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Is routine blood typing and screening necessary before primary total hip or knee arthroplasty in the 21st century?

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Blood loss warranting transfusion is a relatively rare complication of major‐joint arthroplasty procedures like total knee arthroplasty (TKA) and total hip arthroplasty (THA). Despite this rarity, pre‐transfusion testing (blood typing,… Click to show full abstract

Blood loss warranting transfusion is a relatively rare complication of major‐joint arthroplasty procedures like total knee arthroplasty (TKA) and total hip arthroplasty (THA). Despite this rarity, pre‐transfusion testing (blood typing, screening, and cross‐matching) has become routine. We sought to determine if such routine testing is necessary for patients who undergo a primary TKA or THA by (1) measuring the current rate of intraoperative transfusions in primary TKA and THA patients, (2) identifying risk factors for transfusions, and (3) calculating the costs of such blood typing and screening.

Keywords: typing screening; knee arthroplasty; total hip; blood typing; blood

Journal Title: Transfusion
Year Published: 2022

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