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. 2012 Apr 3;470(9):2591–2598. doi: 10.1007/s11999-012-2320-9

Table 6.

Comparison of blood loss and transfusion requirements

Study Study design Number of patients Interaction Blood loss (mL) % patients who had transfusions Followup
Warwick et al. [30] Thromboprophylaxis Not described (14 days?)
THA 78 Enoxaparin 1207 1.65 units
RCT 78 Control 1231 1.47 units (% not available)
Francis. et al. [9] Thromboprophylaxis
THA 279 Warfarin 12 hours preoperative versus 1601 % patients who received transfusions not described 7 ± 2 days
RCT 271 dalteparin 2 hours preoperative 1600
Colwell et al. [5] Thromboprophylaxis
THA 176 Aprotinin 709 17% Not described (“analysed if at least one efficacy measurement”)
RCT 177 Control 957 32%
Hull et al. [13] Thromboprophylaxis 496 Dalteparin
2 hours preoperative
1512 Day 0 42% Not described (“central adjudication of safety events in our trial included all events from the commencement of surgery up to postoperative day 8”)
Days 1–8 43%
THA 487 12–24 hours postoperative 1503 Day 0 41%
Days 1–8 38%
RCT 489 Warfarin postoperative 1471 Day 0 38%
Days 1–8 28%
Walsh et al. [29] Risk for transfusion
Retrospective
THA
1034 LMWH and Coumadin® versus aspirin and foot pump 502 (perioperative, no drain?) 50% (RR 2.8 and 1.54) Reviewed retrospectively
Johansson et al. [15] Tranexamic acid
THA 47 Tranexamic acid 969 (8/47) 17% 6–8 weeks
RCT 53 Control 1324 (23/53) 43%
Borgen et al. [3] Timing of thromboprophylaxis Fragmin
THA 298 12 hours preoperative 1230 53% 6 months
Retrospective 301 6 hours postoperative 1084 35%
Current study Timing of thromboprophylaxis Fragmin
THA 40 12 hours preoperative versus 1081 30% 6 months
RCT 40 6 hours after start 1023 12.5%