Postoperative Noninvasive Hemoglobin Monitoring Is Useful to Prevent Unnoticed Postoperative Anemia and Inappropriate Blood Transfusion in Patients Undergoing Total Hip or Knee Arthroplasty: A Randomized Controlled Trial
| Autor: | Midoriko Higashi, Erisa Nakamori, Ken Yamaura, Kenji Shigematsu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
total knee arthroplasty Blood transfusion total hip arthroplasty Anemia medicine.medical_treatment Total hip replacement Original Manuscript blood transfusion elderly law.invention Randomized controlled trial law pulse hemoglobin medicine Orthopedics and Sports Medicine In patient Orthopedic surgery business.industry Rehabilitation RC952-954.6 hemoglobin medicine.disease Arthroplasty anemia Surgery Geriatrics Hemoglobin Geriatrics and Gerontology business RD701-811 |
| Zdroj: | Geriatric Orthopaedic Surgery & Rehabilitation Geriatric Orthopaedic Surgery & Rehabilitation, Vol 12 (2021) |
| ISSN: | 2151-4585 |
| Popis: | Introduction Postoperative nadir hemoglobin (Hb) is related to a longer length of stay for geriatric patients undergoing orthopedic surgery. We investigated whether postoperative pulse Hb (SpHb) measurement is useful for avoiding anemia and inappropriate blood transfusion after total hip arthroplasty and total knee arthroplasty. Material and Methods This prospective randomized controlled study included 150 patients randomly assigned to receive blood transfusion, either guided by SpHb monitoring (SpHb group) or based on the surgeons’ experience (control group). The target laboratory Hb value was set to >8 g/dL at postoperative day 1 (POD1). The primary endpoints were the product of total time and degree of SpHb 12 g/dL or delayed transfusion in a case of SpHb Results The area under SpHb 8 g/dL was 37.6 ± 44.1 g/dL-min (5 patients) in the control group and none in the SpHb group ( P = .0281). There was 1 patient with Hb Discussion The SpHb monitoring could reduce unnoticed anemia, which may prevent complications and be useful in avoiding unnecessary and excessive blood transfusion. Conclusion Postoperative SpHb monitoring decreased the incidence of transient, unnoticed anemia during the period up to POD1 and inappropriate blood transfusion. |
| Databáze: | OpenAIRE |
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