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J Arthroplasty. 2004 Apr;19(3):281-7.

Risks associated with blood transfusion after total knee arthroplasty.

Author information

1
NYU-Hospital for Joint Diseases, Department of Orthopaedic Surgery, New York, New York, USA.

Abstract

A retrospective study of 1,402 patients who underwent primary total knee arthroplasty (TKA) (1,194 unilateral, 208 bilateral) was performed. The strongest predictors for allogenic transfusion after surgery were advancing age (P<.001), low preoperative hemoglobin (P<.001), and the use of low-molecular-weight heparin postoperatively (P<.01). Pre-donation of 1 unit of autologous blood before TKA decreased the allogenic transfusion rate from a baseline of 38% to 11%, whereas pre-donating 2 units lowered the rate of breakthrough transfusion of allogenic blood to 7%. A patient with a preoperative hemoglobin >150 g/L or who is younger than age 65 with a preoperative hemoglobin >130 g/L may not benefit from pre-donation, and a high rate of wastage may result.

PMID:
15067638
DOI:
10.1016/j.arth.2003.10.013
[Indexed for MEDLINE]

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