Evidence map›Paper›PMID 36035591›Full record

ArticleOrthopedic reviews2022

The effects of a new protocol on blood loss in total knee arthroplasty.

Giuseppe Maccagnano, Vito Pesce, Giovanni Noia, Michele Coviello, Giovanni Vicenti, Raffaele Vitiello, Antonio Ziranu, Antonio Spinarelli, Biagio Moretti

Open access · goldAbstract read
In one paragraph

Article in Orthopedic reviews, 2022. 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 29% 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, 13 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 6 institutions in 1 country.

Giuseppe MaccagnanoDepartment of Clinical and Experimental Medicine, Orthopedic and Trauma Unit, Faculty of Medicine and Surgery, University of Foggia, Policlinico Riuniti di Foggia.
Vito PesceDepartment of Clinical and Experimental Medicine, Orthopedic and Trauma Unit, Faculty of Medicine and Surgery, University of Foggia, Policlinico Riuniti di Foggia.
Giovanni NoiaDepartment of Clinical and Experimental Medicine, Orthopedic and Trauma Unit, Faculty of Medicine and Surgery, University of Foggia, Policlinico Riuniti di Foggia.
Michele CovielloOrthopaedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, AOU Consorziale Policlinico, Bari, Italy.
Giovanni VicentiOrthopaedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, AOU Consorziale Policlinico, Bari, Italy.
Raffaele VitielloFondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Antonio ZiranuFondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Antonio SpinarelliOrthopaedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, AOU Consorziale Policlinico, Bari, Italy.
Biagio MorettiOrthopaedic & Trauma Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, School of Medicine, University of Bari, AOU Consorziale Policlinico, Bari, Italy.
Azienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITUniversity of Foggia · ITAgostino Gemelli University Polyclinic · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedali Riuniti di Foggia · ITUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of study was to evaluate the efficacy of blood loss prevention with Tranexamic acid in patients undergoing total knee arthroplasty (TKA). The Authors defined a new protocol that foresees the use of Tranexamic acid both pre-intra and post-operatively. Seventy patients indicated for TKA were enrolled. Thirty-five patients (control group) followed standard protocol without Tranexamic acid and the other 35 patients (study group) followed standard protocol with Tranexamic acid. We analyzed the values of hemoglobin (Hb), hematocrit (HCT) and red blood cells (RBCs) both pre-operatively (T0) and post-operatively: immediately after surgery (T1), at one day (T2) and three days post-op (T3). We observed statistical differences at T0 and T3 regarding the Hb, HT and RBCs value between the two groups. Moreover, 11.4% in the study and 28.5% in the control group required blood transfusion. No thrombotic or thrombo-embolic events were reported. We conclude that Tranexamic acid use, as in our protocol, reduces postoperative bleeding in primary knee arthroplasty, with the absence of thrombo-embolic events.

Indexed as

acid tranexamic protocolblood losstotal knee arthroplastytransfusion

Identifiers

PMID36035591
PMCPMC9404250
OpenAlexW4292999712

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.