We introduced a multimodal, multidisciplinary approach to perioperative blood management aimed at reducing blood transfusions in primary knee (TKA) and hip (THA) arthroplasty. The protocol included (1) preoperative hemoglobin optimization through a multidisciplinary approach, (2) minimization of perioperative blood loss, and (3) adherence to evidence-based transfusion guidelines. Evaluation of 1010 consecutive patients undergoing primary TKA (488) or THA (522) was performed. A significant reduction in the overall transfusion rate (1.4% vs 17.9%, P<.0001) resulted after algorithm introduction, when compared with the 1814 previous patients. Zero (0%) TKA and 4 (0.8%) THA patients adherent to protocol, and 4/488 (0.8%) TKA and 10/522 (1.9%) THA patients overall received transfusions. Adoption of a multimodal blood management algorithm can significantly reduce blood transfusions in primary joint arthroplasty.
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 October 2015.
All research outputs
#17,766,793
of 26,872,864 outputs
Outputs from The Journal of Arthroplasty
#3,433
of 4,870 outputs
Outputs of similar age
#160,077
of 277,592 outputs
Outputs of similar age from The Journal of Arthroplasty
#30
of 46 outputs
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