Effect of the application of the “Patient blood management” programme on the approach to elective hip and knee arthroplasties

Marcos, Saioa Zalba; Martí, Inés Plaja; Caamaño, María Luisa Antelo; Garraza, Javier Martínez de Morentin; Rodríguez, Elena Martín; Azparren, Alicia Aranguren; López, Andrea Torres; Galbete, Arkaitz; Erce, José Antonio García

doi:10.1016/j.medcle.2020.01.015

Cited by 3 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Healthcare pathways have been increasingly used in patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) in recent years, improving aspects of postoperative recovery, shortening the length of hospital stay (LOS), 1 and facilitating the safety of these procedures in outpatient settings 2 . Reduced bleeding and red blood cell (RBC) transfusions due to the implementation of patient blood management (PBM) programs contribute to the improvement of these pathways 3 . PBM is a patient‐centred, systematic, evidence‐based, multidisciplinary approach to improve patient outcomes by managing and preserving a patient's own blood while promoting patient safety and empowerment 4 .…”

Section: Introductionmentioning

confidence: 99%

“…2 Reduced bleeding and red blood cell (RBC) transfusions due to the implementation of patient blood management (PBM) programs contribute to the improvement of these pathways. 3 PBM is a patient-centred, systematic, evidence-based, multidisciplinary approach to improve patient outcomes by managing and preserving a patient's own blood while promoting patient safety and empowerment. 4 Preoperative detection and management of anaemia is one of the most important aspects of PBM, and patients undergoing orthopaedic surgery should be allocated sufficient time to correct anaemia and haematinic deficits before surgery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Identification of the haemoglobin level associated with a lower risk of complications after total hip and knee arthroplasty

Abad‐Motos

Ripollés‐Melchor

Jericó

et al. 2023

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

Background: Preoperative anaemia is associated with poor outcomes in surgical patients, but the preoperative haemoglobin cut-off that determines lower morbidity in total knee arthroplasty (TKA) and total hip arthroplasty (THA) is not well established.Methods: Planned secondary analysis of data collected during a multicentre cohort study of patients undergoing THA and TKA in 131 Spanish hospitals during a single 2-month recruitment period. Anaemia was defined as haemoglobin <12 g dl À1 for females and < 13 g dl À1 for males. The primary outcome was the number of patients with 30-day in-hospital postoperative complications according to European Perioperative Clinical Outcome definitions and specific surgical TKA and THA complications.Secondary outcomes included the number of patients with 30-day moderate-tosevere complications, red blood cell transfusion, mortality, and length of hospital stay.Binary logistic regression models were constructed to assess association between preoperative Hb concentrations and postoperative complications, and variables significantly associated with the outcome were included in the multivariate model. The study sample was divided into 11 groups based on preoperative Hb values in an effort to identify the threshold at which increased postoperative complications occurred.Results: A total of 6099 patients were included in the analysis (3818 THA and 2281 TKA), of whom 8.8% were anaemic. Patients with preoperative anaemia were more likely to suffer overall complications (111/539, 20.6% vs. 563/5560, 10.1%, p < .001) and moderate-to-severe complications (67/539, 12.4% vs. 284/5560, 5.1%, p < .001). Multivariable analysis showed preoperative haemoglobin ≥14 g dl À1 was associated with fewer postoperative complications. Conclusion:Preoperative haemoglobin ≥14 g dl À1 is associated with a lower risk of postoperative complications in patients undergoing primary TKA and THA.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identification of the haemoglobin level associated with a lower risk of complications after total hip and knee arthroplasty

Abad‐Motos

Ripollés‐Melchor

Jericó

et al. 2023

Acta Anaesthesiol Scand

View full text Add to dashboard Cite

show abstract

“…Por ello, ahora más que nunca es el momento para llamar a la acción 10 y promover un plan nacional de patient blood management (PBM). No es cuestión de reducir el consumo de sangre, sino de optimizar su uso mientras se buscan los mejores resultados clínicos de manera eficiente 10 , 11 , 12 . La OMS ya urgió a todos los países, a sus autoridades sanitarias y poveedores de salud a su puesta en marcha en junio de 2010.…”

unclassified