Blood Transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes
المؤلفون المشاركون
Memtsoudis, Stavros G.
Fleischut, Peter M.
Poultsides, Lazaros
Danninger, Thomas
Rasul, Rehana
Poeran, Jashvant
Mazumdar, Madhu
Stundner, Ottokar
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-01-21
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الطب البشري
تكنولوجيا المعلومات وعلم الحاسوب
الملخص EN
Background.
Various studies have raised concern of worse outcomes in patients receiving blood transfusions perioperatively compared to those who do not.
In this study we attempted to determine the proportion of perioperative complications in the orthopedic population attributable to the use of a blood transfusion.
Methods.
Data from 400 hospitals in the United States were used to identify patients undergoing total hip or knee arthroplasty (THA and TKA) from 2006 to 2010.
Patient and health care demographics, as well as comorbidities and perioperative outcomes were compared.
Multivariable logistic regression models were fitted to determine associations between transfusion, age, and comorbidities and various perioperative outcomes.
Population attributable fraction (PAF) was determined to measure the proportion of outcome attributable to transfusion and other risk factors.
Results.
Of 530,089 patients, 18.93% received a blood transfusion during their hospitalization.
Patients requiring blood transfusion were significantly older and showed a higher comorbidity burden.
In addition, these patients had significantly higher rates of major complications and a longer length of hospitalization.
The logistic regression models showed that transfused patients were more likely to have adverse health outcomes than nontransfused patients.
However, patients who were older or had preexisting diseases carried a higher risk than use of a transfusion for these outcomes.
The need for a blood transfusion explained 9.51% (95% CI 9.12–9.90) of all major complications.
Conclusions.
Advanced age and high comorbidity may be responsible for a higher proportion of adverse outcomes in THA and TKA patients than blood transfusions.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Danninger, Thomas& Rasul, Rehana& Poeran, Jashvant& Stundner, Ottokar& Mazumdar, Madhu& Fleischut, Peter M.…[et al.]. 2014. Blood Transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1050386
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Danninger, Thomas…[et al.]. Blood Transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes. The Scientific World Journal No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-1050386
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Danninger, Thomas& Rasul, Rehana& Poeran, Jashvant& Stundner, Ottokar& Mazumdar, Madhu& Fleischut, Peter M.…[et al.]. Blood Transfusions in Total Hip and Knee Arthroplasty: An Analysis of Outcomes. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-1050386
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1050386
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر