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Pre-operative transfusions are associated with numerous post-operative complications in total hip arthroplasty.


ABSTRACT: Primary total hip arthroplasty (THA) is among the most common surgical procedures and known to potentially cause significant blood loss. In total, 74,814 patients from the National Surgical Quality Improvement Project Database were studied. Complications were divided into post-operative and non-operative complications. Pre-operative transfusion in THA patients was found to be an independent predictor of infection (OR: 5.41), pneumonia (OR: 2.66), failure to wean (OR: 13.84), urinary tract infection (OR: 3.42), cardiac arrest (OR: 5.83), and transfusion post-operatively (OR: 5.94). Future medical decisions in primary THA cases should entail a careful risk-benefit and close monitoring in order to prevent complications.

SUBMITTER: Sobrio SA 

PROVIDER: S-EPMC6411999 | biostudies-literature | 2019 May-Jun

REPOSITORIES: biostudies-literature

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Pre-operative transfusions are associated with numerous post-operative complications in total hip arthroplasty.

Sobrio Shane A SA   Johny Angeline A   Gu Alex A   Wei Chapman C   Jones Christopher C   Cohen Jordan S JS   Liu Jiabin J   Sculco Peter K PK  

Journal of orthopaedics 20190228 3


Primary total hip arthroplasty (THA) is among the most common surgical procedures and known to potentially cause significant blood loss. In total, 74,814 patients from the National Surgical Quality Improvement Project Database were studied. Complications were divided into post-operative and non-operative complications. Pre-operative transfusion in THA patients was found to be an independent predictor of infection (OR: 5.41), pneumonia (OR: 2.66), failure to wean (OR: 13.84), urinary tract infect  ...[more]

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