Transfusion and revision arthroplasty

The incidence and risk factors for blood transfusion in revision shoulder arthroplasty: our institution’sexperience and review of the literature

The authors reviewed 566 consecutive revision shoulder procedures and found that 11.3% of patients required a transfusion. The transfusion rate was associated with age, operative time (5 hours vs >5 hours). diabetes, low preoperative hemoglobin level, and surgery on humeral component.

A previous study from the same institution found an 8.1% transfusion rate after primary shoulder arthroplasty, with a higher incidence of transfusion among women, patients with a lower preoperative
hemoglobin level and a preoperative diagnosis of sequelae of trauma or rheumatoid arthritis.

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