血红蛋白水平对全膝关节置换术后住院康复结局的影响。

Influence of hemoglobin levels on inpatient rehabilitation outcomes after total knee arthroplasty.

作者信息

Diamond Paul T, Conaway Mark R, Mody Samir H, Bhirangi Kiran

机构信息

Department of Physical Medicine and Rehabilitation, University of Virginia, Charlottesville, Virginia 22908-1004, USA.

出版信息

J Arthroplasty. 2006 Aug;21(5):636-41. doi: 10.1016/j.arth.2005.09.006.

DOI:10.1016/j.arth.2005.09.006

PMID:16877147

Abstract

This retrospective study examined the influence of hemoglobin (Hb) on the outcomes of 184 acute inpatient rehabilitation patients admitted to a single university-based inpatient rehabilitation facility after primary total knee arthroplasty between 2001 and 2003. Patient function was measured using the Functional Independence Measure (FIM) instrument. Average length of stay was 9.4 days. Total FIM score increased from 81.5 to 110.8. Mean baseline Hb was 10.5 g/dL. Multivariate analyses demonstrated that a higher Hb at baseline was associated with significantly shorter length of stay (P = .004) and greater FIM efficiency (change in total FIM score/length of stay) (P = .04). Hemoglobin is associated with rehabilitation outcomes after total knee arthroplasty; additional research into the influence of blood management strategies on rehabilitation outcomes is warranted.

摘要

这项回顾性研究调查了2001年至2003年间在一所大学附属医院的住院康复机构接受初次全膝关节置换术后的184例急性住院康复患者中，血红蛋白（Hb）对康复结局的影响。使用功能独立性测量（FIM）工具评估患者功能。平均住院时间为9.4天。FIM总分从81.5分提高到110.8分。基线时Hb的平均值为10.5 g/dL。多变量分析表明，基线时较高的Hb水平与显著缩短的住院时间（P = .004）和更高的FIM效率（FIM总分变化/住院时间）（P = .04）相关。血红蛋白与全膝关节置换术后的康复结局相关；有必要进一步研究血液管理策略对康复结局的影响。