Engelsk titel: Autotransfusion in prosthetic hip surgery
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Författare:
Rossner S
Email: stephan.rossner@helse-sunnmore.no
Språk: Nor
Antal referenser: 12
Dokumenttyp:
Artikel
UI-nummer: 06051282
Sammanfattning
BACKGROUND : Homologous transfusion implies a risk for transmission of infectious diseases and transfusion reactions. The aim of the present study was to compare homologue transfusion with mechanical autotransfusion perioperatively in prosthetic hip surgery.
METHODS : 111 patients were included in the study; group 1: 29 patients operated between June 2001 and June 2002 (before using autotransfusion); group 2: 35 patients operated between September 2002 and March 2003 (using common autotransfusion); group 3: 47 patients operated after March 2003 (using common autotransfusion and salvaging of rinsing fluid).
RESULTS : Postoperative hemoglobin was significantly higher in group 3 (10,9 +/- 0.3 g/dl) than in group 2 (9,6 +/- 0.3 g/dl; p < 0.01) and group 1 (9,5 +/- 0,4 g/dl; p < 0.01). Amount of autologous erythrocyte concentrate in group 3 was significant higher than in group 2 (440 +/- 51 ml vs. 238 31 ml; p < 0.01). There were fewer patients in group 3 (9%) than in group 2 (29%; p < 0.04) and in group 1 (76%; < 0.01) who required homologous blood.
CONCLUSION : The use of perioperative blood collection and retransfusion significantly reduces homologue blood transfusion in prosthetic hip surgery.