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Revista Médica del Uruguay

Print version ISSN 0303-3295On-line version ISSN 1688-0390

Abstract

PINTOS, Marcos et al. Restrictive transfusion strategy in orthopedics surgery. Rev. Méd. Urug. [online]. 2017, vol.33, n.4, pp.43-52. ISSN 0303-3295.

Major orthopedic surgery is the surgical solution proposed for patients who suffer from advanced arthrosis or for some cases of hip fracture

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Some of these patients will require blood and/or blood components transfusion before or after surgery. The approach to anemia in surgical patients may involve a liberal or a restrictive transfusion strategy, according to what each surgeon indicates, or observing the context of a restrictive protocol for blood replacement. The latter results in resource savings and in a reduction in the number of complications due to the administration of allogenic blood

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The study aims to compare the liberal transfusion strategy to the restrictive strategy

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498 patients were included in the study, 261 of which (52.4%) were treated within the liberal strategy in 2014, and 237 (47.6%) were treated according to a restrictive transfusion protocol in 2015

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A smaller number of individuals received blood transfusions and 55% less blood volumes were needed when the restrictive strategy was applied

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Ten cases of transfusion reaction arose, all of them involving fever, 8 in 2014 and 2 in 2015

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As to the functional evolution, no differences were found between the two groups

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According to our study, and according to the global literature consulted, the restrictive therapy strategy enables the same functional results with a lower risk for patients, and it saves resources for the system

Keywords : Blood transfusión; Majororthopedicsurgery; Anemia..

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