaluate: (i) the incidence/trends of allogeneic blood transfusion; (ii) the associated risk factors and adverse events; and (iii) the discharge disposition, length of stay (LOS), and costs for these patients between 2009 and 2013. Methods: The National Inpatient Sample database was used to identify 1,542,366 primary THAs performed between 2009 and 2013. Patients were stratified based on demographics, economic data, hospital characteristics, comorbidities, and whether or not allogeneic transfusion was received. Logistic regression was performed to evaluate the risk factors for transfusion and postoperative complications. Results: From 2009 to 2013, allogeneic transfusions were used in 16.9% of primary THAs, with a declining annual incidence. Except for obesity, all comorbidities were associated with increased likelihood of receiving a transfusion. Allogeneic transfusion patients were more likely to experience surgical site infections or pulmonary complications (pConclusions: While the observed decline in allogeneic transfusion usage is encouraging, further efforts should focus on preoperative patient optimisation. Given the projected increase in demand for primary THAs, orthopaedic surgeons must be familiar with safe and effective blood conservation protocols.
- Subjects :
- Adult
Male
medicine.medical_specialty
Databases, Factual
Arthroplasty, Replacement, Hip
Comorbidity
Logistic regression
Osteoarthritis, Hip
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Blood loss
Risk Factors
Medicine
Effective treatment
Humans
Orthopedics and Sports Medicine
Blood Transfusion
030212 general & internal medicine
Hospital Costs
Adverse effect
Aged
Aged, 80 and over
030222 orthopedics
business.industry
Incidence (epidemiology)
Incidence
Length of Stay
Middle Aged
Patient Discharge
Logistic Models
Treatment Outcome
Emergency medicine
Surgery
Female
business
Tranexamic acid
Procedures and Techniques Utilization
Total hip arthroplasty
medicine.drug
Allogeneic transfusion
Subjects
Details
- ISSN :
- 17246067
- Volume :
- 28
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Hip international : the journal of clinical and experimental research on hip pathology and therapy
- Accession number :
- edsair.doi.dedup.....326049d824657ce626d541299249cc24