Department of Orthopaedic and Trauma Surgery, "Magna Graecia" University, Catanzaro, Italy.
Department of Orthopaedic and Trauma Surgery, Vigevano civil hospital, Vigevano, Italy.
J Biol Regul Homeost Agents. 2018 Nov-Dec;32(6 Suppl. 1):131-138.
This study aims to evaluate the effect of postoperative blood recovery with reinfusion drains on hematologic parameters and blood transfusion rate in patients undergoing total joint arthroplasty. Three-hundred-and-forty-four patient records were reviewed and 271 patients were included in the study; 56.8% of patients were treated with postoperative cell salvage procedure using reinfusion drains (PCS) and 43.2% had closed-suction drain (CSD) postoperatively. In comparison to the CSD group, the PCS group showed higher hemoglobin (Hb) levels on the first and second days postoperatively but no statistical differences were noted at the day of discharge. 75.2% and 37.7% of patients required blood transfusions in the CSD and PCS groups, respectively. The PCS group had a lower number of blood transfusions than the CSD group. At multivariate analysis, Hb loss rate was related to preoperative Hb values, total amount of drained blood and chronic antiplatelet therapy. The number of blood transfusions was related to preoperative Hb values, closed-suction drains, preoperative platelet count, TKA surgery and BMI. This study supports the use of PCS with reinfusion drains after THA and TKA at least for the short-term.
本研究旨在评估全膝关节置换术后使用引流管回收术对血液学参数和输血率的影响。共回顾了 344 份患者记录，其中 271 例患者被纳入研究；56.8%的患者术后使用引流管回收术（PCS）进行细胞回收，43.2%的患者术后使用闭式引流（CSD）。与 CSD 组相比，PCS 组术后第 1 天和第 2 天的血红蛋白（Hb）水平更高，但在出院当天无统计学差异。CSD 组和 PCS 组分别有 75.2%和 37.7%的患者需要输血。PCS 组的输血次数少于 CSD 组。多因素分析显示，Hb 丢失率与术前 Hb 值、引流量和慢性抗血小板治疗有关。输血次数与术前 Hb 值、闭式引流、血小板计数、TKA 手术和 BMI 有关。本研究支持至少在短期内对 THA 和 TKA 术后使用带再灌注引流管的 PCS。
