| Efficiency of autologous blood donation in combination with a cell saver in bilateral total knee arthroplasty. | |
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MedLine Citation:
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PMID: 19083062 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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The increased blood loss and resulting need for allogenic blood has been a major concern of one-stage bilateral total knee arthroplasty (TKA). One hundred eighteen consecutive patients donating either 2 units (87 patients) or 3 units (31 patients) of autologous blood prior to one-stage bilateral TKA were retrospectively evaluated to determine: (1) how many patients received allogenic transfusion; (2) what percentage of autologous blood was wasted; and (3) whether donating 2 or 3 units of autologous blood before surgery is more cost-effective. Fifteen patients in the 2-units donation group (17.2%) and one patient in the 3-units donation group (3.2%) required allogenic blood transfusions. In the 2-units group, 37.9% of the patients wasted 21.8% of predonated autologous blood, and in the 3-units group, 64.5% of the patients wasted 32.3% of predonated autologous blood. The estimated cost for patients donating 2 or 3 units of blood was $1,814.17 and $1,996.10, respectively. Donating 2 units of autologous blood is more cost-effective; however, patients donating 3 units of blood required less allogenic blood. |
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Authors:
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Friedrich Boettner; Peter Sculco; Eric Altneu; Bülent Capar; Thomas P Sculco |
Publication Detail:
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Type: Journal Article Date: 2008-12-13 |
Journal Detail:
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Title: HSS journal : the musculoskeletal journal of Hospital for Special Surgery Volume: 5 ISSN: 1556-3316 ISO Abbreviation: HSS J Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-02-13 Completed Date: 2010-06-23 Revised Date: 2010-09-22 |
Medline Journal Info:
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Nlm Unique ID: 101273938 Medline TA: HSS J Country: United States |
Other Details:
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Languages: eng Pagination: 45-8 Citation Subset: - |
Affiliation:
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Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Boettnerf@hss.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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