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.
Article
Dans Chinois
| 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>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Période postopératoire
/
Transfusion sanguine
/
Essais contrôlés randomisés comme sujet
/
Chine
/
Drainage
/
Arthroplastie prothétique de hanche
/
Durée du séjour
/
Méthodes
Type d'étude:
Essai clinique contrôlé
/
Étude pronostique
/
Revues systématiques évaluées
Limites du sujet:
Humains
Pays comme sujet:
Asie
langue:
Chinois
Texte intégral:
Chinese Journal of Surgery
Année:
2016
Type:
Article
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