Year 2014, Volume 2014, Issue 2, Pages 149 - 153 2014-08-07

Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty

Mustafa Gökhan Bilgili [1] , Ersin Erçin [2] , Gökhan Peker [3] , Cemal Kural [4] , Serdar Hakan Başaran [5] , Altuğ Duramaz [6] , Cevdet Avkan [7]

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Background: Blood loss and replacement is still a controversial issue in major orthopaedic surgery. Allogenic blood transfusion may cause legal problems and concerns regarding the transmission of transfusion-related diseases. Cellsaver Systems (CSS) were developed as an alternative to allogenic transfusion but CSS transfusion may cause coagulation, infection and haemodynamic instability. Aims: Our aim was to analyse the efficiency and cost analysis of a cell saver auto-transfusion system in the total knee arthroplasty procedure. Study Design: Retrospective comparative study. Methods: Those patients who were operated on by unilateral, cemented total knee arthroplasty (TKA) were retrospectively evaluated. Group 1 included 37 patients who were treated using the cell saver system, and Group 2 involved 39 patients who were treated by allogenic blood transfusion. The groups were compared in terms of preoperative haemoglobin and haematocrit levels, blood loss and transfusion amount, whether allogenic transfusion was made, degree of deformity, body mass index and cost. Results: No significant results could be obtained in the statistical comparisons made in terms of the demographic properties, deformity properties, preoperative laboratory values, transfusion amount and length of hospital stay of the groups. Average blood loss was calculated to be less in Group 1 (p<0.05) and cost was higher in Group 1 (p<0.05). Conclusion: Cell saver systems do not decrease the amount of allogenic blood transfusion and costs more. Therefore, the routine usage of the auto-transfusion systems is a controversial issue. Cell saver system usage does not affect allogenic blood transfusion incidence or allogenic blood transfusion volume. It was found that preoperative haemoglobin and body mass index rates may affect allogenic blood transfusion. Therefore, it is foreseen that auto-transfusion systems could be useful in patients with low haemoglobin level and body mass index.
Cell saver system, cost, total knee arthroplasty
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Primary Language tr
Journal Section Articles
Authors

Author: Mustafa Gökhan Bilgili

Author: Ersin Erçin

Author: Gökhan Peker

Author: Cemal Kural

Author: Serdar Hakan Başaran

Author: Altuğ Duramaz

Author: Cevdet Avkan

Bibtex @ { bmj50495, journal = {Balkan Medical Journal}, issn = {2146-3123}, address = {Trakya University}, year = {2014}, volume = {2014}, pages = {149 - 153}, doi = {10.5152/balkanmedj.2014.13267}, title = {Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty}, key = {cite}, author = {Bilgili, Mustafa Gökhan and Erçin, Ersin and Peker, Gökhan and Kural, Cemal and Başaran, Serdar Hakan and Duramaz, Altuğ and Avkan, Cevdet} }
APA Bilgili, M , Erçin, E , Peker, G , Kural, C , Başaran, S , Duramaz, A , Avkan, C . (2014). Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty. Balkan Medical Journal, 2014 (2), 149-153. DOI: 10.5152/balkanmedj.2014.13267
MLA Bilgili, M , Erçin, E , Peker, G , Kural, C , Başaran, S , Duramaz, A , Avkan, C . "Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty". Balkan Medical Journal 2014 (2014): 149-153 <http://dergipark.org.tr/bmj/issue/3781/50495>
Chicago Bilgili, M , Erçin, E , Peker, G , Kural, C , Başaran, S , Duramaz, A , Avkan, C . "Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty". Balkan Medical Journal 2014 (2014): 149-153
RIS TY - JOUR T1 - Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty AU - Mustafa Gökhan Bilgili , Ersin Erçin , Gökhan Peker , Cemal Kural , Serdar Hakan Başaran , Altuğ Duramaz , Cevdet Avkan Y1 - 2014 PY - 2014 N1 - doi: 10.5152/balkanmedj.2014.13267 DO - 10.5152/balkanmedj.2014.13267 T2 - Balkan Medical Journal JF - Journal JO - JOR SP - 149 EP - 153 VL - 2014 IS - 2 SN - 2146-3123- M3 - doi: 10.5152/balkanmedj.2014.13267 UR - https://doi.org/10.5152/balkanmedj.2014.13267 Y2 - 2019 ER -
EndNote %0 Balkan Medical Journal Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty %A Mustafa Gökhan Bilgili , Ersin Erçin , Gökhan Peker , Cemal Kural , Serdar Hakan Başaran , Altuğ Duramaz , Cevdet Avkan %T Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty %D 2014 %J Balkan Medical Journal %P 2146-3123- %V 2014 %N 2 %R doi: 10.5152/balkanmedj.2014.13267 %U 10.5152/balkanmedj.2014.13267
ISNAD Bilgili, Mustafa Gökhan , Erçin, Ersin , Peker, Gökhan , Kural, Cemal , Başaran, Serdar Hakan , Duramaz, Altuğ , Avkan, Cevdet . "Efficiency and Cost Analysis of Cell Saver Auto Transfusion System in Total Knee Arthroplasty". Balkan Medical Journal 2014 / 2 (August 2014): 149-153. https://doi.org/10.5152/balkanmedj.2014.13267