Predictors of blood transfusion following total knee replacement at a tertiary care center in Central Saudi Arabia

OBJECTIVES: To examine the incidence and predictors of blood transfusion following total knee replacement (TKR). METHODS: A retrospective study on 462 patients of primary TKR at National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. Descriptive statistics were compared by blood transfusion status...

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Detalles Bibliográficos
Autores principales: Al-Turki, Abdullah A., Al-Araifi, Abdulaziz K., Badakhan, Bshaer A., Al-Nazzawi, Mohammed T., Alghnam, Suliman, Al-Turki, Abdulaziz S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Saudi Medical Journal 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541182/
https://www.ncbi.nlm.nih.gov/pubmed/28578438
http://dx.doi.org/10.15537/smj.2017.6.17475
Descripción
Sumario:OBJECTIVES: To examine the incidence and predictors of blood transfusion following total knee replacement (TKR). METHODS: A retrospective study on 462 patients of primary TKR at National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. Descriptive statistics were compared by blood transfusion status and significant variables were further included in the multivariable model. RESULTS: Overall transfusion rate following TKR was 35.3%. Regression analyses identified bilateral surgery, low preoperative hemoglobin (Hb) level, and high amount of blood loss as predictors of blood transfusion. CONCLUSION: Correction of Hb level prior to surgery, careful hemostasis, and avoiding bilateral surgery may reduce the rate of blood transfusion following TKR.

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