Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?

Abstract Objective The present study aims to evaluate the efficacy of blood cell salvage (CS) as a method of reducing allogeneic blood transfusion in patients submitted to transtrochanteric femoral and hip surgeries due to injury. Methods Prospective cohort of 38 patients froma school hospital s...

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Main Authors: Nara Granja Nunes, José Alberto Alves Oliveira, Francisca Magna Prado Bezerra, Velma Dias do Nascimento, Danielle Maia Holanda Dumaresq, Manoel Cláudio Azevedo Patrocinio
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400377&lng=en&tlng=en
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author Nara Granja Nunes
José Alberto Alves Oliveira
Francisca Magna Prado Bezerra
Velma Dias do Nascimento
Danielle Maia Holanda Dumaresq
Manoel Cláudio Azevedo Patrocinio
author_facet Nara Granja Nunes
José Alberto Alves Oliveira
Francisca Magna Prado Bezerra
Velma Dias do Nascimento
Danielle Maia Holanda Dumaresq
Manoel Cláudio Azevedo Patrocinio
author_sort Nara Granja Nunes
collection DOAJ
description Abstract Objective The present study aims to evaluate the efficacy of blood cell salvage (CS) as a method of reducing allogeneic blood transfusion in patients submitted to transtrochanteric femoral and hip surgeries due to injury. Methods Prospective cohort of 38 patients froma school hospital submitted to hip or trochanteric surgeries and divided into two groups from August 2015 to February 2017. Patients with any malignancy or infectious condition were excluded from the study. Cell savage group (19 patients) received autologous blood using cell saver, whereas control group (19 patients) received just allogeneic blood, if needed. Red blood cell parameters, blood transfusion requirements, and clinical and surgical characteristics, such as age, gender, ASA scale and type of surgery, were compared both preoperatively and postoperatively. Data was processed in SPSS 20.0. Results There were no differences in the clinical parameters studied (age, gender and ASA scale). Red blood cell parameters on the first day postoperative were higher in the cell savage group (p < 0.05). No significant reduction of intraoperative and postoperative allogeneic blood transfusion requirements was found. Conclusion This study found that CS was not effective in reducing intraoperative and postoperative allogeneic blood transfusion requirements in patients submitted to transtrochanteric femoral and hip surgery.
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spelling doaj.art-fbf699e9b66d43e7a928f64c6c2d7d742024-02-02T03:19:28ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437854437738110.1055/s-0039-1693054S0102-36162019000400377Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?Nara Granja NunesJosé Alberto Alves OliveiraFrancisca Magna Prado BezerraVelma Dias do NascimentoDanielle Maia Holanda DumaresqManoel Cláudio Azevedo PatrocinioAbstract Objective The present study aims to evaluate the efficacy of blood cell salvage (CS) as a method of reducing allogeneic blood transfusion in patients submitted to transtrochanteric femoral and hip surgeries due to injury. Methods Prospective cohort of 38 patients froma school hospital submitted to hip or trochanteric surgeries and divided into two groups from August 2015 to February 2017. Patients with any malignancy or infectious condition were excluded from the study. Cell savage group (19 patients) received autologous blood using cell saver, whereas control group (19 patients) received just allogeneic blood, if needed. Red blood cell parameters, blood transfusion requirements, and clinical and surgical characteristics, such as age, gender, ASA scale and type of surgery, were compared both preoperatively and postoperatively. Data was processed in SPSS 20.0. Results There were no differences in the clinical parameters studied (age, gender and ASA scale). Red blood cell parameters on the first day postoperative were higher in the cell savage group (p < 0.05). No significant reduction of intraoperative and postoperative allogeneic blood transfusion requirements was found. Conclusion This study found that CS was not effective in reducing intraoperative and postoperative allogeneic blood transfusion requirements in patients submitted to transtrochanteric femoral and hip surgery.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400377&lng=en&tlng=enhip/surgeryfemoral fracturesblood transfusion, autologousblood transfusion
spellingShingle Nara Granja Nunes
José Alberto Alves Oliveira
Francisca Magna Prado Bezerra
Velma Dias do Nascimento
Danielle Maia Holanda Dumaresq
Manoel Cláudio Azevedo Patrocinio
Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
Revista Brasileira de Ortopedia
hip/surgery
femoral fractures
blood transfusion, autologous
blood transfusion
title Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
title_full Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
title_fullStr Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
title_full_unstemmed Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
title_short Is Intraoperative Blood Cell Salvage Effective in Hip Surgery?
title_sort is intraoperative blood cell salvage effective in hip surgery
topic hip/surgery
femoral fractures
blood transfusion, autologous
blood transfusion
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000400377&lng=en&tlng=en
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AT velmadiasdonascimento isintraoperativebloodcellsalvageeffectiveinhipsurgery
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