National Trends in the Utilization of Blood Transfusions in Total Hip and Knee Arthroplasty

被引:55
|
作者
Yoshihara, Hiroyuki [1 ,2 ]
Yoneoka, Daisuke [3 ]
机构
[1] NYU Hosp Joint Dis, Dept Orthopaed Surg, New York, NY USA
[2] SUNY Downstate Med Ctr, Dept Orthopaed Surg, Brooklyn, NY 11203 USA
[3] Grad Univ Adv Studies, Sch Adv Sci, Dept Stat Sci, Tachikawa, Tokyo, Japan
来源
JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 10期
关键词
blood transfusion; total hip arthroplasty; total knee arthroplasty; trend; Nationwide Inpatient Sample; PREOPERATIVE AUTOLOGOUS DONATION; ELECTIVE ORTHOPEDIC-SURGERY; JOINT ARTHROPLASTY; ALLOGENEIC BLOOD; CELL TRANSFUSION; TRANEXAMIC ACID; EPOETIN-ALPHA; SHED BLOOD; CONSERVATION; MANAGEMENT;
D O I
10.1016/j.arth.2014.04.029
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are among the most common surgical procedures that necessitate blood transfusion. The purpose of this study was to examine the trends in the utilization of blood transfusions in THA and TKA in the US from 2000 to 2009 by analyzing the Nationwide Inpatient Sample (NIS). During the last decade, the allogeneic blood transfusion (ALBT) rate increased (THA: 11.2% to 19.1%, TKA: 7.7% to 12.4%), whereas the predonated autologous blood transfusion (PR-ABT) rate decreased (THA: 7.7% to 3.9%, TKA: 6.1% to 2.4%) in primary unilateral THA and TKA patients in US hospitals. Overall blood transfusion rates remained stable over time in primary unilateral THA and TKA patients. (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1932 / 1937
页数:6
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