Predicting Blood Loss in Total Knee and Hip Arthroplasty

被引:81
作者
Sizer, Stephen C. [1 ]
Cherian, Jeffrey J. [1 ]
Elmallah, Randa D. K. [1 ]
Pierce, Todd P. [1 ]
Beaver, Walter B. [2 ]
Mont, Michael A. [1 ]
机构
[1] Sinai Hosp Baltimore, Rubin Inst Adv Orthoped, Ctr Joint Preservat & Replacement, Baltimore, MD 21215 USA
[2] OrthoCarolina Hip & Knee Ctr, Charlotte, NC 28207 USA
关键词
Blood loss; Total hip arthroplasty; Total knee arthroplasty; Transfusion risk; Tranexamic acid; DEEP-VEIN THROMBOSIS; TRANEXAMIC ACID; RISK-FACTORS; TRANSFUSION REQUIREMENTS; ORTHOPEDIC-SURGERY; HEMOGLOBIN LEVELS; TOURNIQUET USE; ELECTIVE KNEE; REPLACEMENT; METAANALYSIS;
D O I
10.1016/j.ocl.2015.06.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Marked blood loss during lower extremity total joint arthroplasties may lead to higher rates of transfusion, which may negatively affect surgical outcomes and yield greater complication rates. It is therefore ideal to identify factors that may increase the likelihood of blood loss, so they can be modified. From this review, it can be concluded that preoperative anemia, older age, multiple comorbidities, increased operative time, and use of postoperative anticoagulation may lead to higher blood loss and transfusion rates, although the influence of other factors remains controversial.
引用
收藏
页码:445 / +
页数:16
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