Predictors of blood transfusion following total knee replacement at a tertiary care center in Central Saudi Arabia

Authors

• Abdullah A. Al-Turki, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia
• Abdulaziz K. Al-Araifi, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia
• Bshaer A. Badakhan, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia
• Mohammed T. Al-Nazzawi, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia
• Suliman Alghnam, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia
• Abdulaziz S. Al-Turki, From the Department of Orthopedics (Al-Turki AA, Al-Turki AS), National Guard Hospital, King Abdullah International Medical Research Center (Alghnam), Riyadh, Ibn Sina National Medical College (Badakhan), Batterjee Medical College (Al-Nazzawi), Jeddah, College of Medicine (Al-Araifi), King Faisal University, Al-Ahsa, Kingdom of Saudi Arabia

Abstract

Objectives: To examine the incidence and predictors of blood transfusion following total knee replacement (TKR). Methods: A retrospective study on 462 patients of primary TKR at National Guard Hospital, Riyadh, Kingdom of Saudi Arabia. Descriptive statistics were compared by blood transfusion status and significant variables were further included in the multivariable model. Results: Overall transfusion rate following TKR was 35.3%. Regression analyses identified bilateral surgery, low preoperative hemoglobin (Hb) level, and high amount of blood loss as predictors of blood transfusion. Conclusion: Correction of Hb level prior to surgery, careful hemostasis, and avoiding bilateral surgery may reduce the rate of blood transfusion following TKR.

Article Type

Research Article

First Page

598

Last Page

603

Recommended Citation

Al-Turki, Abdullah A.; Al-Araifi, Abdulaziz K.; Badakhan, Bshaer A.; Al-Nazzawi, Mohammed T.; Alghnam, Suliman; and Al-Turki, Abdulaziz S. (2017) "Predictors of blood transfusion following total knee replacement at a tertiary care center in Central Saudi Arabia," Saudi Medical Journal: Vol. 38: Iss. 6, Article 5.
DOI: https://doi.org/10.15537/smj.2017.6.17475