Blood saving program: A multicenter Italian experience

B. Borghi, G. Oriani, A. Bassi

Research output: Contribution to journalArticlepeer-review

Abstract

To assess the causes of failure in a blood saving program and the consequent need for homologous transfusions during major orthopedic surgery, data were collected from six orthopedic centers where an autotransfusion program was carried out from 1992-1994. The 1,576 (1,016 female and 560 male) patients studied (average age 63.6 ± 10 years) were treated either for total hip prosthesis (1,144 pts) total knee prosthesis (212 pts), plate and screw removal plus hip prosthesis (8 pts), hip revision (cup 48 pts, stem 10 pts, cup plus stem 146 pts) and total knee revision (8 pts). Ninety percent of patients did not undergo homologous transfusions, which was significantly connected to: male sex (8% versus 11.7% p = 0.02), younger age (63.2 vs 66.9 years, p = 0.0001), higher weight (male 76 vs 70.7 Kg. p = 0.003, female 65.6 vs 61.9 Kg. p = 0.0003); higher baseline Hb (13.9 vs 12.8 g/dl, p = 0.0041), shorter operation time (110 vs 128 minutes, p = 0.0001); use of indobufen for antithromboembolic prophylaxis (indobufen 4.6% vs heparin calcium 15.2% vs low molecular weight heparin 9% p = 0.0001). On the contrary, the factors favoring homologous transfusions were: peripheral anesthesia (spinal and epidural 15.3% vs general 9.3% vs integrated 9.8% p = 0.016), fetal hip or knee revision, fixation device removal before hip prosthesis, systemic hypertension and coronary, heart disease.

Original languageEnglish
Pages (from-to)150-158
Number of pages9
JournalInternational Journal of Artificial Organs
Volume18
Issue number3
Publication statusPublished - 1995

Keywords

  • Anaesthesia
  • Antithromboembolic prophylaxis
  • Autologous and allogenic transfusion
  • Hip and knee surgery

ASJC Scopus subject areas

  • Biophysics

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