Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 23752
HOW USEFUL IS THE INTRAOPERATIVE AUTOTRANSFUSION SYSTEM IN
TOTAL HIP ARTHROPLASTY? - A COMPARATIVE STUDY
Christos LYRTZIS, Lazaros OIKONOMIDIS, Mihail MPOZOGLOU, Miltiadis
AVRAMIDIS, Christos KRISTALLIS
Hospital Kilkis, Kilkis (GREECE)
This study evaluates how useful is the intraoperative autotransfusion system for total
hip arthroplasty. 82 patients, who were treated with total hip arthroplasty participated
in this study. We used postoperative autotransfusion system for all and in 24 patients
was used moreover intraoperative auto transfusion system. We evaluated the
preoperating values of hematocrit, haemoglobin, platelets and indicators of
coagulability and the quantities of transfusion with the intraoperative and
postoperative autotransfusion systems, the need of heterologous blood transfusion
and the hematocrit and haemoglobin values first and the fourth postoperative day.
Results The patients with the intraoperative auto transfusion system (Group A) were
transfused with 258,1 ml from this system, with 363,9 ml from the postoperative auto
transfusion system and 828,5 ml (2,37 U). The patients of (group B) were
transfused on average with 383,4 ml from the postoperative auto transfusion system
and 858,3 ml (2,46 U). The patients of the group A had better hematocrit and
haemoglobin values the first postoperative day (32,3/11,3), in comparison with the
group B (30,5/9,63), but similar values the fourth postoperative day. There were not
any complications during or after the blood transfusion. Conclusions According to
these results, the intraoperative autotransfusion system don’t decrease statistically
the needs of blood transfusion after total hip arthroplasty (p=0,872). The values of
hematocrit and haemoglobin the first postoperative day were statistically better (p