Post-operative retransfusion of unwashed filtered shed blood reduces allogenic blood demand in hip hemiarthroplasty in traumatic femoral neck fractures—a prospective randomized trial

Starlinger, Julia; Schmidt, R.; Machold, W.

doi:10.1007/s00264-016-3143-1

Cited by 2 publications

(1 citation statement)

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“…Many studies have confirmed the correlation between preoperative Hb levels and the risk of postoperative blood transfusion in THA. Starlinger et al's study classified preoperative Hb levels as an independent risk factor for predicting postoperative transfusion [ 20 ]. The lower the patient's preoperative RBC, Hb, and HCT, the worse their ability to compensate for intraoperative bleeding, and the higher their risk of perioperative anemia.…”

Section: Discussionmentioning

confidence: 99%

Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty

Li,

Jiang,

Zhao

et al. 2024

BMC Musculoskelet Disord

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Background Anemia is a common complication of total hip arthroplasty (THA). In this study, we evaluated the preoperative risk factors for postoperative anemia after THA and developed a nomogram model based on related preoperative and intraoperative factors. Methods From January 2020 to May 2023, 927 THA patients at the same medical center were randomly assigned to either the training or validation cohort. The correlation between preoperative and intraoperative risk factors and postoperative anemia after THA was evaluated using univariate and multivariate logistic regression analysis. A nomogram was developed using these predictive variables. The effectiveness and validation for the clinical application of this nomogram were evaluated using the concordance index (C-index), receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA). Results Through univariate and multivariate logistic regression analysis, 7 independent predictive factors were identified in the training cohort: Lower body mass index (BMI), extended operation time, greater intraoperative bleeding, lower preoperative hemoglobin level, abnormally high preoperative serum amyloid A (SAA) level, history of cerebrovascular disease, and history of osteoporosis. The C-index of the model was 0.871, while the AUC indices for the training and validation cohorts were 84.4% and 87.1%, respectively. In addition, the calibration curves of both cohorts showed excellent consistency between the observed and predicted probabilities. The DCA curves of the training and validation cohorts were high, indicating the high clinical applicability of the model. Conclusions Lower BMI, extended operation time, increased intraoperative bleeding, reduced preoperative hemoglobin level, elevated preoperative SAA level, history of cerebrovascular disease, and history of osteoporosis were seven independent preoperative risk factors associated with postoperative anemia after THA. The nomogram developed could aid in predicting postoperative anemia, facilitating advanced preparation, and enhancing blood management. Furthermore, the nomogram could assist clinicians in identifying patients most at risk for postoperative anemia.

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Section: Discussionmentioning

confidence: 99%

Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty

Li,

Jiang,

Zhao

et al. 2024

BMC Musculoskelet Disord

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Cell salvage for minimising perioperative allogeneic blood transfusion in adults undergoing elective surgery

Lloyd,

Geneen,

Bernhardt

et al. 2023

Cochrane Database of Systematic Reviews

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Post-operative retransfusion of unwashed filtered shed blood reduces allogenic blood demand in hip hemiarthroplasty in traumatic femoral neck fractures—a prospective randomized trial

Abstract: While only one third of trauma patients treated with an ABT device during HHA actually receive retransfusion, retransfused patients seem to significantly benefit from this treatment as reflected by a reduced pos-toperative RBC demand.

Cited by 2 publications

References 20 publications

Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty

Establishment and validation of a nomogram to predict postoperative anemia after total hip arthroplasty

Cell salvage for minimising perioperative allogeneic blood transfusion in adults undergoing elective surgery

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