Evidence map›Paper›PMID 27013496›Full record

ArticleJournal of orthopaedic surgery and research2016

Changes in coagulation functions and hemorheological parameters may predict hematoma formation after total knee arthroplasty.

Ning Liu, Simin Luo, Cheanglek Hang, Zhengang Zha, Jieruo Li, Wenrui Wu, Dabiao Hou

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Ning LiuThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China.
Simin LuoThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China.
Cheanglek HangMacau Medical Science & Technology Research Association, Macau, China.
Zhengang ZhaThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China. zhzgg@vip.163.com.
Jieruo LiThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China.
Wenrui WuThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China.
Dabiao HouThe First Affiliated Hospital, Jinan University, Guangzhou, 510632, China.
First Affiliated Hospital of Jinan University · CNJinan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHematoma formation around the knee is commonly seen after total knee arthroplasty (TKA) and may cause patient discomfort and worry regarding the success of the surgery. This study aimed to evaluate the coagulation functions and hemorheological parameters in patients undergoing TKA and investigate their associations with hematoma formation.

methodsThis study prospectively included 146 patients treated for knee osteoarthritis by unilateral TKA between August 2013 and August 2014. Apixaban was administered twice during the 12-24-h period after surgery. Blood coagulation functions were evaluated according to activated partial thromboplastin time (APTT), prothrombin time (PT), thrombin time, and fibrinogen preoperatively and on postoperative days 1, 3, 7, and 14. Hemorheological parameters were also measured. Patients were divided into a hematoma group and a non-hematoma group for comparison.

resultsOn postoperative day 1, the hematoma group showed significantly prolonged APTT and PT and significantly decreased hematocrit relative to baseline values (P < 0.05). The whole blood high shear rate, whole blood low shear rate, plasma viscosity, and hematocrit did not differ significantly between the two groups at baseline or from postoperative days 1-14 in (P > 0.05).

conclusionsProlonged APTT and PT on the first day after TKA as well as decreased hematocrit may indicate an increased risk of hematoma formation. Postoperative use of apixaban may promote the formation of ecchymoses but is not a major contributing factor.

Indexed as

AgedArthroplasty, Replacement, KneeBlood CoagulationDrug Administration ScheduleFactor Xa InhibitorsFemaleHematocritHematomaHemorheologyHumansMaleMiddle AgedOsteoarthritis, KneePartial Thromboplastin TimePostoperative HemorrhagePostoperative PeriodapixabanFactor Xa InhibitorsPyrazolesPyridonesActivated partial thromboplastin timeApixabanHematomaProthrombin timeTotal knee arthroplasty

Identifiers

PMID27013496
PMCPMC4806485
OpenAlexW2304882409

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.