Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study

PURPOSE: The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need, and length of hospital stay. METHODS: A retros...

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Autores principales: Albasha, Anas, Salman, Loay A., Elramadi, Ahmed, Abudalou, Abedallah, Mustafa, Ahmed, Hejleh, Hasan Azzam Abu, Ahmed, Ghalib
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673744/
https://www.ncbi.nlm.nih.gov/pubmed/37610463
http://dx.doi.org/10.1007/s00264-023-05946-z
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author Albasha, Anas
Salman, Loay A.
Elramadi, Ahmed
Abudalou, Abedallah
Mustafa, Ahmed
Hejleh, Hasan Azzam Abu
Ahmed, Ghalib
author_facet Albasha, Anas
Salman, Loay A.
Elramadi, Ahmed
Abudalou, Abedallah
Mustafa, Ahmed
Hejleh, Hasan Azzam Abu
Ahmed, Ghalib
author_sort Albasha, Anas
collection PubMed
description PURPOSE: The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need, and length of hospital stay. METHODS: A retrospective observational cohort study was conducted at a tertiary hospital between January 1, 2015, and December 30, 2019, and included 262 patients who underwent unilateral non-traumatic primary TKA and were over 18 years old. The Institutional Review Board (IRB) approved the study (MRC-02–20-278). RESULTS: A total of 262 patients were included, with an age range of 47 to 91 years. Most of the included patients were females, 74.4% (195). Hypertension was the most frequent risk factor, 67.6%, followed by diabetes. Of 262 patients, 156 (59.5%) received a drain. The drain group had significantly longer hospital stay, 30% longer tourniquet time, greater haemoglobin and haematocrit drops, higher count of transfused packed RBC units, and lower use of anticoagulants. Moreover, tranexamic acid (TXA) use (n = 106) in surgery reduced hospital stays, tourniquet time, drain output, and increased pre- and postoperative haemoglobin and hematocrit levels compared to no TXA group (n = 156) (p < 0.05, z-score reported). CONCLUSIONS: This study found that patients who received a drain had longer hospital stays and greater blood loss and transfusion rates compared to those who did not. The use of TXA in surgery was associated with improved outcomes and reduced overall complications.
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spelling pubmed-106737442023-08-23 Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study Albasha, Anas Salman, Loay A. Elramadi, Ahmed Abudalou, Abedallah Mustafa, Ahmed Hejleh, Hasan Azzam Abu Ahmed, Ghalib Int Orthop Original Paper PURPOSE: The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need, and length of hospital stay. METHODS: A retrospective observational cohort study was conducted at a tertiary hospital between January 1, 2015, and December 30, 2019, and included 262 patients who underwent unilateral non-traumatic primary TKA and were over 18 years old. The Institutional Review Board (IRB) approved the study (MRC-02–20-278). RESULTS: A total of 262 patients were included, with an age range of 47 to 91 years. Most of the included patients were females, 74.4% (195). Hypertension was the most frequent risk factor, 67.6%, followed by diabetes. Of 262 patients, 156 (59.5%) received a drain. The drain group had significantly longer hospital stay, 30% longer tourniquet time, greater haemoglobin and haematocrit drops, higher count of transfused packed RBC units, and lower use of anticoagulants. Moreover, tranexamic acid (TXA) use (n = 106) in surgery reduced hospital stays, tourniquet time, drain output, and increased pre- and postoperative haemoglobin and hematocrit levels compared to no TXA group (n = 156) (p < 0.05, z-score reported). CONCLUSIONS: This study found that patients who received a drain had longer hospital stays and greater blood loss and transfusion rates compared to those who did not. The use of TXA in surgery was associated with improved outcomes and reduced overall complications. Springer Berlin Heidelberg 2023-08-23 2023-12 /pmc/articles/PMC10673744/ /pubmed/37610463 http://dx.doi.org/10.1007/s00264-023-05946-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Albasha, Anas
Salman, Loay A.
Elramadi, Ahmed
Abudalou, Abedallah
Mustafa, Ahmed
Hejleh, Hasan Azzam Abu
Ahmed, Ghalib
Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title_full Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title_fullStr Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title_full_unstemmed Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title_short Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
title_sort outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673744/
https://www.ncbi.nlm.nih.gov/pubmed/37610463
http://dx.doi.org/10.1007/s00264-023-05946-z
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