Analysis of related risk factors of hidden blood loss after anterior cervical fusion

Yin, Hao; He, Xuejun; Luo, Zhiguo; Chen, Jianmin; Zhou, Wei; Wang, Aijun

doi:10.1007/s00132-018-3652-2

Cited by 17 publications

(24 citation statements)

References 21 publications

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“…Madsen et al 16 stated that age, the ASA status, and the admission Hb level were independently associated with large blood loss volumes in patients admitted with a fractured hip. Yin et al 17 found that intraoperative blood loss and total drainage were risk factors for high HBL in patients undergoing anterior cervical fusion. The present study showed that the patients' demographic data such as their BMI and ASA classification were not risk factors for HBL.…”

Section: Resultsmentioning

confidence: 99%

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Analysis of risk factors for perioperative hidden blood loss in patients undergoing transforaminal lumbar interbody fusion

et al. 2020

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Objective This study was performed to analyze the correlation between perioperative hidden blood loss (HBL) and the general condition of patients undergoing transforaminal lumbar interbody fusion (TLIF). Methods We retrospectively analyzed patients who underwent TLIF from July 2017 to July 2019 in our hospital. Sex, age, body mass index, underlying diseases, American Society of Anesthesiologists classification, coagulation function, preoperative and postoperative hemoglobin level and hematocrit, surgery time, fusion level, intraoperative blood loss, and drainage volume were recorded. Postoperative complications were also recorded. The amount of HBL was calculated, and its correlation with related variables was analyzed. Results The mean surgery time was 153.32 ± 54.86 minutes. The total perioperative blood loss was 789.22 ± 499.68 mL, including HBL of 315.69 ± 199.87 mL. Pearson correlation analysis showed statistically significant differences in HBL according to the body mass index, hypertension, fibrinogen, surgery time, and fusion level. Multiple linear regression analysis indicated that the surgery time and fusion level were independent risk factors for HBL. Conclusions A certain amount of HBL occurs in TLIF surgery and cannot be ignored in daily clinical work. The operation time and surgery level are independent risk factors for HBL.

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Section: Resultsmentioning

confidence: 99%

“…Yin et al. 17 found that intraoperative blood loss and total drainage were risk factors for high HBL in patients undergoing anterior cervical fusion. The present study showed that the patients’ demographic data such as their BMI and ASA classification were not risk factors for HBL.…”

Section: Discussionmentioning

confidence: 99%

Analysis of risk factors for perioperative hidden blood loss in patients undergoing transforaminal lumbar interbody fusion

et al. 2020

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“…One possible explanation is that older patients have a poor compensatory capacity of the cardiovascular system and reduced self-regulatory ability due to angiosclerosis. Another reason might be that bleeding is liable to infiltrating and agglutinating more easily into interstitial spaces, owing to muscle wastage and hypercoagulability in senile patients [27].…”

Section: Discussionmentioning

confidence: 99%

Hidden blood loss and its possible risk factors in minimally invasive transforaminal lumbar interbody fusion

Zhou

Yang

et al. 2020

J Orthop Surg Res

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Background With respect to spinal surgeries, elucidating absolute and relative amount of hidden blood loss (HBL) is of great importance in order to avoid aforementioned potential complications. To evaluate HBL and its possible risk factors among patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for lumbar degenerative diseases. Methods Between June 2018 and March 2019, 137 consecutive patients with lumbar degenerative disease, who underwent operation with MIS-TLIF technique, were enrolled in this study. The patient’s demographic characteristics and blood loss-related parameters were collected, respectively. The Pearson or Spearman correlation analysis was used to investigate an association between patient’s characteristics and HBL. Multivariate linear regression analysis was used to confirm independent risk factors of HBL. Results A total of 137 patients (86 males and 51 females, age range 19–78 years) were reviewed in our hospital. A substantial amount of HBL (488.4 ± 294.0 ml, 52.5% of TBL) occurred after MIS-TLIF. Multivariate linear regression showed that the age, muscle thickness, the Patients’ Society of Anesthesiologists (ASA) classification, patient’s blood volume (PBV), total blood loss (TBL), postoperative (i.e., day 2 or 3) hematocrit (Hct), Hct loss, and fibrinogen level were independent risk factors for HBL (P1 = 0.000, P2 = 0.002, P3 = 0.006, P4 = 0.002, P5 = 0.003, P6 = 0.048, P7 = 0.004, P8 = 0.000). Conclusion A large amount of HBL was incurred in patients undergoing MIS-TLIF. More importantly, the age, muscle thickness, ASA classification, PBV, TBL, postoperative Hct, Hct loss, and fibrinogen level were independent risk factors for HBL in MIS-TLIF. HBL and its risk factors should be paid more attention to during the perioperative period.

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“…One possible explanation is that older patients have poor compensatory capacity of cardiovascular system and reduced self-regulatory ability due to angiosclerosis. Another reason might be that bleeding is liable to in ltrating and agglutinating more easily into interstitial spaces, owing to muscle wastage and hypercoagulability in senile patients [27].…”

Section: Discussionmentioning

confidence: 99%

Hidden blood loss and its possible risk factors in minimally invasive transforaminal lumbar interbody fusion

Zhou

Jun

et al. 2020

Preprint

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Background Hidden blood loss (HBL) is still not well known or used in the setting of spine surgery. Elucidating absolute and relative amount of HBL is of great importance in order to avoid potential complications. Therefore, we evaluated HBL and its possible risk factors among patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for lumbar degenerative diseases. Methods Between June 2018 and March 2019, 137 consecutive patients with lumbar degenerative disease, who underwent operation with MIS-TLIF technique were enrolled in this study. The patient’s demographic characteristics and blood loss related parameters were collected respectively. Pearson or Spearman correlations analysis were used to investigate an association between patient’s characteristics and HBL. Multivariate linear regression analysis was used to confirmed independent risk factors of HBL. Results A total of 137 patients (86 males and 51 females, age range 19-78 years) were reviewed in our hospital. A substantial amount of HBL (488.4±294.0 ml, 52.5% of TBL) occurred after MIS-TLIF. Multivariate linear regression showed that the age, muscle thickness, The Patients’ Society of Anesthesiologists (ASA) classification, patient’s blood volume (PBV), total blood loss (TBL), postoperative(i.e., day 2 or 3) hematocrit (Hct), Hct loss, and fibrinogen level were independent risk factors for HBL (P1=0.000, P2=0.002, P3=0.006, P4=0.002, P5=0.003, P6=0.048, P7=0.004, P8=0.070). Conclusion A large amount of HBL was incurred in patients undergoing MIS-TLIF. More importantly, the age, muscle thickness, ASA classification, PBV, TBL, postoperative Hct, Hct loss, and fibrinogen level were independent risk factors for HBL in MIS-TLIF. HBL and its risk factors should be paid more attention to during perioperative period.

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Analysis of related risk factors of hidden blood loss after anterior cervical fusion

Cited by 17 publications

References 21 publications

Analysis of risk factors for perioperative hidden blood loss in patients undergoing transforaminal lumbar interbody fusion

Analysis of risk factors for perioperative hidden blood loss in patients undergoing transforaminal lumbar interbody fusion

Hidden blood loss and its possible risk factors in minimally invasive transforaminal lumbar interbody fusion

Hidden blood loss and its possible risk factors in minimally invasive transforaminal lumbar interbody fusion

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