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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 7, 970-973.
doi: 10.1302/0301-620X.86B7.14682  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Pre-operative predictors of the requirement for blood transfusion following total hip replacement

J. Aderinto, MSc, MRCS, Specialist Registrar Orthopaedics Trauma; and I. J. Brenkel, FRCS, Consultant Orthopaedic Surgeon

Department of Orthopaedics, Queen Margaret Hospital, Whitefield Road, Dunfermline, Fife KY12 0SU, Scotland.

Correspondence should be sent to Mr J. Aderinto.

We have reviewed prospective data on 1016 patients who underwent unilateral total hip replacement to establish the pre-operative risk factors associated with peri-operative blood transfusion. Most patients who required transfusion were older and were of lower weight, height, pre-operative haemoglobin level and body mass index than patients who were not transfused.

Multivariate analysis revealed that only the pre-operative haemoglobin level and the patients weight were identified as significant independent factors increasing the need for transfusion (p < 0.001). A haemoglobin level below 12 g/dl was associated with a threefold increase in transfusion requirement.




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(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General