The role of intraoperative cell salvage system on blood management in major orthopedic surgeries: a cost-benefit analysis
| Autor: | Nezih Ziroğlu, Altuğ Duramaz, Mustafa Cevdet Avkan, Cemal Kural, Mustafa Gökhan Bilgili, Halil Nadir Öneş, Erdem Edipoğlu, Berhan Bayram |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Blood management Blood transfusion medicine.medical_treatment Cost-Benefit Analysis Cell saver 03 medical and health sciences Blood Transfusion Autologous Young Adult 0302 clinical medicine Blood loss medicine Humans Transplantation Homologous Orthopedics and Sports Medicine Blood Transfusion Orthopedic Procedures Young adult Aged Retrospective Studies Aged 80 and over 030222 orthopedics Intraoperative Care business.industry Retrospective cohort study Middle Aged Treatment Outcome Anesthesia Orthopedic surgery Surgery Female business Body mass index 030217 neurology & neurosurgery |
| Zdroj: | European journal of orthopaedic surgerytraumatology : orthopedie traumatologie. 28(5) |
| ISSN: | 1432-1068 |
| Popis: | The aim of this study was to compare the efficiency and cost of cell salvage systems with allogeneic blood transfusions in patients who had major elective orthopedic surgeries. Consecutive 108 patients who had intraoperative cell saver (CS) performed routinely constitute the study group. In control group, consecutive 112 patients who were operated without intraoperative CS were investigated. Hemoglobin (Hb) level less than 8 mg/dL was regarded as the absolute transfusion indication. The patients were evaluated for age, gender, body mass index, operation period, mean intraoperative estimated blood loss (EBL), postoperative hemovac drainage volume; preoperative, postoperative first day and discharge Hb levels, allogeneic blood transfusion (ABT) volume, hospitalization and cost parameters. The mean intraoperative EBL was 507 mL in the study group and 576 mL in control group. The mean ABT was 300 mL in the study group and 715 mL in control group. In the study group, intraoperative EBL, ABT usage and hospitalization period were significantly lower compared with the control group (p = 0.009, p = 0.000 and p = 0.000; p |
| Databáze: | OpenAIRE |
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