Allogeneic transfusion after predonation of blood for elective spine surgery

Kathleen F. Brookfield, Mark Brown, Steven M. Henriques, Frank A. Buttacavoli, Alison P. Seitz

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

The literature suggests preoperative autologous blood donation in total joint arthroplasty is associated with increased overall transfusion rates compared with nondonation and is not cost-effective for all patients. We asked whether the amount of intraoperative blood loss and blood replacement differs between autologous donors and nondonors in elective spine surgery and whether the rates of allogeneic blood transfusions differ between the two groups; we then determined the cost of wasted predonated units. We retrospectively reviewed 676 patients who underwent elective lumbar spine surgery and compared relevant data to that in a matched cohort of 51 patients who predonated blood and 51 patients who received only cell-saver blood and underwent instrumented spinal fusion. Patients who predonated blood had similar blood loss as patients who did not predonate, but they had more blood replacement (1391 cc compared with 410 cc). Patients who predonated blood also had a lower preoperative hemoglobin level and wasted a half unit of blood on average. There was no major difference in allogeneic blood transfusion rates between the two groups. Our data suggest for short, instrumented lumbar fusion surgeries in patients with a normal coagulation profile, preoperative blood donation is not beneficial. Level of Evidence: Level II, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)1949-1953
Number of pages5
JournalClinical Orthopaedics and Related Research
Volume466
Issue number8
DOIs
StatePublished - Aug 1 2008

Fingerprint

Spine
Blood Donors
Blood Transfusion
Costs and Cost Analysis
Spinal Fusion
Arthroplasty
Blood Cells
Hemoglobins
Joints
Tissue Donors
Guidelines

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Allogeneic transfusion after predonation of blood for elective spine surgery. / Brookfield, Kathleen F.; Brown, Mark; Henriques, Steven M.; Buttacavoli, Frank A.; Seitz, Alison P.

In: Clinical Orthopaedics and Related Research, Vol. 466, No. 8, 01.08.2008, p. 1949-1953.

Research output: Contribution to journalArticle

Brookfield, Kathleen F. ; Brown, Mark ; Henriques, Steven M. ; Buttacavoli, Frank A. ; Seitz, Alison P. / Allogeneic transfusion after predonation of blood for elective spine surgery. In: Clinical Orthopaedics and Related Research. 2008 ; Vol. 466, No. 8. pp. 1949-1953.
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