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The study evaluates the patient related risk and predictive factors concerning perioperative homologous blood cell transfusion (erythrocyte concentrate ) in THA patients in one EndoCert max-certified orthopedic hospital in Germany.
A patient oriented preoperative decision-making algorithm (a personalised Patient Blood Management or pPBM App) will be developed as a new patient-safety blood-sparing strategy.
The aim is to increase the patient safety by using the pPBM App and to reach a more efficient management of resources.
Retrospective audit of 470 consecutive primary THA in 2013 and 2014
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| Measure | Description | Time Frame |
|---|---|---|
| Events and circumstances of Homologous Blood Transfusion (erythrocyte concentrate transfusion) | Multivariate analysis of predictive variables like age, sex, BMI, hip and belly circumference, chronic kidney disease, chronic cardio-vascular disease, chronic inflammatory disease, diabetes mellitus, cancer, ASA Score, cemented, hybrid or not cemented prosthesis, surgery duration, medication and hemoglobin level before surgery | participants will be followed for the duration of hospital stay, an expected average of 10 days |
| Measure | Description | Time Frame |
|---|---|---|
| pPBM Computer Simulation | Introducing the pPBM App as a safe blood-sparing strategy | participants will be followed for the duration of hospital stay, an expected average of 10 days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who electively underwent primary THA in 2013 and 2014
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| Name | Affiliation | Role |
|---|---|---|
| Ion-Andrei Popescu, MD | Krankenhaus der Barmherzigen Brüder Trier | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Krankenhaus der Barmherzigen Brüder Trier | Trier | Rhineland-Palatinate | 54292 | Germany |
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