Preoperative blood transfusion associated with increased length of stay and increased postoperative complications after revision total knee arthroplasty.

Gu, Alex; Maybee, Camilla M; Wei, Chapman; Probasco, William V; Ast, Michael P; Sculco, Peter K · J Orthop · 2019

retrospective_cohort · Level III

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Abstract

Currently, the impact of preoperative transfusion on postoperative morbidity following revision total knee arthroplasty (TKA) is unknown. A retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was performed and included patients who underwent revision TKAs. Postoperative complications were analyzed. A total of 6,849 patients were included. Patients who received a preoperative blood transfusion were found to have an increased risk of developing 3 of 17 adverse events. Although overall complication rates remain relatively low, orthopedic surgeons should counsel their patients on the implications of preoperative blood transfusions on post-operative outcomes.

Anatomy