Transfusão sanguínea em artroplastia de quadril: a curva laboratorial hemática deve ser o único preditor da necessidade de transfusão?

Roth, Felipe; Birriel, Felipe Cunha; Barreto, Daniela Furtado; Boschin, Leonardo Carbonera; Gonçalves, Ramiro Zilles; Yépez, Anthony Kerbes; Silva, Marcelo Faria; Schwartsmann, Carlos Roberto

doi:10.1016/j.rbo.2012.11.006

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…43 Corroborating these data, in addition to the present study, another investigation showed great demand for transfusions in femur fracture repair surgeries. [15][16][17]25,30,44 When the Rate of Transfused Patients (IPT) recommended by the Fundação Hemominas is greater than 10%, the foundation's guidelines suggest placing prior surgical RCB concentrate orders. In the present study, this index was 35.5%, corroborating the premise that the surgical treatment of femur fractures requires blood orders for all patients.…”

Section: Discussionmentioning

confidence: 99%

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

Isidoro

Silva

Oliveira

et al. 2019

Texto contexto - enferm.

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Objective: to estimate the incidence of red blood cell concentrate orders in elective femur fracture repair surgeries and to identify predictors for hemotranfusion. Method: retrospective cohort study conducted with 271 patients submitted to femur fracture repair surgery between July 2013 and July 2016. Surgical and transfusion data were obtained from patient charts and the Transfusion Management System. Association between sociodemographic and clinical variables related to the surgical procedure and the occurrence of red blood cell concentrate transfusion was analyzed using descriptive statistics, the chi-squared test, relative risk, and odds ratio. Multivariate analysis was performed using binomial logistic regression. Results: the incidence of blood orders for patients undergoing femur fracture repair surgery was 87%. Ninety-one (33.6%) patients received red blood cell concentrate transfusions. Even though placing blood orders is recommended, given the possibility of intra- or postoperative transfusions, only 52 (47.2%) blood transfusions occurred in the preoperative period. The variables female sex, low preoperative hemoglobin levels and procedure lasting longer than 120 minutes presented statistical significance (p<0.05) and were considered predictors for hemototransfusion. Conclusion: Perioperative nursing must be aware of the importance of blood orders for all patients undergoing femur fracture repair surgery, including in the preoperative period, with special attention to patients who are female, previously anemic and submitted to long-lasting procedures.

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Section: Discussionmentioning

confidence: 99%

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

Isidoro

Silva

Oliveira

et al. 2019

Texto contexto - enferm.

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“…No entanto, estima-se que a taxa de transfusão nas cirurgias de artroplastia de quadril possam variar entre 33-74% dos pacientes operados. 33 Em relação à evolução clínica, somente 1,3% dos pacientes que realizaram ATQ evoluíram para óbito. Das ATQ e ATJ, 98,7% e 100,0%, respectivamente, receberam alta hospitalar, indo de encontro com a literatura.…”

Section: Discussionunclassified

Perfil clínico-epidemiológico dos pacientes em pós-operatório de artroplastia em um hospital do sul de Minas Gerais / Epidemiological clinical profile of patients in arthroplasty postoperative period in a hospital south of Minas Gerais

Rezende

Cortez

2017

Rev Cienc Saude

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Introdução: Conhecer a epidemiologia das artroplastias contribui para uma melhor assistência ao paciente, proporcionando medidas corretivas e preventivas das possíveis complicações. Objetivos: Traçar o perfil clínico-epidemiológico dos pacientes em pós-operatório (PO) de artroplastia em um Hospital do Sul de Minas Gerais. Métodos: Foi realizado um estudo observacional, retrospectivo e transversal a partir da análise de prontuários e exames complementares de pacientes submetidos à artroplastia de quadril e joelho no Hospital Escola da Faculdade de Medicina de Itajubá (HE/FMIt). Resultados: Houve prevalência do gênero feminino; a idade média foi de 69,1 anos; 93,6% eram brancos; 49,4% eram casados; 92,0% eram católicos. Em relação à artroplastia de quadril e joelho, respectivamente, 48,4% tiveram fratura de fêmur e 73,3% artrose; 83,4% foram submetidos à artroplastia total de quadril e 100,0% à artroplastia total de joelho; 82,2% e 100,0% utilizaram prótese cimentada; 91,1% internados de 5 a 10 dias e 86,7% internados de 1 a 5 dias; 42,7% negaram comorbidades e 66,7% tinham hipertensão arterial; 46,5% e 60,0% relataram dor, 5,1% apresentaram luxação e 80,0% sem complicações. Destaca-se que 100,0% dos pacientes não foram encaminhados à fisioterapia. Conclusão: Conclui-se que a organização e sistematização de dados são fundamentais para a promoção da segurança do paciente, prevenindo suas complicações e aumentando a sua qualidade de vida.Palavras-Chave: Perfil epidemiológico; Ortopedia; Artroplastia de quadril; Artroplastia de joelhoIntroduction: To know the epidemiology of arthroplasties is a way to contribute to better patient care, by providing corrective and preventive measures of possible complications. Aims: To describe the clinical-epidemiological profile of patients in the postoperative period (PO) of arthroplasty in a Hospital in the South of Minas Gerais State. Methods: An observational, retrospective and cross-sectional study was carried out and it was based on the analysis of charts and complementary exams of patients who underwent hip and knee arthroplasty at the School Hospital of the Medical School of Itajubá (HE/FMIt). Results: There was a prevalence of female gender; mean age was 69.1 years of age; 93.6% of the patients were Caucasian; 49.4% were married; 92.0% were catholic. Concerning hip and knee arthroplasty, 48.4% had a femur fracture and 73.3% had arthrosis; 83.4% underwent total hip arthroplasty and 100.0% underwent total knee arthroplasty; 82.2% and 100.0% used cemented prosthesis; 91.1% were hospitalized for 5 to 10 days and 86.7% hospitalized for 1 to 5 days; 42.7% denied comorbidities and 66.7% had arterial hypertension; 46.5% and 60.0% reported pain; 59.0% presented pain dislocation and 80.0% had no complications. It is highlighted that 100.0% of patients were not referred to physical therapy. Conclusion: It is concluded that the organization and systematization of data are fundamental for the promotion of patient safety, preventing complications and increasing their quality of life.Keywords: Epidemiological profile; Orthopedics; Hip arthroplasty; Knee arthroplasty

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Analysis of a large data set to identify predictors of blood transfusion in primary total hip and knee arthroplasty

Huang

Xie

et al. 2018

Transfusion

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Transfusão sanguínea em artroplastia de quadril: a curva laboratorial hemática deve ser o único preditor da necessidade de transfusão?

Cited by 3 publications

References 25 publications

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

Blood Orders and Predictors for Hemotransfusion in Elective Femur Fracture Repair Surgery

Perfil clínico-epidemiológico dos pacientes em pós-operatório de artroplastia em um hospital do sul de Minas Gerais / Epidemiological clinical profile of patients in arthroplasty postoperative period in a hospital south of Minas Gerais

Analysis of a large data set to identify predictors of blood transfusion in primary total hip and knee arthroplasty

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