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The investigators studied the benefit of preoperative autologous blood donation in participants who undergo total hip arthroplasty. Study is made as a prospective and randomized.
Total hip arthroplasty is procedure followed with large perioperative and postoperative blood loss. In order to avoid the application of large amounts of allogeneic blood, preoperative autologous blood donation as a tipe of autologous transfusion have been developed.
In this study, the investigators studied the benefit of preoperative autologous blood donation in participants who undergo total hip arthroplasty. Study is made as a prospective and randomized.
Participants were divided into three groups: the first group donated one dose of autologous blood 14 days preoperatively, the second group donated one dose of autologous blood 72 hours preoperatively and a third group was not donated autologous blood.
The blood parameters, hemodynamic stability, bleeding, the need for application of autologous or homologous blood and length of hospital stay were compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | Preoperative blood donations 14 day before total hip replacement procedure Donation of one dose of autologous blood 14 day before total hip replacement procedure |
|
| Active comparator | Active Comparator | Preoperative blood donation 72 hours before total hip replacement procedure Donation of one dose of autologous blood 72 hours before total hip replacement procedure |
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| Other | Other | Without preoperative blood donation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Preoperative autologous blood donation, 14 days before surgery | Procedure |
| ||
| Preoperative autologous blood donation, 72 hours before surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Patient red blood cells value | analysis of blood sample day before surgery, 3 hours after surgery, on first, second, fifth postoperative day and on sixth postoperative day | 6 days |
| Need for autologous blood transfusion | Based on blood count and hemodynamic stability | 6 days |
| Need for homologous blood transfusion | Based on blood count and hemodynamic stability | 6 days |
| Patient hemoglobin value | analysis of blood sample day before surgery, 3 hours after surgery, on first, second, fifth postoperative day and on sixth postoperative day | 6 days |
| Patient hematocrit value | analysis of blood sample day before surgery, 3 hours after surgery, on first, second, fifth postoperative day and on sixth postoperative day | 6 days |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | measure of length of hospital stay | 6 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Domagoj Delimar, MD | Clinical Hospital Centre Zagreb | Study Director |
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| Procedure |
|
| Without preoperative blood donation | Procedure |
|