Comparison between autologous blood transfusion drainage and closed-suction drainage/no drainage in total knee arthroplasty: a Meta-analysis
10.3969/j.issn.1006-5725.2015.15.044
- VernacularTitle:全膝关节置换术后应用自体血回输装置有效性及安全性的Meta分析
- Author:
Kunhao HONG
;
Jianke PAN
;
Biqi PAN
;
Weiyi YANG
;
Jun LIU
;
Hui XIE
;
Da GUO
- Publication Type:Journal Article
- Keywords:
Knee arthroplasty;
Autologous blood transfusion;
Closed-suction;
Systematic review;
Meta-analysis
- From:
The Journal of Practical Medicine
2015;31(15):2545-2550
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical efficiency , safety and potential advantages of autologous blood transfusion (ABT) drains compared with the closed-suction/no drainage. Methods Pubmed, Embase, Cochrane Library, CBMdisc, CNKI, VIP and WANGFANG were searched comprehensively. The statistical anal-ysis was conducted by using the Cochrane Collaboration review Manager 5.3.5. Results The pooled data of seventeen RCTs including a total of 1 993 patients showed that the patients in the ABT drainage group might benefit from the low rate of blood transfusion [ 16 . 59% and 37 . 47%, OR: 0 . 28 ( 0 . 14 ~ 0 . 55 ); 13 . 05% and 16.91%, OR: 0.73 (0.47 ~ 1.13), respectively]. The ABT drainage and the closed-suction drainage/no drainage have the similar clinical efficiency and safety length of hospital stay and wound infection on days 3 post-operative haemoglobin. Conclusion This systematic review provides the evidence that the ABT drainage offers a safe and efficient alternative to CS/no drainage with the lowered blood transfusion rate.
