Revision of Total Hip Arthroplasty
Conditions
Brief summary
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.
Interventions
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 %.
Sponsors
Study design
Eligibility
Inclusion criteria
* Eligible patients were adults undergoing elective aseptic revision of hip arthroplasty at the department of orthopedic surgery of the University Hospital of Liege between 01 January 2011 and 31 December 2020.
Exclusion criteria
* Patients undergoing revision for infection or with local malignancies were excluded from this study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cell savage use | during the surgical procedure | The primary outcome was the proportion of patients in whom the cell saver was effectively used (%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Re-infused | during the surgical procedure | Total volume of re-suspended blood re-infused (mL) |
| Hemoglobin | during the surgical procedure | Post-operative hemoglobin level (g/dL) |
| Allogenic Transfusion | 7 days | The need for allogenic blood transfusion (unit) |
| Aspirated blood | during the surgical procedure | The total volume of blood aspirated into the reservoir (mL) |
| Fluid | during the surgical procedure | The total amount of fluid infused (mL) |
Countries
Belgium