Evidence map›Paper›PMID 31455380›Full record

Observational studyJournal of orthopaedic surgery and research2019

The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty.

Kai Song, Pin Pan, Yao Yao, Tao Jiang, Qing Jiang

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05627544 (Blood Transfusion Applications in Hip Replacements), which is not on this map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 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.

NCT05627544 completednot on this mapstarted 2022, after this paper: background citation

Blood Transfusion Applications in Hip Replacements: A Retrospective Study

TypeobservationalSponsorBaskent UniversityRan2022 to 2022Enrolled560ConditionsBlood Transfusion, Hip Replacement, Anesthesia ManagementArmsAnesthesia management/Hip replacement surgery, Demographic data, Chronic diseases, Postoperative complication
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 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

5 authors.

Kai SongDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China.
Pin PanDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China.
Yao YaoDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China.
Tao JiangDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China.
Qing JiangDepartment of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital, School of Medicine, Nanjing University, 321 Zhongshan Road, Nanjing, 210008, Jiangsu, People's Republic of China. qingj@nju.edu.cn.ORCID http://orcid.org/0000-0002-2552-9686

Funding

Fundamental Research Funds for the Central Universities 021414380306Jiangsu Provincial Key Research and Development Foundation BE2016608National Science Foundation of China 81702151Natural Science Foundation of Jiangsu Province BK20170121
6 · The paper itself

Abstract

backgroundExcessive blood loss in total joint arthroplasty (TJA) usually leads to an allogenic blood transfusion, which may cause adverse outcomes, prolonged length of hospitalization, and increased costs. The purpose of this study was to determine the incidence and risk factors for intraoperative and postoperative allogenic transfusion in patients undergoing primary unilateral total knee and hip arthroplasty (TKA and THA).

methodsWe conducted a retrospective study and enrolled consecutive patients undergoing primary unilateral TKA and THA at our institution between January 2010 and July 2014 (n = 1534). Information about allogenic transfusion was collected from medical records to determine the incidence. We performed univariate analysis and multivariate logistic regression analysis to identify the independent risk factors.

resultsTotal, intraoperative, and postoperative transfusion rates were 17.9%, 7.9%, and 11.3%, respectively. The preoperative lower level of hemoglobin (Hb) (P < 0.001) and increased amount of intraoperative blood loss (P < 0.001) were independently associated with transfusion in TKA. The independent risk factors for transfusion in THA were female (P = 0.023), preoperative lower Hb level (P < 0.001), prolonged operation time (P < 0.001), and increased intraoperative blood loss (P < 0.001).

conclusionsGiven the high prevalence and potential risk of transfusion in TJA, interventions for identified risk factors should be used during the perioperative period.

Indexed as

Blood Loss, SurgicalAdolescentAdultAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBlood Transfusion, AutologousFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsYoung AdultAllogenic blood transfusionPreoperative hemoglobin levelTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID31455380
PMCPMC6712778

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Registered trials

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.