Next Article in Journal
Anti-Müllerian Hormone Levels among Female Firefighters
Previous Article in Journal
The Challenges of Treating Glucokinase MODY during Pregnancy: A Review of Maternal and Fetal Outcomes
Article

Transfusion Trends of Knee Arthroplasty in Korea: A Nationwide Study Using the Korean National Health Insurance Service Sample Data

1
Department of Orthopaedic Surgery, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea
2
Data Science Team, Hanmi Pharm. Co., Ltd., 550, Dongtangiheung-ro, Gyeonggi-do, Hwaseong-si 18469, Korea
3
The Center for Bloodless Medicine and Surgery and Patient Blood Management, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Korea
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editors: Paul B. Tchounwou, Vicenzo Denaro and Umile Giuseppe Longo
Int. J. Environ. Res. Public Health 2022, 19(10), 5982; https://doi.org/10.3390/ijerph19105982
Received: 11 March 2022 / Revised: 28 April 2022 / Accepted: 13 May 2022 / Published: 14 May 2022
Knee arthroplasties are strongly associated with blood transfusion to compensate for perioperative bleeding. The purpose of this study was to evaluate trends of transfusion associated with knee arthroplasties using nationwide data of the National Health Insurance Service-National Sample Cohort (NHIS-NSC). Using data from the nationwide claims database of the Health Insurance Review Assessment Service managed by the NHIS, 50,553 knee arthroplasties under three categories (total knee replacement arthroplasty, uni-knee replacement arthroplasty, and revision arthroplasty) from 2012 to 2018 were identified. Overall transfusion rate, transfusion count, proportion of each type of transfusion, and cost associated with each type of operation were investigated. Overall transfusion rate was 83.4% (5897/7066) in 2012, 82.7% (5793/7001) in 2013, 79.6% (5557/6978) in 2014, 75.9% (5742/7557) in 2015, 73.1% (6095/8337) in 2016, 68.2% (4187/6139) in 2017, and 64.6% (4271/6613) in 2018. The proportion of each type of transfusion was 1.8% for fresh frozen plasma, 0.5% for platelets, and 97.7% for red blood cells. The average cost of transfusion was $109.1 ($123 in 2012, $124 in 2013, $123.3 in 2014, $110.6 in 2015, $100 in 2016, $92.9 in 2017, and $90.1 in 2018). In this nationally representative study of trends in transfusion associated with knee arthroplasty, we observed significantly high rates of blood transfusion among patients undergoing knee arthroplasties. Although the overall rate of transfusion had declined, the allogeneic transfusion rate was still high from 2012 to 2018 in Korea. Thus, surgeons need to develop various patient blood management plans and minimize the use of allogeneic transfusion when performing knee arthroplasties. View Full-Text
Keywords: transfusion; trend; knee; arthroplasty; national health insurance service; big data transfusion; trend; knee; arthroplasty; national health insurance service; big data
Show Figures

Figure 1

MDPI and ACS Style

Suh, Y.-S.; Choi, H.-S.; Lee, J.S.; Jang, B.-W.; Hwang, J.; Song, M.G.; Joo, J.; Chung, H.; Lee, J.J.; Nho, J.-H. Transfusion Trends of Knee Arthroplasty in Korea: A Nationwide Study Using the Korean National Health Insurance Service Sample Data. Int. J. Environ. Res. Public Health 2022, 19, 5982. https://doi.org/10.3390/ijerph19105982

AMA Style

Suh Y-S, Choi H-S, Lee JS, Jang B-W, Hwang J, Song MG, Joo J, Chung H, Lee JJ, Nho J-H. Transfusion Trends of Knee Arthroplasty in Korea: A Nationwide Study Using the Korean National Health Insurance Service Sample Data. International Journal of Environmental Research and Public Health. 2022; 19(10):5982. https://doi.org/10.3390/ijerph19105982

Chicago/Turabian Style

Suh, You-Sung, Hyung-Suk Choi, Jeong S. Lee, Byung-Woong Jang, Jinyeong Hwang, Min G. Song, Jaeeun Joo, Haran Chung, Jeong J. Lee, and Jae-Hwi Nho. 2022. "Transfusion Trends of Knee Arthroplasty in Korea: A Nationwide Study Using the Korean National Health Insurance Service Sample Data" International Journal of Environmental Research and Public Health 19, no. 10: 5982. https://doi.org/10.3390/ijerph19105982

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop