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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 52 - 56 (5page)
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purpose: Postoperative hemoglobin (Hb) determination remains an essential parameter for quantifying blood loss following total knee replacement (TKR) surgery and guiding transfusion practice. In this study we aimed to ascertain the optimal timing for Hb determination postoperatively and assess its relationship to serum hematocrit (Hct). Materials and Methods: This was a retrospective cohort analysis of 61 consecutive patients undergoing preoperative, day 1 and day 2 Hb and Hct concentration determination following TKR surgery. This was a single centre study in the United Kingdom.results: The mean fall in Hb concentration at day 1 was 2.9 g/dL in comparison to 3.3 g/dL at day 2. This indicated a significant difference of 0.39 g/dL (p=0.023). A total of 5 patients required blood transfusions following day 2 Hb determination. Postoperative Hct values varied in close relation with the Hb concentration with no significant differences demonstrated. Our study reveals a significant change between day 1 and day 2 Hb concentrations following TKR surgery, with no significant differing information provided through Hct determination. conclusions: Our results support the use of delayed routine testing at day 2 following surgery as it is likely to more accurately reflect ongoing hidden blood loss into the joint cavity and within soft tissue planes.
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참고문헌 (21)
참고문헌 신청
Ajwani SH / 2012 / Computer assisted versus conventional total knee replacement : a comparison of tourniquet time, blood loss and length of stay / Knee 19 : 606 ~ 610
Alcelik I / 2012 / A comparison of outcomes with and without a tourniquet in total knee arthroplasty : a systematic review and meta-analysis of randomized controlled trials /
Calder L / 1997 / Review of published recommendations and guidelines for the transfusion of allogeneic red blood cells and plasma / CMAJ 156 : S1 ~ S8
Carling MS / 2015 / Transfusions and blood loss in total hip and knee arthroplasty : a prospective observational study / J Orthop Surg Res 10 : 48 ~
Carson JL / 2013 / Outcomes using lower vs higher hemoglobin thresholds for red blood cell transfusion / JAMA 309 : 83 ~ 84
Alcelik I / 2012 / A comparison of outcomes with and without a tourniquet in total knee arthroplasty : a systematic review and meta-analysis of randomized controlled trials /
Calder L / 1997 / Review of published recommendations and guidelines for the transfusion of allogeneic red blood cells and plasma / CMAJ 156 : S1 ~ S8
Carling MS / 2015 / Transfusions and blood loss in total hip and knee arthroplasty : a prospective observational study / J Orthop Surg Res 10 : 48 ~
Carson JL / 2013 / Outcomes using lower vs higher hemoglobin thresholds for red blood cell transfusion / JAMA 309 : 83 ~ 84
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