ArticleHealth science reports2021
Association of preoperative anemia and increased risk of blood transfusion and length of hospital stay in adults undergoing hip and knee arthroplasty: An observational study in a single tertiary center.
Article in Health science reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Impact of preoperative anemia on patients undergoing total joint replacement of lower extremity: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2024Pooled it
- Preoperative anemia and anemia treatment in cardiac surgery: a systematic review and meta-analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Pooled it
- Association of bone mineral density with perioperative hidden blood loss in older adults undergoing intramedullary nailing for unstable intertrochanteric fractures.BMC geriatrics · 2026Article
- Perioperative anemia and patient blood management in neurosurgery and neurocritical care: a narrative review.Journal of anesthesia, analgesia and critical care · 2026Review
- Impact of Preoperative Anaemia on Blood Transfusion and Clinical Outcomes in Total Knee Arthroplasty: A Retrospective Observational Study.Turkish journal of anaesthesiology and reanimation · 2026Article
- Interpretable artificial intelligence for predicting blood transfusion after surgery for femoral shaft fractures: A retrospective analysis.Indian journal of anaesthesia · 2026Article
- Perioperative blood transfusion and adverse events in total hip and knee arthroplasty: a TriNetX-based analysis.Frontiers in medicine · 2026Article
- Prevalence, Related Factors and Outcomes of Pre-Operative Anemia in Patients Undergoing Hip Arthroplasty: A Retrospective Observational Study from Vietnam.International journal of general medicine · 2026Article
- Impact of Anemia on Outcomes Following Total Hip Replacement Surgery and Patient Prognosis.Orthopaedic surgery · 2026Review
- Risk Factors for Post-Operative Blood Transfusion and Association with Outcomes in Hip Fracture Surgery.Journal of blood medicine · 2026Article
- The relationship between preoperative anemia and length of hospital stay among patients undergoing orthopedic surgery at a teaching hospital in Ethiopia: a retrospective cohort study.Perioperative medicine (London, England) · 2024Article
- Association between preoperative hemoglobin with length of hospital stay among non-cardiac and non-obstetric surgery patients: a secondary analysis of a retrospective cohort study.Journal of cardiothoracic surgery · 2024Article
- Effectiveness, safety and indications of acute normovolemic haemodilution in total knee arthroplasty.Scientific reports · 2024Article
- Can machine learning models predict prolonged length of hospital stay following primary total knee arthroplasty based on a national patient cohort data?Archives of orthopaedic and trauma surgery · 2023Article
- Preoperative demographics and laboratory markers may be associated with early dislocation after total hip arthroplasty.Journal of experimental orthopaedics · 2023Article
- Association of preoperative anemia and increased risk of blood transfusion and length of hospital stay in adults undergoing hip and knee arthroplasty: An observational study in a single tertiary center.Health science reports · 2021Article
- Targeting patient blood management's first pillar: A multicentric retrospective study on preoperative anemia.Hematology, transfusion and cell therapyArticle
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsAnemia is a common feature in patients presenting for major elective surgery, and it is considered an independent risk factor associated with adverse outcomes. Although several studies suggest that preoperative anemia is associated with poor outcomes after elective orthopedic surgery, data are still scarce in middle- and low-income countries where this problem may be even greater. The objective of this study was to evaluate the impact of preoperative anemia in clinical outcomes in patients submitted to hip and knee arthroplasty in a single tertiary hospital.
methodsMedical records of 234 adult patients submitted to knee and hip arthroplasty from January 2018 to July 2020 were retrospectively reviewed. Patient's demographics (ie, age and gender), pre- and postoperative hemoglobin level (Hb), allogeneic red blood cell (RBC) transfusion, intensive care admission, length of hospital stay, hospital readmissions, and mortality up to 30 days after the surgery were analyzed. Outcomes were evaluated according to preoperative anemia status based on World Health Organization (WHO) criteria.
resultsMean age was 70 years with a slight female predominance (57.6%). The prevalence of anemia was 30.7% (72/234) being more prevalent in female (33.3% vs 26.7%). Preoperative anemia was significantly associated with greater rate of blood transfusion (34.5% vs 5.6%;
conclusionsOur retrospective study demonstrated that preoperative anemia is a common problem among orthopedic patients and is associated with increased transfusion risk and worse outcomes. Strategies to identify and treat anemic patients before elective surgery are critical to improving clinical outcomes.
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