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Comparison between autologous blood transfusion drainage and closed-suction drainage/no drainage in total knee arthroplasty: a Meta-analysis / 实用医学杂志
The Journal of Practical Medicine ; (24): 2545-2550, 2015.
Article in Chinese | WPRIM | ID: wpr-477642
ABSTRACT
Objective To assess the clinical efficiency , safety and potential advantages of autologous blood transfusion (ABT) drains compared with the closed-suction/no drainage. Methods Pubmed, Embase, Cochrane Library, CBMdisc, CNKI, VIP and WANGFANG were searched comprehensively. The statistical anal-ysis was conducted by using the Cochrane Collaboration review Manager 5.3.5. Results The pooled data of seventeen RCTs including a total of 1 993 patients showed that the patients in the ABT drainage group might benefit from the low rate of blood transfusion [ 16 . 59% and 37 . 47%, OR 0 . 28 ( 0 . 14 ~ 0 . 55 ); 13 . 05% and 16.91%, OR 0.73 (0.47 ~ 1.13), respectively]. The ABT drainage and the closed-suction drainage/no drainage have the similar clinical efficiency and safety length of hospital stay and wound infection on days 3 post-operative haemoglobin. Conclusion This systematic review provides the evidence that the ABT drainage offers a safe and efficient alternative to CS/no drainage with the lowered blood transfusion rate.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Systematic reviews Language: Chinese Journal: The Journal of Practical Medicine Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Systematic reviews Language: Chinese Journal: The Journal of Practical Medicine Year: 2015 Type: Article