Evidence map›Paper›PMID 35414844›Full record

ArticleInternational journal of clinical and experimental pathology2022

Pathologic mechanism of hidden blood loss after total knee arthroplasty: oxidative stress induced by free fatty acids.

Tao Yuan, Shaoqiang Yang, Chengteng Lai, Xin Yu, Hong Qian, Jia Meng, Nirong Bao, Jianning Zhao

Abstract read
In one paragraph

Article in International journal of clinical and experimental pathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Effectiveness and Safety of Oxidized Regenerated Cellulose for Hemostasis in Joint Arthroplasty: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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  14. Safety and Efficacy of a Novel Hemostatic Powder in Total Knee Arthroplasty.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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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

8 authors.

Tao YuanDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.
Shaoqiang YangDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.
Chengteng LaiDepartment of Orthopedics, Jinling Hospital, Medical School of Nanjing University Nanjing 210002, China.
Xin YuDepartment of Orthopedics, Jinling Hospital, Medical School of Nanjing University Nanjing 210002, China.
Hong QianDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.
Jia MengDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.
Nirong BaoDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.
Jianning ZhaoDepartment of Orthopedics, Jinling Hospital, The First School of Clinical Medicine, Southern Medical University Guangzhou 510515, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHidden blood loss (HBL) often occurs after joint replacement; however, the mechanism of HBL is not clear. We conducted a prospective study to analyze the correlation between high-level free fatty acids (FFA) and erythrocyte injury, and explore the pathologic mechanism of hidden blood loss (HBL) after total knee arthroplasty (TKA).

methodsPerioperative blood indexes were tested in 120 patients who underwent unilateral total knee replacement for end-stage knee osteoarthritis. The changes in FFA, reactive oxygen species (ROS), hemoglobin (Hb), and red blood cells (RBC) in the blood samples were detected. The activity of glutathione peroxidase (GSH-Px), total superoxide dismutase (T-SOD) and hydrogen peroxide (H

resultsHBL occurred in all patients after TKA. The Hb and RBC decreased significantly 24 h after surgery (

conclusionsHigh levels of FFA in blood can induce oxidative stress and damage red blood cells, leading to the occurrence of HBL after surgery.

trial registrationChinese Clinical Trials Registry (the trial number: ChiCTR17010681, URL: http://www.chictr.org.cn).

Indexed as

free fatty acidsHidden blood lossreactive oxygen speciestotal knee arthroplasty

Identifiers

PMID35414844
PMCPMC8986472

What OpenQuestion holds

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Registered trials

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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.