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2019-03-16

Llicència de publicació

, 2019
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/192613

Intraoperative Transfusion of Red Blood Cell Units Stored >14 Days is Associated with an Increased Risk of Prosthetic Joint Infection.

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Recurs relacionat

https://doi.org/10.7150/jbji.30001

Resum

Background: The aim of the present study was to evaluate the association between prosthetic joint infection (PJI) after joint arthroplasty and the length of red blood cell (RBC) storage, timing of RBC transfusion, and the number of RBC units transfused. Study design and Methods: All patients who underwent a primary or revision joint artrhoplasty between January 2000 and December 2012 were retrospectively reviewed. For this study, only patients who received RBC transfusions during the day of the surgery (early transfusion group) or within the first 4 days after surgery (late transfusion group) were included. Results: A total of 9906 patients were reviewed. In the early transfusion group (n=1153, 11.6%), patients receiving 1 or 2 RBC units (3.5% vs 6.3%, P=0.041), 3 or 4 RBC (1.3% vs 13.3%, P=0.004) or ≥5 RBC units (5.0% vs 37.5%, P=0.026) had a higher PJI rate only when >50% of RBC units transfused had been stored >14 days. In the late transfusion group (n=920, 9.3%) these differences were not significant. Early transfusion of RBCs stored >14 days was an independent variable associated with an increased risk of PJI (OR:2.50, 95%CI:1.44-4.33) Conclusion: Transfusion of RBC within the first 6h after joint arthroplasty was an independent variable associated with PJI risk when RBC units are stored >14 days. The rate of PJI increased with the number of old RBC units transfused within this critical period.

Matèries

Articulacions, Artroplàstia, Pròtesis, Infeccions, Cèl·lules sanguínies, Transfusió de sang, Conservació de la sang

Matèries (anglès)

Joints, Arthroplasty, Prosthesis, Infections, Blood cells, Blood transfusion, Blood preservation

Citació

Col·leccions

Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques)

Citació

TORNERO, Eduard, PEREIRA, Arturo, BASORA MACAYA, Misericordia, LOZANO, Luis, MORATA, Laura, MUÑOZ MAHAMUD, Ernesto, COMBALÍA ALEU, Andrés, SORIANO VILADOMIU, Alex. Intraoperative Transfusion of Red Blood Cell Units Stored >14 Days is Associated with an Increased Risk of Prosthetic Joint Infection.. _Journal Bone Joint Infecion_. 2019. Vol. 4, núm. 2, pàgs. 85-91. [consulta: 26 de febrer de 2026]. ISSN: 2206-3552. [Disponible a: https://hdl.handle.net/2445/192613]

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