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- W3102915023 abstract "Abstract Background and objectives The “Patient Blood Management” (PBM) programmes have demonstrated their value in the continuous improvement of care practice, due to continuous systematic reviewing of results and their dynamic and multidisciplinary updating in accordance with new clinical evidence. Our goal is to demonstrate the effectiveness of simple protocols, applicable in second level hospitals. Patients and methods 702 patients undergoing scheduled arthroplasty from 2011 to 2018 were retrospectively analyzed. During this period, the evolution of transfusion rates and anaemia and bleeding management were recorded in the patients’ computerized clinical histories. Results Stages and transfusion rates were: Year 2011–2012, “Universal self-donation programme”: 62.4%; year 2013, “Optimization of preoperative haemoglobin and universal self-donation withdrawal”: 22.5%; year 2015, “Stopping the use of cell-savers and drains”: 13.2%; and year 2017, “Introduction of routine tranexamic acid”: 3.6%. A significant reduction in the transfusion rate and volume (p Conclusion A simple progressive and multidisciplinary PBM programme, with continued re-evaluation, has allowed a reduction in transfusion rates and average hospital stay." @default.
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- W3102915023 date "2020-11-01" @default.
- W3102915023 modified "2023-10-04" @default.
- W3102915023 title "Effect of the application of the “Patient blood management” programme on the approach to elective hip and knee arthroplasties" @default.
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- W3102915023 doi "https://doi.org/10.1016/j.medcle.2020.01.015" @default.
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