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St. Catherine University

Theses/Dissertations

2010

Anemia management

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Improving Systems Of Care To Manage Preoperative Anemia In Patients Who Elect To Have Total Hip Or Total Knee Replacement Surgery, Mary T. Hanlon Sinnen Dec 2010

Improving Systems Of Care To Manage Preoperative Anemia In Patients Who Elect To Have Total Hip Or Total Knee Replacement Surgery, Mary T. Hanlon Sinnen

Doctor of Nursing Practice Projects

Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are surgical procedures performed for painful, dysfunctional joints most often caused by osteoarthritis. These procedures are increasing in demand for not just the elderly, but young adults as well. They are elective procedures associated with a three to five gram decrease in hemoglobin postoperatively, considered a major blood loss. International research results, verified by analysis of a 228 patient sample from the system in this study, demonstrate that patients who enter these procedures with anemia are more likely to require postoperative blood transfusions. With a decreasing supply due to a shrinking …