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Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty
Purpose This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA). Methods The shed blood re-transfusion system used was the cell saver...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2011-06, Vol.19 (6), p.926-931 |
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| cites | cdi_FETCH-LOGICAL-c402t-5ea540292d05e47e9522efbf53a36888d23a9b833683263cd0791ba4cd55ffae3 |
| container_end_page | 931 |
| container_issue | 6 |
| container_start_page | 926 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 19 |
| creator | Lee, Dae-Hee Padhy, Debabrata Lee, Soon-Hyuck Kim, Tae-Kwon Choi, Jungsoon Han, Seung-Beom |
| description | Purpose
This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA).
Methods
The shed blood re-transfusion system used was the cell saver system. Data from 146 cases were analyzed (73 patients with cell saver, 73 patients without cell saver).
Results
The ABT rate was similar in each group. The mean allogenic blood transfusion volume was similar for each group (CS = 214 ± 453 ml, non-CS = 288 ± 447 ml). The only factors correlated with allogenic blood transfusion use were low preoperative hemoglobin and low body mass index. Two patients in cell saver group experienced shivering after re-transfusion.
Conclusion
Shed blood re-transfusion provided no blood management benefits in computer-assisted primary TKA and is therefore recommended only for selected patients with low hemoglobin levels and low body mass index. |
| doi_str_mv | 10.1007/s00167-010-1228-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_876225887</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2350295361</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-5ea540292d05e47e9522efbf53a36888d23a9b833683263cd0791ba4cd55ffae3</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhoMo7rj6A7xI8OIpWvnqJEdZ_IIFD-q5SXdXu732JGMqLey_N8OMCoJ4ShX1vG9SeRl7KuGlBHCvCEB2ToAEIZXywt9jO2m0Fk4bd5_tIBglFNjugj0iugVopQkP2YUCL03XmR0bPt3gxIc154kXFLXERPNGS078UPKPZULiKfMBE85L5UviY94ftopFRKKFalMfyrKP5Y7XXOPKvyVEHku9KfmwRqp3j9mDOa6ET87nJfvy9s3nq_fi-uO7D1evr8VoQFVhMdpWBDWBReMwWKVwHmaro-6895PSMQxet0arTo8TuCCHaMbJ2nmOqC_Zi5Nve_j3Dan2-4VGXNeYMG_Ue9cpZb13_yc75xQED418_hd5m7eS2hpHSGvvQ2iQPEFjyUQF5_78I72E_hhUfwqqh2Pfgup90zw7G2_DHqffil_JNECdAGqj9BXLn5v_7foTHiqeVA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>867338899</pqid></control><display><type>article</type><title>Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty</title><source>Wiley</source><source>Springer Nature</source><source>SPORTDiscus</source><creator>Lee, Dae-Hee ; Padhy, Debabrata ; Lee, Soon-Hyuck ; Kim, Tae-Kwon ; Choi, Jungsoon ; Han, Seung-Beom</creator><creatorcontrib>Lee, Dae-Hee ; Padhy, Debabrata ; Lee, Soon-Hyuck ; Kim, Tae-Kwon ; Choi, Jungsoon ; Han, Seung-Beom</creatorcontrib><description>Purpose
This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA).
Methods
The shed blood re-transfusion system used was the cell saver system. Data from 146 cases were analyzed (73 patients with cell saver, 73 patients without cell saver).
Results
The ABT rate was similar in each group. The mean allogenic blood transfusion volume was similar for each group (CS = 214 ± 453 ml, non-CS = 288 ± 447 ml). The only factors correlated with allogenic blood transfusion use were low preoperative hemoglobin and low body mass index. Two patients in cell saver group experienced shivering after re-transfusion.
Conclusion
Shed blood re-transfusion provided no blood management benefits in computer-assisted primary TKA and is therefore recommended only for selected patients with low hemoglobin levels and low body mass index.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-010-1228-8</identifier><identifier>PMID: 20814664</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Arthritis ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - methods ; Blood Loss, Surgical - prevention & control ; Blood Transfusion, Autologous - methods ; Blood Transfusion, Autologous - statistics & numerical data ; Blood transfusions ; Body mass index ; Bone surgery ; Case-Control Studies ; Chi-Square Distribution ; Female ; Follow-Up Studies ; Hemoglobin ; Hemostasis, Surgical - methods ; Humans ; Joint replacement surgery ; Knee ; Knee Prosthesis ; Logistic Models ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Odds Ratio ; Orthopedics ; Preoperative Care - methods ; Reference Values ; Retrospective Studies ; Risk Assessment ; Surgeons ; Surgery, Computer-Assisted - adverse effects ; Surgery, Computer-Assisted - methods ; Transplantation, Homologous - methods ; Transplantation, Homologous - statistics & numerical data ; Treatment Outcome</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011-06, Vol.19 (6), p.926-931</ispartof><rights>Springer-Verlag 2010</rights><rights>Springer-Verlag 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-5ea540292d05e47e9522efbf53a36888d23a9b833683263cd0791ba4cd55ffae3</citedby><cites>FETCH-LOGICAL-c402t-5ea540292d05e47e9522efbf53a36888d23a9b833683263cd0791ba4cd55ffae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20814664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Dae-Hee</creatorcontrib><creatorcontrib>Padhy, Debabrata</creatorcontrib><creatorcontrib>Lee, Soon-Hyuck</creatorcontrib><creatorcontrib>Kim, Tae-Kwon</creatorcontrib><creatorcontrib>Choi, Jungsoon</creatorcontrib><creatorcontrib>Han, Seung-Beom</creatorcontrib><title>Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA).
Methods
The shed blood re-transfusion system used was the cell saver system. Data from 146 cases were analyzed (73 patients with cell saver, 73 patients without cell saver).
Results
The ABT rate was similar in each group. The mean allogenic blood transfusion volume was similar for each group (CS = 214 ± 453 ml, non-CS = 288 ± 447 ml). The only factors correlated with allogenic blood transfusion use were low preoperative hemoglobin and low body mass index. Two patients in cell saver group experienced shivering after re-transfusion.
Conclusion
Shed blood re-transfusion provided no blood management benefits in computer-assisted primary TKA and is therefore recommended only for selected patients with low hemoglobin levels and low body mass index.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Arthritis</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Blood Loss, Surgical - prevention & control</subject><subject>Blood Transfusion, Autologous - methods</subject><subject>Blood Transfusion, Autologous - statistics & numerical data</subject><subject>Blood transfusions</subject><subject>Body mass index</subject><subject>Bone surgery</subject><subject>Case-Control Studies</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemoglobin</subject><subject>Hemostasis, Surgical - methods</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Knee Prosthesis</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Orthopedics</subject><subject>Preoperative Care - methods</subject><subject>Reference Values</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Surgeons</subject><subject>Surgery, Computer-Assisted - adverse effects</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Transplantation, Homologous - methods</subject><subject>Transplantation, Homologous - statistics & numerical data</subject><subject>Treatment Outcome</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqFkU2LFDEQhoMo7rj6A7xI8OIpWvnqJEdZ_IIFD-q5SXdXu732JGMqLey_N8OMCoJ4ShX1vG9SeRl7KuGlBHCvCEB2ToAEIZXywt9jO2m0Fk4bd5_tIBglFNjugj0iugVopQkP2YUCL03XmR0bPt3gxIc154kXFLXERPNGS078UPKPZULiKfMBE85L5UviY94ftopFRKKFalMfyrKP5Y7XXOPKvyVEHku9KfmwRqp3j9mDOa6ET87nJfvy9s3nq_fi-uO7D1evr8VoQFVhMdpWBDWBReMwWKVwHmaro-6895PSMQxet0arTo8TuCCHaMbJ2nmOqC_Zi5Nve_j3Dan2-4VGXNeYMG_Ue9cpZb13_yc75xQED418_hd5m7eS2hpHSGvvQ2iQPEFjyUQF5_78I72E_hhUfwqqh2Pfgup90zw7G2_DHqffil_JNECdAGqj9BXLn5v_7foTHiqeVA</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Lee, Dae-Hee</creator><creator>Padhy, Debabrata</creator><creator>Lee, Soon-Hyuck</creator><creator>Kim, Tae-Kwon</creator><creator>Choi, Jungsoon</creator><creator>Han, Seung-Beom</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty</title><author>Lee, Dae-Hee ; Padhy, Debabrata ; Lee, Soon-Hyuck ; Kim, Tae-Kwon ; Choi, Jungsoon ; Han, Seung-Beom</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-5ea540292d05e47e9522efbf53a36888d23a9b833683263cd0791ba4cd55ffae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Arthritis</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Blood Loss, Surgical - prevention & control</topic><topic>Blood Transfusion, Autologous - methods</topic><topic>Blood Transfusion, Autologous - statistics & numerical data</topic><topic>Blood transfusions</topic><topic>Body mass index</topic><topic>Bone surgery</topic><topic>Case-Control Studies</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hemoglobin</topic><topic>Hemostasis, Surgical - methods</topic><topic>Humans</topic><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Knee Prosthesis</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Orthopedics</topic><topic>Preoperative Care - methods</topic><topic>Reference Values</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Surgeons</topic><topic>Surgery, Computer-Assisted - adverse effects</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Transplantation, Homologous - methods</topic><topic>Transplantation, Homologous - statistics & numerical data</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Dae-Hee</creatorcontrib><creatorcontrib>Padhy, Debabrata</creatorcontrib><creatorcontrib>Lee, Soon-Hyuck</creatorcontrib><creatorcontrib>Kim, Tae-Kwon</creatorcontrib><creatorcontrib>Choi, Jungsoon</creatorcontrib><creatorcontrib>Han, Seung-Beom</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Dae-Hee</au><au>Padhy, Debabrata</au><au>Lee, Soon-Hyuck</au><au>Kim, Tae-Kwon</au><au>Choi, Jungsoon</au><au>Han, Seung-Beom</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>19</volume><issue>6</issue><spage>926</spage><epage>931</epage><pages>926-931</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
This matched case-cohort retrospective study examined the effectiveness of shed blood re-transfusion in reducing the need for allogeneic blood transfusion in computer-assisted primary cemented total knee arthroplasty (TKA).
Methods
The shed blood re-transfusion system used was the cell saver system. Data from 146 cases were analyzed (73 patients with cell saver, 73 patients without cell saver).
Results
The ABT rate was similar in each group. The mean allogenic blood transfusion volume was similar for each group (CS = 214 ± 453 ml, non-CS = 288 ± 447 ml). The only factors correlated with allogenic blood transfusion use were low preoperative hemoglobin and low body mass index. Two patients in cell saver group experienced shivering after re-transfusion.
Conclusion
Shed blood re-transfusion provided no blood management benefits in computer-assisted primary TKA and is therefore recommended only for selected patients with low hemoglobin levels and low body mass index.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20814664</pmid><doi>10.1007/s00167-010-1228-8</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2011-06, Vol.19 (6), p.926-931 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | Wiley; Springer Nature; SPORTDiscus |
| subjects | Adult Aged Aged, 80 and over Analysis of Variance Arthritis Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods Blood Loss, Surgical - prevention & control Blood Transfusion, Autologous - methods Blood Transfusion, Autologous - statistics & numerical data Blood transfusions Body mass index Bone surgery Case-Control Studies Chi-Square Distribution Female Follow-Up Studies Hemoglobin Hemostasis, Surgical - methods Humans Joint replacement surgery Knee Knee Prosthesis Logistic Models Male Medicine Medicine & Public Health Middle Aged Odds Ratio Orthopedics Preoperative Care - methods Reference Values Retrospective Studies Risk Assessment Surgeons Surgery, Computer-Assisted - adverse effects Surgery, Computer-Assisted - methods Transplantation, Homologous - methods Transplantation, Homologous - statistics & numerical data Treatment Outcome |
| title | Shed blood re-transfusion provides no benefit in computer-assisted primary total knee arthroplasty |
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