Risk Factors of Blood Transfusion in Knee Arthroplasty
Journal Title: Vajira Medical Journal: Journal of Urban Medicine - Year 2022, Vol 66, Issue 2
Abstract
Background: The amount of blood transfusion after knee arthroplasty seem to vary in different reported study. We carried out a retrospective study to analysis pre-operative risk factors for blood transfusion in patient who underwent knee arthroplasty in our institution. Methods: A retrospective study of 190 patients treated with 194 procedure (186 unilateral knee arthroplasty, 4 bilateral knee arthroplasty) from November 2014 to October 2015 was analyzed. A univariate analysis was performed to establish the relationship between all variables and the need for postoperative transfusion. Variables that were determined to have significant relationship were included in a multivariable analysis. Results: The univariate analysis revealed a significant relationship between need for postoperative blood transfusion and preoperative hemoglobin levels, surgical technique, arthrotomy approach, DVT prophylaxis, surgical technique and surgeon experience. The multivariate analysis identified a significant relationship between need for transfusion and preoperative hemoglobin level and surgical technique. Patients with a preoperative hemoglobin less than 12 g/dL had a 5.1 times greater risk of having a transfusion than those with a hemoglobin level ≥ 12 g/dL. The surgical technique with computer assisted surgery had a 0.15 times lesser risk of having a transfusion than those with the conventional technique. Conclusion: The preoperative hemoglobin level < 12 g/dL was shown to increase risk of the need for blood transfusion after knee arthroplasty, while computer assist surgery total knee arthroplasty was shown to decrease risk of blood transfusion. We suggested that patients with preoperative hemoglobin < 12 g/dL need to be crossmatching PRC in pre-operative steps.
Authors and Affiliations
Pruk Chaiyakit Weeranate Umpanpong Tawipat Watcharotayangkoon
Keywords
Related Articles
- EP ID EP723851
- DOI http://dx.doi.org/10.14456/vmj.2022.14
- Views 51
- Downloads 0
Driving Pressure and Lung Injury in Mechanically Ventilated Patients without Acute Respiratory Distress Syndrome
Background: Driving pressure is associated with mortality in patients with acute respiratory distress syndrome (ARDS). However, whether driving pressure is associated with outcomes in mechanically ventilated patients wit...
Postoperative Visual Outcomes and the Influence of Optic Nerve Status on Visual Acuity in Endoscopic Endonasal Surgery of Non-functioning Pituitary Macroadenoma Patients
OBJECTIVE: To evaluate postoperative visual outcomes including visual acuity (VA) and visual field (VF), and the relationship of optic nerve status and postoperative VA improvement in non-functioning pituitary macroadeno...
The follow-study of Thai Family Care Team project implementation in Bangkok Metropolitan Administration
This research aimed to examine perception towards Family Care Team project of disabled, elderly, chronic and palliative care patients in Bangkok; and to explore Family Care Team operations in Bangkok. Research population...
The Study of the Characters of Traumatic Brain Injuries (TBI) in Blunt Head Trauma Caused by Velocity-Related Injuries
Objectives: To determine the characters of traumatic brain injuries (TBI) related to the occurrence of coup-contrecoup phenomenon in blunt head trauma from velocity-related injuries Methods: The prospective case control...
Global Warming and Parasitic Infection in Urban Communities: A Systematic Review
Global climate change is an important global issue; it influences not only the environment but also human health. Parasitic infection is one of the most recognized infectious diseases generally observed in rural areas of...