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Archives of Orthopaedic and Trauma Surgery

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01-01-2014 | Orthopaedic Surgery

Ten-year follow-up on Dutch orthopaedic blood management (DATA III survey)

Authors: M. C. Struijk-Mulder, W. G. Horstmann, C. C. Verheyen, H. B. Ettema

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2014

Abstract

Introduction

Hip and knee arthroplasties are frequently complicated by the need for allogeneic blood transfusions. This survey was conducted to assess the current use of perioperative blood-saving measures and to compare it with prior results.

Materials and methods

All departments of orthopaedic surgery at Dutch hospitals were sent a follow-up survey on perioperative blood-saving measures, and data were compared to the results of two surveys conducted 5 and 10 years earlier.

Results

The response rate was 94 out of 108 departments (87 %). Most departments used erythropoietin prior to hip and knee replacements at the expense of preoperative autologous blood donation. The use of intraoperative autologous retransfusion in revision hip (56 vs. 54 %) as well as revision knee arthroplasty (26 vs. 24 %), was virtually unchanged. Postoperative autologous retransfusion is still used by the majority of departments after both primary arthroplasty and revision of hip (58/53 %) and knee (65/61 %).

Conclusions

Currently, just as in 2007, the majority of Dutch orthopaedic departments uses erythropoietin, normothermia and postoperative autologous retransfusion with hip and knee arthroplasty. Intraoperative retransfusion is used mainly with hip revision arthroplasty. Other effective blood management modalities such as tranexamic acid have not been widely implemented.

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Title: Ten-year follow-up on Dutch orthopaedic blood management (DATA III survey)
Authors: M. C. Struijk-Mulder
W. G. Horstmann
C. C. Verheyen
H. B. Ettema
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-013-1893-4

2024 ASCO Annual Meeting

Springer Medicine

Ten-year follow-up on Dutch orthopaedic blood management (DATA III survey)

Abstract

Introduction

Materials and methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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