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The efficacy and safety of postoperative retransfusion drain following total hip arthroplasty: a Meta-analysis / 中华外科杂志
Chinese Journal of Surgery ; (12): 108-113, 2016.
Artículo en Chino | WPRIM | ID: wpr-349223
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the effectiveness and safety of post-operative retransfusion drain(PRD) after total hip arthroplasty.</p><p><b>METHODS</b>A systematic literature review based on PubMed, EMBase, the Cochrane Library, China Biology Medicine disc, CNKI, VIP and WanFang Database in any language regarding PRD following total hip arthroplasty was performed.The data was evaluated using modified Jadad score and then analyzed using RevMan 5.2.</p><p><b>RESULTS</b>Nine randomized controlled trials totaling 1 824 patients, 913 patients in PRD group and 911 in control group, were eligible for data extraction and Meta-analysis.The results indicated that the use of PRD could reduce the requirement of allogeneic blood transfusion when compared with ordinary vacuum drainage (RR=0.61, 95% CI= 0.47-0.79), but the benefit was not found when compared with no drainage group(RR=1.07, 95% CI=0.67-1.71). And the postoperative hemoglobin level was higher in PRD group(MD=0.14, 95% CI=0.01-0.27, P=0.04). No significant difference was identified regarding transfusion index, length of hospital stay, the incidence of febrile reaction and wound-related complications.</p><p><b>CONCLUSIONS</b>PRD in reducing requirement of blood transfusion following THA is effective and safe when compared with ordinary vacuum drainage, but the benefit is not found when compared with no drainage.And more robust evidence is needed to confirm this result.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Periodo Posoperatorio / Transfusión Sanguínea / Ensayos Clínicos Controlados Aleatorios como Asunto / China / Drenaje / Artroplastia de Reemplazo de Cadera / Tiempo de Internación / Métodos Tipo de estudio: Ensayo Clínico Controlado / Estudio pronóstico / Revisiones Sistemáticas Evaluadas Límite: Humanos País/Región como asunto: Asia Idioma: Chino Revista: Chinese Journal of Surgery Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Periodo Posoperatorio / Transfusión Sanguínea / Ensayos Clínicos Controlados Aleatorios como Asunto / China / Drenaje / Artroplastia de Reemplazo de Cadera / Tiempo de Internación / Métodos Tipo de estudio: Ensayo Clínico Controlado / Estudio pronóstico / Revisiones Sistemáticas Evaluadas Límite: Humanos País/Región como asunto: Asia Idioma: Chino Revista: Chinese Journal of Surgery Año: 2016 Tipo del documento: Artículo