An evaluation of intra- and post-operative blood loss in total hip arthroplasty at the national orthopaedic hospital, Lagos

Ugbeye, Michael Ebiyon; Lawal, Wakeel Olaide; Ayodabo, O; Adadevoh, I.P.; Akpan, Imeh James; Nwose, U

doi:10.4103/1117-6806.205750

Cited by 7 publications

(5 citation statements)

References 14 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, this study showed a mean Hb drop of 2.75 g/dL. Tis is higher than in a study done in the United Kingdom (UK), where Hb dropped by 2.48 g/dL [10], and in Nigeria, where the Hb drop was 2.1 g/dL [11]. However, in Uganda, the mean Hb drop was 3.31 g/dL [12], which was signifcantly higher than our study.…”

Section: Discussioncontrasting

confidence: 79%

See 1 more Smart Citation

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Ashir,

Maya,

Saiyed

et al. 2024

Advances in Orthopedics

View full text Add to dashboard Cite

Background. Having an estimated level of Hb drop in different orthopedic surgeries would help plan for surgery from pre- to postoperative periods. The aim of this study was to assess the Hb drop and the associated factors during the intraoperative period among elective orthopedic surgeries. Methods. This was an analytic cross-sectional study conducted between October 2022 and March 2023, which included all patients admitted for elective orthopedic surgery who met the inclusion criteria. Data were collected before and after the patient was operated on. Information was analyzed using t-tests and ANOVA to establish the statistical significance of the Hb drop. Results. A total of 195 participants were enrolled. The majority of the participants were male (62.1%), with the main etiology of symptoms being motor traffic accidents (31.8%). The most affected site was the femur (36.4%), followed by the spine (23.6%). The highest mean Hb drop was in total hip replacement surgeries (4.19 g/dL), with the overall mean Hb drop being 2.75 g/dL. A statistically significant difference was identified in diathermy use, duration of surgery, and patients with chronic illnesses. Conclusion. With a mean Hb drop of 2.75 g/dL, the application of diathermy and surgeries with shorter durations resulted in a reduced Hb drop. These factors should be incorporated to minimize the drop in Hb in orthopedic surgeries. Accounting for differences in surgeries, there should not be delays in patients who have a preoperative Hb level that can sustain the mean Hb drop recorded in the study.

show abstract

Section: Discussioncontrasting

confidence: 79%

“…We also found a signifcant diference (p � 0.002) between the means of shorter surgeries and longer surgeries, which is similar to a study done in Nigeria [11]. Te shorter intraoperative time signifes a shorter time a wound is open after incision, with muscle stripping known to cause signifcant levels of blood loss.…”

Section: Advances In Orthopedicssupporting

confidence: 88%

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Ashir,

Maya,

Saiyed

et al. 2024

Advances in Orthopedics

View full text Add to dashboard Cite

show abstract

“…The average amount of blood loss during a DRF ORIF is < 10 mL, whereas for hip and knee arthroplasty, it has been reported as over 1 L, even when using a tourniquet. 30,31 While blood loss is significantly less in DRF ORIF compared to other orthopaedic procedures in other joints, we show that any bleeding disorder is still an independent and modifiable risk factor for postoperative complications. We recommend multidisciplinary team approach to addressing bleeding disorders before patients receive DRF ORIF.…”

Section: Discussionmentioning

confidence: 65%

The Association between Bleeding Disorders and Postoperative Complications Following Operative Treatment of Distal Radius Fracture

et al. 2023

View full text Add to dashboard Cite

Background While previous studies have investigated the association between bleeding disorders and outcomes with hip or knee surgeries, no studies have investigated the association between bleeding disorders and outcomes in upper extremity surgery. Questions/Purposes The purpose of this study was to investigate if a past history of bleeding disorders is associated with which, if any postoperative complications for patients receiving distal radius fracture open reduction internal fixation. Patients and Methods Patients undergoing operative treatment for distal radius fracture from 2007 to 2018 were identified in the National Surgical Quality Improvement Program database. Patients were stratified into two cohorts: patients with a bleeding disorder and patients without a bleeding disorder. In this analysis, 30-day postoperative complications were assessed, as well as mortality, extended length of stay, reoperation, and readmission. Bivariate and multivariate analyses were performed. Results Of the 16,489 total patients undergoing operative treatment for distal radius fracture, 16,047 patients (97.3%) did not have a bleeding disorder, whereas 442 (2.7%) had a bleeding disorder. Following adjustment on multivariate analyses, an increased risk of postoperative transfusion requirement (odds ratio [OR] 17.437; p = 0.001), extended length of hospital stay more than 3 days (OR 1.564; p = 0.038), and readmission (OR 2.515; p < 0.001) were seen in patients with a bleeding disorder compared to those without a bleeding disorder. Conclusion History of bleeding disorders is an independent risk factor for transfusions, extended length of stay, and readmission. We recommend a multidisciplinary team approach to addressing bleeding disorders before patients receive distal radius fracture open reduction internal fixation. Level of Evidence Level III, retrospective study.

show abstract

“…In a systematic review of 13 studies involving THA or TKA patients conducted by Spahn reported that the mean decrease in Hb levels was observed from preoperative levels of 13.6±0.4 g% to 10.6 ± 0.8 g% postoperatively [17] . Furthermore, in an another study reported by Ugbeye et al, in Lagos revealed that the postoperative Hb loss in THA patients was reported to be 2.1 ± 1.1 g% [18] . Our study has a few limitations like small sample size, restrictive blood transfusion practice, and a short follow-up.…”

Section: Discussionmentioning

confidence: 88%

Comparative evaluation of blood parameters in patients undergoing cephalomedullary nailing for hip fractures

Dharanish¹

2022

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Background: With the rapid increase in the aged population, hip fractures increase rapidly in elderly people and cause a significant social and economic problem. Dynamic hip screw with barrel plate and cephalomedullary nails are the usual methods of internal fixation in these fractures. The former method is associated with significant exposure and dissection for application of the plate. Hip fractures are commonly associated with a relatively large amount of blood loss from the initial injury in addition to blood loss resulting from surgery. Aim: The current study was conducted with the main purpose to evaluate the concentration of hemoglobin (Hb) and packed cell volume (PCV) in patients undergoing cephalomedullary nailing fixation of hip fractures receiving tranexamic acid (TXA) in comparison with not receiving TXA. Methods: This is a prospective comparative study done with eligible in-patients (n=71) with hip fractures, planned for cephalomedullary nailing in

show abstract

An evaluation of intra- and post-operative blood loss in total hip arthroplasty at the national orthopaedic hospital, Lagos

Cited by 7 publications

References 14 publications

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

Postoperative Hemoglobin Drop and the Associated Factors among Elective Orthopedic Surgeries in Northern Tanzania

The Association between Bleeding Disorders and Postoperative Complications Following Operative Treatment of Distal Radius Fracture

Comparative evaluation of blood parameters in patients undergoing cephalomedullary nailing for hip fractures

Contact Info

Product

Resources

About