Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty

Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Aims: Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system in the total knee arthroplasty procedure. Study Design: Retrospective comparative study. Methods: Those patients who were operated on by unilateral, cemented total knee arthroplasty (TKA) were retrospectively evaluated. Group 1 included 37 patients who were treated using the cell saver system, and Group 2 involved 39 patients who were treated by allogenic blood transfusion. The groups were compared in terms of preoperative haemoglobin and haematocrit levels, blood loss and transfusion amount, whether allogenic transfusion was made, degree of deformity, body mass index and cost. Results: No significant results could be obtained in the statistical comparisons made in terms of the demographic properties, deformity properties, preoperative laboratory values, transfusion amount and length of hospital stay of the groups. Average blood loss was calculated to be less in Group 1 (p<0.05) and cost was higher in Group 1 (p<0.05). Conclusion: Cell saver systems do not decrease the amount of allogenic blood transfusion and costs more. Therefore, the routine usage of the auto-transfusion systems is a controversial issue. Cell saver system usage does not affect allogenic blood transfusion incidence or allogenic blood transfusion volume. It was found that preoperative haemoglobin and body mass index rates may affect allogenic blood transfusion. Therefore, it is foreseen that auto-transfusion systems could be useful in patients with low haemoglobin level and body mass index.

Yazar Bilgili, Mustafa Gokhan
Ercin, Ersin
Peker, Gokhan
Kural, Cemal
Basaran, Serdar Hakan
Duramaz, Altug
Avkan, Cevdet
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2521
Tek Biçim Adres 10.5152/balkanmedj.2014.13267
Konu Başlıkları Cell saver system
cost
total knee arthroplasty
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı BALKAN MEDICAL JOURNAL
Dergi Cilt Bilgisi 31
Dergi Sayısı 2
Sayfalar 149 - 153
Yayın Yılı 2014
Eser Adı
[dc.title]
Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty
Yazar
[dc.contributor.author]
Bilgili, Mustafa Gokhan
Yazar
[dc.contributor.author]
Ercin, Ersin
Yazar
[dc.contributor.author]
Peker, Gokhan
Yazar
[dc.contributor.author]
Kural, Cemal
Yazar
[dc.contributor.author]
Basaran, Serdar Hakan
Yazar
[dc.contributor.author]
Duramaz, Altug
Yazar
[dc.contributor.author]
Avkan, Cevdet
Yayın Yılı
[dc.date.issued]
2014
Yayıncı
[dc.publisher]
AVES
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Aims: Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system in the total knee arthroplasty procedure. Study Design: Retrospective comparative study. Methods: Those patients who were operated on by unilateral, cemented total knee arthroplasty (TKA) were retrospectively evaluated. Group 1 included 37 patients who were treated using the cell saver system, and Group 2 involved 39 patients who were treated by allogenic blood transfusion. The groups were compared in terms of preoperative haemoglobin and haematocrit levels, blood loss and transfusion amount, whether allogenic transfusion was made, degree of deformity, body mass index and cost. Results: No significant results could be obtained in the statistical comparisons made in terms of the demographic properties, deformity properties, preoperative laboratory values, transfusion amount and length of hospital stay of the groups. Average blood loss was calculated to be less in Group 1 (p<0.05) and cost was higher in Group 1 (p<0.05). Conclusion: Cell saver systems do not decrease the amount of allogenic blood transfusion and costs more. Therefore, the routine usage of the auto-transfusion systems is a controversial issue. Cell saver system usage does not affect allogenic blood transfusion incidence or allogenic blood transfusion volume. It was found that preoperative haemoglobin and body mass index rates may affect allogenic blood transfusion. Therefore, it is foreseen that auto-transfusion systems could be useful in patients with low haemoglobin level and body mass index.
Açıklama
[dc.description]
WOS: 000338061900008
Açıklama
[dc.description]
PubMed: 25207187
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Cell saver system
Konu Başlıkları
[dc.subject]
cost
Konu Başlıkları
[dc.subject]
total knee arthroplasty
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2146-3123
ISSN
[dc.identifier.issn]
2146-3131
İlk Sayfa Sayısı
[dc.identifier.startpage]
149
Son Sayfa Sayısı
[dc.identifier.endpage]
153
Dergi Adı
[dc.relation.journal]
BALKAN MEDICAL JOURNAL
Dergi Sayısı
[dc.identifier.issue]
2
Dergi Cilt Bilgisi
[dc.identifier.volume]
31
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5152/balkanmedj.2014.13267
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2521
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Görüntülenme Sayısı ( Zaman Dağılımı )
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16
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 19:18
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transfusion allogenic patients haemoglobin auto-transfusion systems system amount preoperative groups deformity arthroplasty properties treated affect controversial Therefore higher Results results significant foreseen volume useful degree whether incidence routine calculated Average decrease hospital obtained length values
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