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Qual Saf Health Care 13:444-449 doi:10.1136/qhc.13.6.444
  • Quality improvement report

Effect of a flow chart on use of blood transfusions in primary total hip and knee replacement: prospective before and after study

Table 2

 Comparison between control and intervention period in terms of total joint replacement operations requiring blood transfusions, with crude and adjusted odds ratios for transfusions

Type of transfusion Control period Intervention period Odds ratio* (95% CI)
Crude Adjusted†
*Odds ratio <1 indicates that transfusions were administered less often during the intervention period compared with the control period.
†Adjusted for age, sex, presence of risk factors, preoperative haemoglobin concentrations, type of surgery, bilateral operation, type of anaesthesia, duration of operation, estimated intraoperative blood loss, and postoperative haemoglobin concentrations.
Allogeneic transfusions 79/226 44/222 0.46 (0.30 to 0.70) .0.20 (0.10 to 0.39)
Autologous transfusions 65/226 13/222 0.15 (0.08 to 0.29) 0.14 (0.06 to 0.33)
Any transfusions 135/226 55/222 0.22 (0.15 to 0.33) 0.07 (0.03 to 0.14)

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