ArticleFrontiers in surgery2025
Hypertension and grading are important risk factors for occult blood loss in hip arthroplasty: a retrospective study analysis.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To quantify the impact of hypertension and its grading on occult blood loss (HBL) during total hip arthroplasty (THA) and to offer clinical guidance for minimizing HBL. Methods: Baseline data from femoral neck fracture patients treated with THA between January 2018 and December 2022 were included. SPSS 26.0 statistical software was used for correlation analysis employing statistical methods, including independent samples Results: The mean perioperative bleeding (TBL) among all patients was 1,123.39 ± 518.89 mL, and the mean HBL was 923.93 ± 489.04 mL, which accounted for 78.76% ± 16.09% of the TBL. HBL was significantly higher in hypertensive patients (957.98 ± 509.72 mL vs. 895.94 ± 469.97 mL, Conclusion: Hypertension ≥ grade 2 (systolic blood pressure ≥ 160 mmHg) independently exacerbates HBL in THA patients through a dose-response relationship. It is recommended that preoperative systolic blood pressure be maintained below 160 mmHg, and metabolic status be optimized to reduce the risk of blood transfusion.
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