| Title |
Perioperacinių transfuzijų dažnis atliekant planinį klubo ir kelio sąnario endoprotezavimą: žmogiškojo veiksnio įtakos įvertinimas / |
| Translation of Title |
Frequency of perioperative transfusions in elective total hip and knee arthroplasty: the influence of the human factor. |
| Authors |
Andrijauskas, Audrius ; Ivaškevičius, Juozas ; Kocius, Manvilius ; Porvaneckas, Narūnas ; Romanovienė, Jekaterina ; Anisko, Sergej |
| DOI |
10.15388/LietChirur.2008.3.2150 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2008, t. 6, Nr. 3, p. 208-215.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
anemia ; blood ; major orthopaedic surgery ; transfusion ; surgeon |
| Abstract [eng] |
Background Institutional practice guidelines and algorithms are conventionally used to unify decision-making in transfusion. Othervise, a high variablity in individual strategies should be expected. Objective The purpose of this retrospective study was to investigate the variability in transfusion frequency among surgical-anaesthetic teams before introduction of local guidelines for transfusion decision-making at our institution. More specifically, the influ- ence of the human factor on the frequency of perioperative transfusions was investigated. Methods The frequency of transfusions was studied among three groups of elective THA andTKA patients who were operated on and managed perioperatively by three surgical-anaesthetic teams lead by physicians with a similar expertise. The groups were also stratified according to the type of surgery and preoperative hemoglobin. Authors assumed that different frequency of perioperative transfusions among the corresponding sub-groups reflects the varying influence of the human factor. Consid- ering surgeon and anaesthestist as one and the investigation to cover the whole hospital stay, the study was supposed to evaluate the influence of the human factor that affects both surgical trauma and transfusion decision-making. All cases of elective THA and TKA made over two 3-month periods in 2005 and 2007 were analysed retrospectively. Results There was no statistically significant difference in the frequency of transfusions among the groups. The hypothesis that, in the same preoperative hemoglobin group, transfusion frequency is lower in patients who are treated by a team that makes more surgeries has not been proven. Conclusions The influence of the human factor on the frequency of perioperative transfusions was minimal in patients perioperatively treated by surgical-anaesthetic teams lead by physicians with a similar expertise. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2008 |
| CC license |
|
