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Preoperative autologous blood donation by elderly patients undergoing orthopaedic surgery
Author(s) -
Gandini G.,
Franchini M.,
De Gironcoli M.,
Giuffrida A.,
Bertuzzo D.,
Zanolla L.,
Ferro I.,
Regis D.,
Aprili G.
Publication year - 2001
Publication title -
vox sanguinis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.68
H-Index - 83
eISSN - 1423-0410
pISSN - 0042-9007
DOI - 10.1046/j.1423-0410.2001.00020.x
Subject(s) - medicine , surgery , donation , autologous blood , orthopedic surgery , arthroplasty , blood transfusion , blood management , hip replacement , economics , economic growth
Background and Objectives To assess the feasibility of a programme of predeposit in elderly patients undergoing elective orthopaedic surgery. Patients and Methods We retrospectively studied 789 elderly patient candidates (> 65 years of age) for orthopaedic surgery (total hip and knee replacement and spinal surgery), who were undergoing a programme of preoperative autologous blood donation (PABD) in our city hospital between January 1990 and December 1998. Results Six hundred and eighty‐eight patients (87·2%) were transfused with autologous blood; 128 (16·2%) also received allogeneic blood. Hip arthroplasty revision was characterized by the greatest blood consumption. The predeposit programme was discontinued in 96 patients (12·2%) because of the following complications: the onset of anaemia (11·0%); vasovagal reactions (0·5%); lack of venous access (0·4%); or cardiac complications (0·2%). No episodes of reaction to autologous transfusion were recorded. Conclusions Our study confirms the feasibility of PABD in elderly patients undergoing elective orthopaedic surgery.