Danet Andrei, Spiridonica Razvan, Iacobescu Georgian L, Iordache Sergiu, Popa Mihnea, Rascu Angel Stefan, Cirstoiu Catalin
Cardiac Surgery, University Emergency Hospital Bucharest, Bucharest, ROU.
Orthopedics and Traumatology, University Emergency Hospital Bucharest, Bucharest, ROU.
Cureus. 2025 May 11;17(5):e83876. doi: 10.7759/cureus.83876. eCollection 2025 May.
This retrospective study aimed to identify the clinical-biological and organizational factors influencing the duration of hospitalization in patients undergoing hip arthroplasty. A total of 85 patients were analyzed, considering variables such as age, preoperative diagnosis, type of prosthesis, time of surgery, and pre- and postoperative biological parameters (international normalized ratio, activated partial thromboplastin time (APTT), creatinine, fibrinogen, hemoglobin, and blood glucose). Statistical analyses (analysis of variance (ANOVA), Kruskal-Wallis, Levene test, Pearson correlations) showed significant associations between the length of hospital stay and factors such as advanced age, fractures (including pathological bone fractures), use of bipolar prostheses, delayed surgeries, and increased INR, APTT, creatinine, and fibrinogen values. Parameters such as hemoglobin and blood glucose did not have a significant influence. The results support the importance of a thorough preoperative assessment for identifying patients at high risk of prolonged hospitalization and optimizing perioperative management.
这项回顾性研究旨在确定影响髋关节置换术患者住院时间的临床生物学和组织因素。共分析了85例患者，考虑了年龄、术前诊断、假体类型、手术时间以及术前和术后生物学参数（国际标准化比值、活化部分凝血活酶时间（APTT）、肌酐、纤维蛋白原、血红蛋白和血糖）等变量。统计分析（方差分析（ANOVA）、Kruskal-Wallis检验、Levene检验、Pearson相关性分析）显示，住院时间与高龄、骨折（包括病理性骨折）、使用双极假体、手术延迟以及国际标准化比值（INR）、活化部分凝血活酶时间（APTT）、肌酐和纤维蛋白原值升高之间存在显著关联。血红蛋白和血糖等参数没有显著影响。研究结果支持了进行全面术前评估以识别住院时间延长高危患者并优化围手术期管理的重要性。
