FIBTEM as a predictor of intra- and postoperative blood loss in revision total hip arthroplasty: A prospective observational study.

Abstract:

:Revision total hip arthroplasty (THA) may cause intra- and postoperative massive bleeding. This prospective observational study evaluated if the maximum clot firmness of FIBTEM (MCFFIB) could act as a predictor of perioperative massive bleeding in revision THA.Fifty-eight adult patients undergoing revision THA were included. Pre- and postoperative MCFFIB, hematological and hemostatic laboratory data, as well as the amount of intra- and postoperative blood loss (IBL and PBL) were obtained.The change rate (MCFFIB-C) between the pre- and postoperative MCFFIB had a significant correlation with IBL (ρ = 0.431, P = .001). Moreover, PBL had a significant correlation with MCFFIB-C (ρ = 0.292, P = .026). The MCFFIB-C cut-off value of ≥ 29% showed the highest sensitivity and specificity for predicting IBL ≥ 1000 mL or PBL ≥500 mL. The incidence of red blood cell transfusion in the postoperative period was higher in patients showing MCFFIB-C ≥ 29% (34% vs 8%, P = .015).The change rate between pre- and postoperative MCFFIB values was correlated well with the amount of IBL or PBL. Moreover, particular change rate of MCFFIB could predict massive bleeding in revision THA.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Shin HJ,Min BH,Na HS

doi

10.1097/MD.0000000000010929

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

e10929

issue

22

eissn

0025-7974

issn

1536-5964

pii

00005792-201806010-00058

journal_volume

97

pub_type

杂志文章

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