• Vox sanguinis · Jan 1998

    Multicenter Study

    Transfusion practices in primary total joint replacements in Finland.

    • L Capraro.
    • Finnish Red Cross Blood Transfusion Service, Helsinki, Finland. leena.capraro@bts.redcross.fi
    • Vox Sang. 1998 Jan 1;75(1):1-6.

    Background And ObjectivesA multicenter survey was carried out in 11 Finnish hospitals to determine the prevailing transfusion practices in orthopedic surgery.Materials And MethodsThe records of 1,161 patients who had undergone primary total hip (THR) or knee replacement (TKR) were reviewed.ResultsAllogeneic red cells (RBC) were administered to 92% of the THR patients and to 84% of the patients undergoing TKR. Significant interhospital variation in RBC transfusion, from 2.4 to 4.1 units per patient in THR and from 1.8 to 2.8 units in TKR, was detected after adjustment for clinical and laboratory findings.ConclusionThe use of RBCs in orthopedic surgery was generous compared with reports from other European countries and the US. Each hospital's individual transfusion policy seemed to be a strong determinant of allogeneic blood use.

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