Transfusion Rates in Total Hip Replacement Before/After the Implementation of a Patient Blood Management Program.

"Change in Transfusion Rates of Patients Undergoing Elective Total Hip Replacement Before/After the Implementation of a Peri-operative Patient Blood Management Program: a Retrospective Observational Study.

Retrospective observational study: impact of a peri-operative patient blood management program (PBM) on transfusion rates of patients undergoing elective hip replacement.

A Patient Blood Management (PBM) program was implemented in year 2019 in our institution: patient scheduled for elective total hip replacement underwent pre-operative screening about one month before surgery, and those with pre-operative hemoglobin < 13 g/dl were screened for possible causes and treatment of anemia.

Data from two different time frames, before and after the implementation of the program, were collected to study the change in clinical outcomes such as transfusion rates, length of stay, etc.

Inclusion Criteria:

• undergoing elective hip replacement in the selected time-frame
• American Society of Anesthesiology (ASA) status 1-2-3
• age >18

Exclusion Criteria:

• patients not undergoing screening as outpatients at pre-operative clinic