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Intraoperative cell salvage is an important measure of patient blood management but its effectiveness in patients undergoing revision total hip arthroplasty remains unclear. Over the last decade, we have used intraoperative cell salvage systematically in this group of patients. However, since the use of cell salvage has a cost and requires additional resources, we decided to retrospectively investigate its usefulness in this particular indication.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Use | Patients in whom the cell saver was effectively used |
| |
| Not Use | Patients in whom the cell saver wasn't effectively used |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Use of Cell Salvage in revision of total hip arthroplasty | Procedure | The effective use of the cell saver was defined as the ability to re-transfuse at least 125 mL of re-suspended red blood cells with a hematocrit of 60 %. |
| Measure | Description | Time Frame |
|---|---|---|
| Cell savage use | The primary outcome was the proportion of patients in whom the cell saver was effectively used (%) | during the surgical procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Re-infused | Total volume of re-suspended blood re-infused (mL) | during the surgical procedure |
| Hemoglobin | Post-operative hemoglobin level (g/dL) |
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Inclusion Criteria:
Exclusion Criteria:
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Revision of arthroplasty was defined as the exchange of any component of the hip prosthesis.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Liège | Liège | 4000 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24412146 | Background | Greenky M, Shaner J, Rasouli MR, Han SB, Parvizi J, Hozack WJ. Intraoperative blood salvage in revision total hip arthroplasty: who benefits most? J Arthroplasty. 2014 Jun;29(6):1298-300. doi: 10.1016/j.arth.2013.12.009. Epub 2013 Dec 14. | |
| 32037522 | Background | Palmer AJR, Lloyd TD, Gibbs VN, Shah A, Dhiman P, Booth R, Murphy MF, Taylor AH, Kendrick BJL; collaborators. The role of intra-operative cell salvage in patient blood management for revision hip arthroplasty: a prospective cohort study. Anaesthesia. 2020 Apr;75(4):479-486. doi: 10.1111/anae.14989. Epub 2020 Feb 9. |
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| during the surgical procedure |
| Allogenic Transfusion | The need for allogenic blood transfusion (unit) | 7 days |
| Aspirated blood | The total volume of blood aspirated into the reservoir (mL) | during the surgical procedure |
| Fluid | The total amount of fluid infused (mL) | during the surgical procedure |
| 32810606 | Background | Rigal JC, Riche VP, Tching-Sin M, Fronteau C, Huon JF, Cadiet J, Boukhari R, Vourc'h M, Rozec B. Cost of red blood cell transfusion; evaluation in a French academic hospital. Transfus Clin Biol. 2020 Nov;27(4):222-228. doi: 10.1016/j.tracli.2020.08.002. Epub 2020 Aug 15. |
| 29898202 | Background | Goel R, Patel EU, Cushing MM, Frank SM, Ness PM, Takemoto CM, Vasovic LV, Sheth S, Nellis ME, Shaz B, Tobian AAR. Association of Perioperative Red Blood Cell Transfusions With Venous Thromboembolism in a North American Registry. JAMA Surg. 2018 Sep 1;153(9):826-833. doi: 10.1001/jamasurg.2018.1565. |
| 22037224 | Background | Walsh TS, Palmer J, Watson D, Biggin K, Seretny M, Davidson H, Harkness M, Hay A. Multicentre cohort study of red blood cell use for revision hip arthroplasty and factors associated with greater risk of allogeneic blood transfusion. Br J Anaesth. 2012 Jan;108(1):63-71. doi: 10.1093/bja/aer326. Epub 2011 Oct 27. |