Perioperative Blood Loss in Intramedullary Hip Screw for Intertrochanteric Fracture: Analysis of Risk Factors
Journal of the Korean Fracture Society
; : 53-58, 2015.
Article
en Ko
| WPRIM
| ID: wpr-192973
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: We compared visible blood loss and calculated blood loss after intramedullary fixation in intertrochanteric fracture, and evaluated correlation between blood loss and its risk factors. MATERIALS AND METHODS: A total of 256 patients who underwent closed reduction and intramedullary fixation in femoral intertrochanteric fracture between 2004 and 2013 were enrolled in this study. The total blood loss was calculated using the formula reported by Mercuiali and Brecher. We analyzed several factors, including fracture pattern (according to Evans classification), gender, age, body mass index (BMI), anesthesia method, cardiovascular and cerebrovascular disease, preoperative anemia, American Society of Anesthesiologists (ASA) score and use of antithrombotic agents. RESULTS: Total calculated blood loss (2,100+/-1,632 ml) differed significantly from visible blood loss (564+/-319 ml). In addition, the blood loss of unstable fracture patient was 2,496+/-1,395 ml and multivariate analysis showed a significant relationship between blood loss and fracture pattern (p<0.01). However, other factors showed no statistically significant difference. CONCLUSION: Total calculated blood loss was much greater than visible blood loss. Patients with unstable intertrochanteric fracture should be treated with care in order to reduce blood loss.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Índice de Masa Corporal
/
Análisis Multivariante
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Factores de Riesgo
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Pérdida de Sangre Quirúrgica
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Fémur
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Fibrinolíticos
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Fijación Intramedular de Fracturas
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Cadera
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Fracturas de Cadera
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Anemia
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Fracture Society
Año:
2015
Tipo del documento:
Article