ABSTRACT
BACKGROUND: Due to shortage of blood as well as blood-associated risks, blood conservation programs should be implemented. PATIENTS AND METHOD: We compared the use of blood in 109 patients who were included in our program by their surgeons with that in 115 patients who were not recruited by them. RESULTS: Twenty percent of patients under the program were allo-transfused vs 41% in the other group (p < 0.001). A 67% reduction in homologus blood transfusion was achieved. CONCLUSIONS: The combination of blood conservation techniques can be useful to spare blood, especially in good condition patients or in those with moderate anemia.
Subject(s)
Blood Transfusion, Autologous , Erythropoietin/therapeutic use , Preoperative Care/methods , Blood Loss, Surgical , Elective Surgical Procedures/methods , Female , Humans , Intraoperative Care/methods , Male , Orthopedic Procedures/methods , Program Evaluation , Prospective Studies , Recombinant ProteinsABSTRACT
FUNDAMENTO: La sangre es un producto escaso y no exento de riesgos que se debe ahorrar. PACIENTES Y MÉTODO: Comparamos la frecuencia de transfusión en 109 pacientes remitidos al programa de ahorro de sangre (PAS) por sus cirujanos y 115 pacientes no remitidos por los suyos. RESULTADOS: El 20 per cent de los pacientes del PAS recibió transfusión homóloga, frente al 41 per cent de los pacientes no remitidos (p < 0,001). Se ahorró un 67 per cent de sangre homóloga. CONCLUSIONES: Las técnicas preoperatorias de ahorro de sangre pueden ser eficaces, sobre todo en pacientes en buen estado o con anemia moderada. (AU)
