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Archives of Orthopaedic and Trauma Surgery

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01-10-2008 | Orthopaedic Surgery

The utility of the perioperative autologous transfusion system OrthoPAT ^® in total hip replacement surgery: a prospective study

Authors: María Monte del Trujillo, Antonio Carrero, Manuel Muñoz

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2008

Abstract

Background

Total hip replacement (THR) is associated with a significant perioperative blood loss, and 30–50% of these patients receive allogeneic blood transfusion (ABT). We evaluated the clinical utility of washed shed blood (WSB) return to reduce ABT in THR patients.

Study design and methods

Data from 108 consecutive THR patients were prospectively collected. WSB salvage and reinfusion (OrthoPAT) was intended for 60 (Reinfusion group), whereas the remaining 48 patients served as control group. Patients received ABT if haemoglobin <8 g/dl or clinical signs and symptoms of acute anemia.

Results

WSB return was possible in 49 patients (205 ± 151 ml of erythrocyte/patient), without any clinically relevant incident. Return of WSB decreased both the ABT rate (48 vs. 15%, for control and reinfusion groups, respectively; P = 0.001) and the ABT index (371 ± 154 ml RBC vs. 53 ± 117 ml RBC, respectively; P = 0.001), without differences between cemented and uncemented THR. In addition, patients from reinfusion group showed a trend to lower postoperative infection rate (10 vs. 2%, respectively; P = 0.086).

Conclusions

Perioperative salvage and return of WSB in THR seems to effectively reduce the requirements for ABT. However, for patients with preoperative Hb < 13 g/dl, some additional blood saving method should be associated to WSB return.

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Title: The utility of the perioperative autologous transfusion system OrthoPAT ® in total hip replacement surgery: a prospective study
Authors: María Monte del Trujillo
Antonio Carrero
Manuel Muñoz
Publication date: 01-10-2008
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2008
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-007-0440-6

At a glance: The STEP trials

Springer Medicine

The utility of the perioperative autologous transfusion system OrthoPAT ^® in total hip replacement surgery: a prospective study

Abstract

Background

Study design and methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Study design and methods

Results

Conclusions

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