Hemodynamics, fluids & transfusion
Hospital variation in quality indicators for patient blood management in total knee and hip arthroplasty: a retrospective cohort study
Authors' conclusion
Hospital adherence to guideline-recommended patient blood management care in total hip and knee arthroplasty was suboptimal and varied across centres.
Study context
- Population
- Primary total knee arthroplasty (TKA) and total hip arthroplasty (THA) procedures performed during 2021 across 39 hospitals in Spainpatient episodes, 33 hospitals
- Participants
- 8,561 participants
- Exposure
- TKA vs THA
- Outcome
- Hospital adherence to guideline-recommended PBM interventions (9 individual quality indicators; composite indicators cQI1 opportunity-based and cQI2 all-or-none)
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Adherence to PBM care
Proportion of analysed Patient Blood Management (PBM) interventions received
62%
Patients undergoing the full PBM pathway
12%
Observational data: associations, not effects.
Further findings
| Outcome | β (95% CI) | P value |
|---|---|---|
| Association of hospital cQI scores with adjusted total transfusion index (linear regression)Greatest association | −1.18 (−2.00 to −0.36) | P = 0.007 |
Association of hospital cQI scores with adjusted total transfusion index (linear regression)
- Higher hospital cQI scores associated with lower adjusted total transfusion index, both in TKA and THA
Original publication
Hospital variation in quality indicators for patient blood management in total knee and hip arthroplasty: a retrospective cohort study. Br J Anaesth. Published 25 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →