ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016
Preoperative haemoglobin cut-off values for the prediction of post-operative transfusion in total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Routine post-operative full blood count assessment is not necessary in elective hip and knee arthroplasty: A prospective cohort study.Journal of clinical orthopaedics and trauma · 2025Article
- Postoperative laboratory testing in the era of outpatient total joint arthroplasty: Targeted patient selection and associated cost savings.Journal of orthopaedics · 2025Review
- The effect of topical tranexamic acid on functional outcomes and quality of life in patients undergoing unicompartmental knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Routine Type and Screens Are Unnecessary in Primary Total Joint Arthroplasty: Follow-up After a Change in Practice.Arthroplasty today · 2023Article
- Utility of pre-operative haemoglobin concentration to guide peri-operative blood tests for hip and knee arthroplasty: A decision curve analysis.Transfusion medicine (Oxford, England) · 2022Article
- Effect of severity and cause of preoperative anemia on the transfusion rate after total knee arthroplasty.Scientific reports · 2022Article
- Predict Postoperative Anemia of Patients: Nomogram Construction and Validation.Frontiers in surgery · 2022Article
- Modifiable Individual Risks of Perioperative Blood Transfusions and Acute Postoperative Complications in Total Hip and Knee Arthroplasty.Journal of personalized medicine · 2021Article
- Association between preoperative hemoglobin and postoperative moderate and severe anemia among patients undergoing primary total knee arthroplasty: a single-center retrospective study.Journal of orthopaedic surgery and research · 2021Article
- Is Routine Hemoglobin Monitoring Necessary after Elective Hip and Knee Arthroplasty?Arthroplasty today · 2020Article
- Routine Type and Screens Are Unnecessary for Primary Total Hip and Knee Arthroplasties at an Academic Hospital.Arthroplasty today · 2020Article
- Impact of body mass index on hemoglobin level and blood transfusion in total knee arthroplasty: A retrospective case control study.Annals of medicine and surgery (2012) · 2020Article
- The incidence and risk factors for allogenic blood transfusion in total knee and hip arthroplasty.Journal of orthopaedic surgery and research · 2019Observational
- Perioperative allogenic blood transfusion increases the incidence of postoperative deep vein thrombosis in total knee and hip arthroplasty.Journal of orthopaedic surgery and research · 2019Article
- What Should Define Preoperative Anemia in Primary THA?Clinical orthopaedics and related research · 2017Article
- Shape of the association between preoperative hemoglobin level and postoperative outcomes in patients undergoing primary arthroplasty.Canadian journal of surgery. Journal canadien de chirurgieArticle
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9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to determine preoperative haemoglobin cut-off values that could accurately predict post-operative transfusion outcome in patients undergoing primary unilateral total knee arthroplasty (TKA). This will allow surgeons to provide selective preoperative type and screen to only patients at high risk of transfusion.
methodsA total of 1457 patients diagnosed with osteoarthritis and underwent primary unilateral TKA between January 2012 and December 2014 were retrospectively reviewed. Logistic regression analyses were applied to identify factors that could predict transfusion outcome.
resultsA total of 37 patients (2.5 %) were transfused postoperatively. Univariate analysis revealed preoperative haemoglobin (p < 0.001), age (p < 0.001), preoperative haematocrit (p < 0.001), and preoperative creatinine (p < 0.001) to be significant predictors. In the multivariate analysis with patients dichotomised at 70 years of age, preoperative haemoglobin remained significant with adjusted odds ratio of 0.33. Receiver operating characteristic curve identified the preoperative haemoglobin cut-off values to be 12.4 g/dL (AUC = 0.86, sensitivity = 87.5 %, specificity = 77.2 %) and 12.1 g/dL (AUC = 0.85, sensitivity = 69.2 %, specificity = 87.1 %) for age above and below 70, respectively.
conclusionsThe authors recommend preoperative haemoglobin cut-off values of 12.4 g/dL for age above 70 and 12.1 g/dL for age below 70 to be used to predict post-operative transfusion requirements in TKA. To maximise the utilisation of blood resources, the authors recommend that only patients with haemoglobin level below the cut-off should receive routine preoperative type and screen before TKA. LEVEL OF EVIDENCE: IV.
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