医学
围手术期
体质指数
输血
全膝关节置换术
血液管理
关节置换术
外科
关节置换术
回顾性队列研究
失血
全髋关节置换术
肌酐
内科学
作者
Nicholas B. Frisch,Nolan M. Wessell,Michael A. Charters,Stephen Yu,James J. Jeffries,Craig D. Silverton
标识
DOI:10.1016/j.arth.2014.03.048
摘要
Perioperative patient optimization can minimize the need for blood transfusions in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of this study was to determine predictors and complications of transfusions. This retrospective review analyzed 1795 patients who underwent primary THA and TKA at our institution between January 2011 and December 2012. Of the 1573 patients ultimately included the rates of transfusion were 9.27% in TKA and 26.6% in THA. Significant predictors for transfusion include: preoperative hemoglobin, age, female gender, body mass index, creatinine, TKA, operating room time, operative blood loss, and intra-operative fluids. The DVT rate was comparable, but deep surgical site infection rate among transfused patients was 2.4% compared to 0.5% in non-transfused patients (P = 0.0065).
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