Abstract:
BACKGROUND:The aim of this study was to audit the blood transfusion practice throughout the Epworth Healthcare Hospitals for patients undergoing primary total hip replacement (THR). We determined if blood-saving techniques were having an impact on the risk of allogenic blood transfusion and which patients were at risk of receiving allogenic blood transfusion. METHODS:This study uses a retrospective audit of 787 patients who had undergone primary THR surgery at three Melbourne hospitals: Epworth Richmond, Epworth Eastern and Epworth Freemasons in 2010. Patient demographics, transfusion requirements and blood-conserving techniques were recorded. RESULTS:One hundred and eighty (23%) patients received allogenic blood transfusion and 18 (2.3%) patients received autologous blood transfusion. On multivariate analysis, preoperative anaemia (odds ratio (OR) 4.7, P < 0.0001), female gender (OR 3.1, P < 0.0001) and patient age (OR 1.07 per year of age increase, P < 0.0001) were shown to be significantly associated with higher risk of allogenic blood transfusion. Use of spinal anaesthetic was found to be associated with lower risk of transfusion (OR 0.6, P = 0.0180) compared with general anaesthetic alone. Cell saver, acute normovolaemic haemodilution and re-infusion drain tube usage did not have a significant impact on reducing the risk of allogenic blood transfusion. CONCLUSION:Identification of patients at risk of blood transfusion, correction of preoperative anaemia and a restrictive transfusion policy are important factors to consider in effective perioperative blood management.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Wong S,Tang H,de Steiger Rdoi
10.1111/ans.13048subject
Has Abstractpub_date
2015-06-01 00:00:00pages
461-5issue
6eissn
1445-1433issn
1445-2197journal_volume
85pub_type
杂志文章abstract:BACKGROUND:Interleukin-12 (IL-12) has been shown to enhance the cytotoxic activity of NK cells and CTL. IL-12 also acts as a growth factor for activated NK, T and NKT cells. The soluble HLA class I (sHLA-I) has been reported to bind a killer-cell inhibitory receptor, which is expressed on the NK cell, and its signals i...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2009.04947.x
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Tumour regression grade is gaining interest as a prognostic factor of patients undergoing neoadjuvant chemoradiotherapy and surgery for locally advanced rectal cancer. METHODS:A series of 68 consecutive patients with locally advanced rectal cancer treated by neoadjuvant chemoradiotherapy and surgery between...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16476
更新日期:2020-12-14 00:00:00
abstract::Although the published work in health care increasingly promotes aviation as a high-reliability industry to be emulated, there is little empirical research to justify equating the dynamics of health care's operating environment with that of aviation. This article examines some of the potential key areas of difference ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04619.x
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15263
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Haemorrhagic complication occurs in 5-16% of patients following pancreaticoduodenectomy (PD). We report an analysis of patients with post-PD bleed, to identify predictors of bleed, predictors of survival following bleed and the management of post-PD bleed. METHODS:Two hundred and eighteen patients with peri...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03212.x
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:The aim of our study was to identify the demographics and complications in elderly cervical spine injuries and predictive factors for surgery, complications and mortality. We hypothesized younger healthier patients were more likely to undergo surgical intervention. METHODS:A retrospective review of 225 cons...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14875
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Most public hospitals are receiving more referrals for first specialist assessment than they have capacity to see. Traditional priority categories are too broad for effective discrimination. In New Zealand (NZ) explicit prioritization is required by legislation and supported by the Medical Council of NZ. A n...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16002
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Low back pain (LBP) is a common occupational musculoskeletal complaint among health professionals. No research has quantified lumbar movement patterns in the surgical workplace, identifying 'at risk' behaviours with objective measures. This project aimed to identify lumbar movement patterns and change in LBP...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.14812
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia. METHODS:Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patien...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14787
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Pain is a personal, subjective experience. In the postoperative period, pain may be influenced by patient, pharmacological and environmental factors. In surgery the aim is to reduce pain in this period by educating patients and using adequate analgesia. The aim of the present study was to assess the effect o...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1046/j.1445-1433.2003.02576.x
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12496
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:A survey conducted in 1992 found that New Zealand orthopaedic surgeons relied on non-pharmacological methods of deep vein thrombosis prevention in most arthroplasty patients and almost all hip fracture patients. This survey was repeated in 1999 to ascertain whether this pattern of use had changed. METHODS:A...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2002.02404.x
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Nephron-sparing surgery is currently an accepted treatment for renal cell carcinomas in patients with bilateral tumours, solitary kidneys and when overall renal function is impaired or at risk from medical disease. Its role in patients with a normal contralateral kidney remains controversial. METHODS:The au...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract:INTRODUCTION:Acute suppurative thyroiditis and recurrent abscess formation due to third and fourth branchial anomalies typically present in children. However, thyroid abscesses in branchial anomalies may occur in adulthood as well. Failure to recognize and delayed drainage of a neck abscess may lead to a fulminant life...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12576
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Clinical decision making is a core competency of surgical practice, involving a continuous and evolving process of data interpretation and evaluation. The aim of this article is twofold. First, to recognize patient deaths where a clinical incident arose following unsatisfactory clinical decision making, dete...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14955
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Refractory ascites is a serious complication for patients with decompensated liver cirrhosis. Saphenous-peritoneal shunting is a possible surgical treatment for its relief, but tends to lead to higher groin infections. The purpose of the present paper was to determine whether a modified procedure could resol...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03315.x
更新日期:2005-03-01 00:00:00
abstract::Abraham Colles had the good fortune to describe the most common fracture about the wrist but, because its description was published in a provincial journal, it received little attention and was almost never referred to in his lifetime. The same can be said of Claude Pouteau who described the same fracture in another l...
journal_title:ANZ journal of surgery
pub_type: 历史文章,杂志文章
doi:10.1111/j.1445-2197.2005.03414.x
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:There is conflicting evidence regarding the oncological impact of anastomotic leak following colorectal cancer surgery. This study aims to test the hypothesis that anastomotic leak is independently associated with local recurrence and overall and cancer-specific survival. METHODS:Analysis of prospectively c...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13648
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Earlier studies have shown that abnormal levels of haemoglobin and platelets may be associated with worse post-operative outcomes. We aim to compare the rates of venous thromboembolism (VTE), anastomotic leak and other complications in patients post-colorectal resection with normal and abnormal levels of hae...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15918
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:In addition to conventional breast-conserving surgery (BCS), oncoplastic breast surgery (OBS) is an operation technique that strives simultaneously to increase oncological safety and patient's satisfaction. It is the combination of the best-proven techniques in plastic surgery with surgery for breast cancer....
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15245
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12502
更新日期:2015-04-01 00:00:00
abstract::Recurrent spontaneous haemarthrosis after knee arthroplasty occurs in less than 1% of cases, commonly thought to be the result of impingement of hypertrophic vascular synovium or fat pads, and exacerbated by anti-coagulation or anti-platelet therapy. Traditional treatment comprises an initial period of rest followed b...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2010.05244.x
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Caecal bascule is a rare condition characterized by the inferior pole of the caecum folding on a horizontal axis antero-superiorly towards the ascending colon, potentially causing obstruction. An unusual variant of volvulus, diagnosis is challenging due to its obscurity. We present the experience of an Austr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13898
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Previous publications have implied that the keystone flap provides mechanical benefits compared to primary closure. This has not been objectively demonstrated. METHODS:Elliptical defects were created in 'fresh-frozen' cadaveric specimens. Two approaches were used to investigate the potential mechanical bene...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14163
更新日期:2018-05-01 00:00:00
abstract::Abdominal wound dehiscence is a surgical catastrophe that can be attributed to patients or technical factors. The technical properties of the monofilament sutures and knots that are commonly used in abdominal closure are poorly understood. The aim of this study was to compare the tensile strength of monofilament sutur...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04394.x
更新日期:2008-03-01 00:00:00
abstract::Acquired tracheo-oesophageal fistula is a devastating condition, usually occurring as a late manifestation of oesophageal or other thoracic malignancies. In these cases palliation by placement of an oesophageal stent is the preferred option, but management of a large non-malignant fistula is more complex. In many pati...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04036.x
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Helicobacter pylori is believed to play an important role in the aetiology of gastric cancer. There is a great variability in seropositivity and histological frequency of H. pylori in gastric cancer. The present prospective study investigates the prevalence of H. pylori infection in gastric cancer patients u...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2001.02208.x
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Open cholecystectomy is still a fairly frequently performed operation worldwide, and is used where laparoscopic surgery has failed or is contraindicated, and where some surgeons do not operate laparoscopically for technical reasons. In developing countries laparoscopic cholecystectomy is costly and is availa...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1440-1622.2001.02046.x
更新日期:2001-02-01 00:00:00
abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12136
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Pathological complete response following neoadjuvant chemoradiotherapy (CRT) for locally advanced rectal cancer is associated with reduced local recurrence and improved long-term outcome. However, the prognostic value of a partial response, or of tumour regression in patients with metastatic disease, is less...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13394
更新日期:2017-12-01 00:00:00