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 Release 24.0, April 2009
 
Chapter : ch5. Transfusion Medicine Section : Estimation of Blood Loss and Prediction of Blood Transfusion Needs
  Score of Larocque et al for Predicting Blood Transfusion in Knee or Hip Joint Arthroplasty

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Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The probability for needing a blood transfusion following total joint arthroplasty for the knee or hip can be estimated from certain clinical parameters. This can help especially in minimizing wastage of autologous units.

 

Predictor

Value

Points

hemoglobin in g/L

> 130

0

 

111 - 130

2

 

<= 110

3

weight in kilograms

> 100

0

 

81 - 100

1

 

<= 80

2

arthroplasty type

knee

0

 

hip

2

 

bilateral knee

3

 

bilateral hip

6

primary or revision surgery

primary

0

 

revision

2

 

predictive score =

= SUM(points for 4 predictors)

 

Interpretation:

• minimum score: 0

• maximum score: 13

• usual observed range: 0 to 10

 

Predictive Score

Group

Frequency of Blood Transfusion

<= 2

1

1.7%

3 or 4

2

11%

5, 6, 7

3

40%

>= 8

4

78.3%

 

  References:

Larocque BJ, Gilbert K, Brien WF. A point score system for predicting the likelihood of blood transfusion after hip or knee arthroplasty. Transfusion. 1997; 37: 463-467.

Lacocque BJ, Gilbert K, Brien WF. Prospective validation of a point score system for predicting blood transfusion following hip or knee replacement. Transfusion. 1998; 38: 932-937.

 

 

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