The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty

The current study investigates the impact of patient factors, surgical factors, and blood management on postoperative length of stay (LOS) in 516 patients who underwent primary total knee arthroplasty. Age, gender, type of anticoagulation, but not body mass index (BMI) were found to be highly signif...

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Detalles Bibliográficos
Autores principales: Monsef, Jad B, Della Valle, Alejandro G, Mayman, David J, Marx, Robert G, Ranawat, Amar S, Boettner, Friedrich
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2014
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040929/
https://www.ncbi.nlm.nih.gov/pubmed/24894715
http://dx.doi.org/10.2174/1874325001408010108
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author Monsef, Jad B
Della Valle, Alejandro G
Mayman, David J
Marx, Robert G
Ranawat, Amar S
Boettner, Friedrich
author_facet Monsef, Jad B
Della Valle, Alejandro G
Mayman, David J
Marx, Robert G
Ranawat, Amar S
Boettner, Friedrich
author_sort Monsef, Jad B
collection PubMed
description The current study investigates the impact of patient factors, surgical factors, and blood management on postoperative length of stay (LOS) in 516 patients who underwent primary total knee arthroplasty. Age, gender, type of anticoagulation, but not body mass index (BMI) were found to be highly significant predictors of an increased LOS. Allogeneic transfusion and the number of allogeneic units significantly increased LOS, whereas donation and/or transfusion of autologous blood did not. Hemoglobin levels preoperatively until 48 hours postoperatively were negatively correlated with LOS. After adjusting for confounding factors through Poisson regression, age (p = 0.001) and allogeneic blood transfusion (p = 0.002) were the most significant determinants of LOS. Avoiding allogeneic blood plays an essential role in reducing the overall length of stay after primary total knee arthroplasty.
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spelling pubmed-40409292014-06-03 The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty Monsef, Jad B Della Valle, Alejandro G Mayman, David J Marx, Robert G Ranawat, Amar S Boettner, Friedrich Open Orthop J Article The current study investigates the impact of patient factors, surgical factors, and blood management on postoperative length of stay (LOS) in 516 patients who underwent primary total knee arthroplasty. Age, gender, type of anticoagulation, but not body mass index (BMI) were found to be highly significant predictors of an increased LOS. Allogeneic transfusion and the number of allogeneic units significantly increased LOS, whereas donation and/or transfusion of autologous blood did not. Hemoglobin levels preoperatively until 48 hours postoperatively were negatively correlated with LOS. After adjusting for confounding factors through Poisson regression, age (p = 0.001) and allogeneic blood transfusion (p = 0.002) were the most significant determinants of LOS. Avoiding allogeneic blood plays an essential role in reducing the overall length of stay after primary total knee arthroplasty. Bentham Open 2014-05-16 /pmc/articles/PMC4040929/ /pubmed/24894715 http://dx.doi.org/10.2174/1874325001408010108 Text en © Monsef et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Monsef, Jad B
Della Valle, Alejandro G
Mayman, David J
Marx, Robert G
Ranawat, Amar S
Boettner, Friedrich
The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title_full The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title_fullStr The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title_full_unstemmed The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title_short The Impact of Blood Management on Length of Stay After Primary Total Knee Arthroplasty
title_sort impact of blood management on length of stay after primary total knee arthroplasty
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040929/
https://www.ncbi.nlm.nih.gov/pubmed/24894715
http://dx.doi.org/10.2174/1874325001408010108
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