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. 2016 Jan;31(1):11-4.
doi: 10.1016/j.arth.2015.07.040. Epub 2015 Aug 1.

A Patient Blood Management Program in Prosthetic Joint Arthroplasty Decreases Blood Use and Improves Outcomes

Terrence J Loftus  1 , Larry Spratling  1 , Barbara A Stone  2 , Liang Xiao  1 , David J Jacofsky  3
Affiliations

A Patient Blood Management Program in Prosthetic Joint Arthroplasty Decreases Blood Use and Improves Outcomes

Terrence J Loftus et al. J Arthroplasty. 2016 Jan.

Abstract

The objective of this study was to determine if a Patient Blood Management (PBM) program implemented for patients undergoing THA or TKA would result in a decrease in the percentage of patients transfused PRBCs and improve outcomes. Decision support, a key driver for this program, was built into the electronic medical record. This retrospective cohort study included 12,590 patients and demonstrated a 44% decrease in the percentage of patients transfused. This was associated with a significant reduction in complications, 30 day readmissions and HLOS. A PBM program for patients undergoing prosthetic joint arthroplasty for primary and revision total hip and knee arthroplasty results in fewer transfusions and is associated with improved outcomes.

Keywords: blood transfusion; hip arthroplasty; knee arthroplasty; outcomes; patient blood management; tranexamic acid.

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