Abstract | PURPOSE: MATERIALS AND METHODS: We utilized the Nationwide Inpatient Sample to analyze 51,191 patients undergoing TSA between 1998 and 2011. The purpose was to describe the incidence and identify the preoperative factors that are independently associated with blood transfusion after TSA. In addition, we studied the association of blood transfusions with certain variables such as length of stay (LOS), total charges, and payer status. RESULTS: The blood transfusion rate in our study was 6.1%. There was no difference in the rate of blood transfusions over the study period (P < 0.001). In our logistic regression model, significant associations were found with increased age (odds ratio [OR] =1.03), white race (OR = 1.05), higher Charlson-Deyo score (OR = 1.12), presence of ischemic heart disease (OR = 1.24), blood loss anemia (OR = 1.65), female gender (OR = 1.94), presence of coagulation disorders (OR = 2.25), and presence of deficiency anemia (OR = 3.5). Patients receiving a blood transfusion had higher total charges, a longer hospital LOS, and were more likely to be Medicare payers (P < 0.001). CONCLUSIONS: LEVEL OF EVIDENCE: Level II, retrospective cohort study, prognostic study.
|
Authors | Abdurrahman Kandil, Justin W Griffin, Wendy M Novicoff, Stephen F Brockmeier |
Journal | International journal of shoulder surgery
(Int J Shoulder Surg)
2016 Apr-Jun
Vol. 10
Issue 2
Pg. 72-7
ISSN: 0973-6042 [Print] South Africa |
PMID | 27186059
(Publication Type: Journal Article)
|