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Table 7 Factors affecting blood transfusion/blood loss in TKA

From: Efficacy and cost-effectiveness of universal pre-operative iron studies in total hip and knee arthroplasty

Total knee arthroplasty data

OR/estimate (95% CI)

Comparison P value

Global P value

Bivariate analysisa

 Previous iron transfusion

13 (3, 56)

 

0.0007

Multivariable analysis for outcome: blood transfusiona

 Late pre-operative haemoglobin

0.80 (0.70, 0.91)a

 

0.0010

Multivariable analysis for outcome: blood loss

 Type of anaesthesia

  

0.0111

  Spinal/GA vs GA

−111.4 (−185.6, −37.4)

0.0032

 

  Spinal vs GA

−71.3 (−135.2, −7.5)

0.0286

 

 Anticoagulants

  

<.0001

  0 vs 2b

−274 (−417, −130)

0.0002

 

  0 vs 3b

−232.7 (−403.0, −62.5)

0.0074

 

Multivariable analysis for outcome: haemoglobin drop

 BMI

−0.02 (−0.04, 0.0)

 

0.0120

 Gender (male vs female)

−0.35 (−0.56, −0.15)

 

0.0007

 Anticoagulants

  

0.0288

  0 vs 2b

−0.67 (−1.26, −0.08)

0.0249

 

  1 vs 2b

−1.44 (−2.41, −0.48)

0.0034

 

 Late pre-operative haemoglobin

0.02 (0.01, 0.03)

 

<.0001

  1. aBinary logistic regression – odds ratio (95% confidence interval); modelling the probability that blood transfusion = ‘Yes’
  2. bAnti coag (0 = Clexane, 1 = aspirin, 2 = warfarin, 3 = all others [rivaroxaban, apixaban])