ArticleBMC musculoskeletal disorders2023
Influencing factors of hidden blood loss after primary total hip arthroplasty through the posterior approach: a retrospective study.
Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 13 citations in OpenAlex.
- Does a longer operative time increase perioperative trauma in robot-assisted total hip arthroplasty? A post hoc analysis of a multicenter randomized controlled trial.Journal of robotic surgery · 2026Trial
- Review of the influence of anaemia on the effect of total hip arthroplasty, and the prognosis of patients: recent advances and future directions.Annals of medicine · 2026Review
- Perioperative Changes in Blood Volume and Fluid Distribution in Total Hip Arthroplasty-A Protocol for a Prospective Single-Center Observational Study.Acta anaesthesiologica Scandinavica · 2026Article
- Hidden blood loss estimation using perioperative hemoglobin drop: agreement with the Sehat formula.BMC surgery · 2026Article
- Predictors of hidden blood loss in ankylosing spondylitis patients receiving spinal deformity correction: osteotomy selection, bone density, and preoperative platelets.Spine deformity · 2026Article
- Hidden blood loss in total hip arthroplasty: A comparison of the direct anterior versus posterolateral approach.Joint diseases and related surgery · 2026Article
- Risk factors analysis and the establishment of nomogram prediction model of hidden blood loss exceeding 800 mL after total hip arthroplasty.BMC musculoskeletal disorders · 2026Article
- Analysis of independent risk factors for high hidden blood loss following total knee arthroplasty.PloS one · 2026Article
- Robot-assisted total hip arthroplasty following gene therapy for hemophilia a arthropathy: a case report.Arthroplasty (London, England) · 2025Article
- Machine Learning Approaches for Predicting Intraoperative Blood Transfusion in Partial Hip Arthroplasty.Journal of clinical medicine · 2025Article
- Hidden blood loss and its risk factors between high tibial osteotomy and unicompartmental knee arthroplasty for knee osteoarthritis: a retrospective study.BMC musculoskeletal disorders · 2025Article
- Calculation methods for intraoperative blood loss: a literature review.BMC surgery · 2024Review
- Impact of surgical approaches on stem position and hidden blood loss in total hip arthroplasty: minimally invasive vs. posterolateral.BMC musculoskeletal disorders · 2024Article
- Usage of Tranexamic Acid for Total Hip Arthroplasty: A Matched Cohort Analysis of 144,344 Patients.Journal of clinical medicine · 2024Article
- Development and Validation of a Machine Learning Algorithm to Predict the Risk of Blood Transfusion after Total Hip Replacement in Patients with Femoral Neck Fractures: A Multicenter Retrospective Cohort Study.Orthopaedic surgery · 2024Article
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5 authors at 1 institution in 1 country.
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Abstract
backgroundTotal hip arthroplasty (THA) is an excellent treatment for the end-stage hip disease, and perioperative blood management strategies have been effectively applied to this procedure. However, many patients still experience anemia after the operation, which is usually overlooked by orthopedic surgeons due to the hidden blood loss (HBL) in the perioperative period. Therefore, the objective of this study was to evaluate HBL in patients undergoing primary THA using the posterior approach and to explore its influencing factors.
methodsA retrospective analysis of 707 patients who underwent primary THA through the posterior approach was conducted in our hospital from January 2020 to January 2022. By applying Gross's and Nadler's formula, the HBL was calculated. Six quantitative variables (age, body mass index, surgical duration, albumin loss, preoperative hemoglobin, and hemoglobin loss) as well as four qualitative variables (gender, American Society of Anesthesiologists class, major preoperative diagnosis, and hypertension) of patients were analyzed using multivariate linear regression.
resultsThe HBL was recorded at 700.39 ± 368.59 mL. As a result of multivariate linear regression analysis, it was determined that body mass index, surgical duration, and hemoglobin loss were all significant risk factors for HBL, whereas preoperative hemoglobin was considered a protective factor. It has been demonstrated that HBL is not significantly correlated with age, albumin loss, gender, ASA class, or major preoperative diagnosis, but it also did not differ from HBL by hypertension.
conclusionsHidden blood Loss (HBL) in patients after primary total hip arthroplasty (THA) using the posterior approach is large and significant. When optimizing the perioperative management of THA, orthopedic surgeons should keep in mind HBL and its influencing factors, especially for patients with high body mass indexes, long surgical durations, and low preoperative hemoglobin levels.
trial registrationThis study was registered in the Chinese Clinical Trial Registry (ChiCTR2100053888) in 02/12/2021, http://www.chictr.org.cn .
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