+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cost effectiveness of blood substitution in elective orthopedic operations

Cost effectiveness of blood substitution in elective orthopedic operations

Acta Orthopaedica Scandinavica 62(5): 435-439

Cost effectiveness was compared between substitution with autologous blood, implying no risk of transmission of diseases, and homologous blood, with a definite risk of transmission. Primary and revision hip arthroplasties were included in this study, as well as scoliosis operations. The risk of contracting chronic non-A, non-B hepatitis (NANBH) was included in the calculations of the long-term economic consequences of a transmittable diseases. Our study showed that predonated blood alone, with a donation of up to four units, was the most suitable and cost-effective method for substitution of blood losses up to about 2.5-3 liters A combination of predonated blood and intraoperative autotransfusion was more suitable and less expensive for substituting blood losses of 2.5 liters or more. Homologous blood was the least cost-effective alternative considering the influence of non-A, non-B hepatitis.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 007165551

Download citation: RISBibTeXText

PMID: 1950486

DOI: 10.3109/17453679108996639

Related references

Comparing the cost-effectiveness of short orthopedic missions in elective and relief situations in developing countries. World Journal of Surgery 35(5): 951-955, 2011

Cost effectiveness of frozen autologous blood in elective surgery. Transfusion 36(9 Suppl. ): 10S, 1996

Cost-effectiveness of preoperative autologous blood donation for orthopedic and cardiac surgeries. American Journal of Medicine 101(2a): 38s-42s, 1996

Cost-effectiveness of routine blood type and screen testing before elective laparoscopy. Obstetrics and Gynecology 86(3): 346-348, 1995

Blood loss in orthopedic operations: comparative studies in 19 major orthopedic procedures utilizing radioisotope labeling and an automatic blood volume computer. Surgery 68(3): 489-491, 1970

Cost-effectiveness of blood transfusion and white cell reduction in elective colorectal surgery. Transfusion (bethesda). 35(9): 719-722, 1995

Could cost-effectiveness of postoperative shed blood salvage after elective knee arthroplasty be improved?. Transfusion 53(6): 1372-1373, 2013

Cost effectiveness of epoetin-alpha to augment preoperative autologous blood donation in elective cardiac surgery. Pharmacoeconomics 18(2): 161-171, 2000

Shed mediastinal blood transfusion after cardiac operations: a cost-effectiveness analysis. Annals of Thoracic Surgery 65(5): 1248-1254, 1998

Substitution of the "group-and-screen" for the full crossmatch in elective operations. Canadian Anaesthetists' Society Journal 30(6): 641-645, 1983

The importance of orthopedic substitution operations for the treatment of irreparable peripheral nerve paralyses. Medizinische Klinik 57: 627-634, 1962

Control of post operative infection in orthopedic surgery clinical and bacteriological findings in 2555 elective operations. Italian Journal of Orthopaedics & Traumatology 11(4): 455-466, 1985

The impact of autologous blood ordering and blood procurement practices on allogeneic blood exposure in elective orthopedic surgery patients. American Journal of Clinical Pathology 101(3): 354-357, 1994

Factors influencing the cost of elective colorectal operations. Journal of the Royal College of Surgeons of Edinburgh 25(4): 279-285, 1980