Transfusion practice in elective orthopaedic surgery

• Published in: Transfusion medicine (Oxford, England) England), 2001-04, Vol.11 (2), p.87-95
• Main Authors: Feagan, B. G., Wong, C. J., Lau, C. Y., Wheeler, S. L., Sue-A-Quan, G., Kirkley, A.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; allogeneic blood transfusion; Analysis of Variance; Arthroplasty, Replacement, Hip; autologous blood donation; Blood Transfusion - standards; Blood Transfusion - utilization; Blood Transfusion, Autologous - utilization; Decision Support Techniques; Elective Surgical Procedures; Female; Humans; Male; Middle Aged; Orthopedic Procedures; Retrospective Studies; Risk Factors; survey; total joint arthroplasty
• ISSN: 0958-7578; 1365-3148
• DOI: 10.1046/j.1365-3148.2001.00291.x

. The transfusion requirements of 2233 patients who underwent total hip or knee joint arthroplasty procedures at nine Canadian hospitals during 1995–1996 were evaluated. Although 64% of patients were eligible for participation in an autologous blood donation (ABD) programme, only 8% predonated blood. Patients who were eligible for ABD were younger (62 years vs. 70 years) and had fewer medical illnesses (18% vs. 44%) than those who did not predonate. The rate of allogeneic transfusion was 9·0% (95% confidence interval 4·9–13·1%) in patients who predonated as compared with 24·1% (95% confidence interval 22·2–25·9%) in those who did not. Risk factors for the occurrence of an allogeneic transfusion were type of procedure (primary or revision hip arthroplasty), lower baseline haemoglobin, lower body weight, older age and presence of rheumatoid arthritis (P