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Journal of Orthopaedics and Traumatology

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Open Access 01-09-2010 | Original Article

Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation

Authors: Devendra Mahadevan, Christopher Challand, Jonathan Keenan

Published in: Journal of Orthopaedics and Traumatology | Issue 3/2010

Abstract

Background

Revision total hip replacement (THR) is associated with increased blood loss and extended hospitalization.

Materials and methods

We reviewed 146 patients who underwent revision THR to identify predictors of blood loss, transfusion requirements, and length of hospitalization.

Results

Blood loss was greater with increasing age and in men. Femoral and dual-component revision and revision of cemented hip components were also associated with greater blood loss. Transfusion requirements were greater in patients who had lower preoperative hemoglobin concentration and in patients undergoing dual-component revision. Length of hospitalization was significantly increased in patients who received transfusion but less in patients who underwent isolated acetabular-component hip revision.

Conclusions

This study shows significantly greater blood loss in men, older patients, revision surgery of cemented implants, and dual-component revisions. More complex revision surgery and preoperative anemia are clearly associated with increased transfusion requirements and length of hospitalization. Identification and treatment of patients at higher risk of transfusion may guide likely transfusion requirements, shorten the length of hospitalization, and reduce the overall cost of treatment.

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Title: Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation
Authors: Devendra Mahadevan
Christopher Challand
Jonathan Keenan
Publication date: 01-09-2010
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 3/2010
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-010-0105-z

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Springer Medicine

Revision total hip replacement: predictors of blood loss, transfusion requirements, and length of hospitalisation

Abstract

Background

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusions

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