The effect of preoperative donation of autologous blood on deep-vein thrombosis after total hip arthroplasty. Academic Article uri icon

Overview

abstract

  • We have assessed the effect of the donation of autologous blood and the preoperative level of haemoglobin on the prevalence of postoperative thromboembolism in 2043 patients who had a total hip arthroplasty. The level of haemoglobin was determined seven to ten days before surgery and all patients had venography of the operated leg on the fifth postoperative day. The number of patients who had donated autologous blood (1037) was similar to that who had not (1006). A significant decrease in the incidence of deep-vein thrombosis (DVT) was noted in those who had donated blood preoperatively (9.0%) compared with those who had not (13.5%) (p = 0.003). For all patients, the lower the preoperative level of haemoglobin the less likely it was that a postoperative DVT would develop. Of those who had donated blood, 0.3% developed a postoperative pulmonary embolism compared with 0.7% in those who had not, but this difference was not statistically significant. No significant difference was found in the requirements for transfusion between the two groups.

publication date

  • July 1, 2001

Research

keywords

  • Arthroplasty, Replacement, Hip
  • Blood Donors
  • Blood Transfusion, Autologous
  • Postoperative Complications
  • Venous Thrombosis

Identity

Scopus Document Identifier

  • 0034915772

Digital Object Identifier (DOI)

  • 10.1302/0301-620x.83b5.10560

PubMed ID

  • 11476304

Additional Document Info

volume

  • 83

issue

  • 5