Transfusion Rates in Total Hip Replacement Before/After the Implementation of a Patient Blood Management Program. (pbm-hip)

Istituto Ortopedico Rizzoli

Status: Completed

Conditions: Iron-deficiency; Arthroplasty; Anemia (Diagnosis); Transfusion

Treatments: Combination Product: evaluation by transfusion medicine specialist

Study type: Observational

Funder types: Other

Identifiers

NCT04398238

346/2020/Oss/IOR

Details and patient eligibility

About

Retrospective observational study: impact of a peri-operative patient blood management program (PBM) on transfusion rates of patients undergoing elective hip replacement.

Full description

A Patient Blood Management (PBM) program was implemented in year 2019 in our institution: patient scheduled for elective total hip replacement underwent pre-operative screening about one month before surgery, and those with pre-operative hemoglobin < 13 g/dl were screened for possible causes and treatment of anemia.

Data from two different time frames, before and after the implementation of the program, were collected to study the change in clinical outcomes such as transfusion rates, length of stay, etc.

Enrollment: 400 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• undergoing elective hip replacement in the selected time-frame
• American Society of Anesthesiology (ASA) status 1-2-3
• age >18

Exclusion criteria

• patients not undergoing screening as outpatients at pre-operative clinic

Trial design

400 participants in 2 patient groups

Pre-PBM

Description:

patients screened for surgery before the implementation of PBM program: pre-operative evaluation and treatment according to usual care

post-PBM

Description:

patients screened for surgery after the implementation of PBM program (3 months allowed for training/optimization): all patients with pre-operative hemoglobin \< 13g/dl undergo screening for causes and treatment as needed.

Treatment:

Combination Product: evaluation by transfusion medicine specialist