Evidence map›Paper›PMID 30187096›Full record

ArticleInternational orthopaedics2019

Blood loss and allogeneic transfusion for surgical treatment of periprosthetic joint infection: a comparison of one- vs. two-stage exchange total hip arthroplasty.

Ahmad Shoib Sharqzad, Camila Cavalheiro, Akos Zahar, Christian Lausmann, Thorsten Gehrke, Daniel Kendoff, Javad Parvizi, Mustafa Citak

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmad Shoib SharqzadHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany.ORCID 0000-0003-3207-7101
Camila CavalheiroHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany.
Akos ZaharHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany.
Christian LausmannHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany.
Thorsten GehrkeHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany.
Daniel KendoffHelios Klinikum Berlin-Buch, Department of Orthopaedic Surgery, Berlin, Germany.
Javad ParviziRothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Mustafa CitakHelios ENDO-Klinik Hamburg, Department of Orthopaedic Surgery, Holstenstraße 2, 22767, Hamburg, Germany. mustafa.citak@helios-gesundheit.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the current study was to compare the blood loss and the need for allogeneic transfusion after one- and two-stage exchange arthroplasty for periprosthetic joint infection (PJI) of THA.

methodsWe performed a retrospective review of all patients undergoing either one-stage or two-stage septic exchange arthroplasty at two high-volume infection referral centres. The study cohort consists of 90 patients undergoing the two-stage and 184 patients the one-stage exchange arthroplasty. The difference between pre- and post-operative haemoglobin (Hb) and total blood loss as well as the allogeneic transfusion rate were compared between both groups.

resultsBoth procedures together of the two-stage septic exchange arthroplasty had higher intra-operative blood loss and allogeneic blood transfusion rate compared to the one-stage septic exchange arthroplasty group. However, among the patients of the two-stage group, there were more smokers and had worse physical status (ASA) and higher mortality risk (CCI) than patients in the one-stage group.

conclusionsTwo-stage septic revision of total hip arthroplasty has higher rates of blood loss and transfusion rates than one-stage revision. Therefore, the authors believe that blood loss rate, including its complications, should be considered when decision for the type of staged septic exchange is made.

Indexed as

Blood Loss, SurgicalBlood TransfusionAgedAged, 80 and overAnti-Bacterial AgentsArthritis, InfectiousArthroplasty, Replacement, HipFemaleHip ProsthesisHumansMaleMiddle AgedProsthesis-Related InfectionsReoperationRetrospective StudiesAnti-Bacterial AgentsAllogeneic blood transfusionBlood lossOne-stage exchangeTwo-stage exchange

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.