Hidden blood loss and its influencing factors after percutaneous kyphoplasty surgery

Cao, Du; Zhang, Shengli; Yang, Fubin; Shen, Kai; Tan, Zujian

doi:10.1097/md.0000000000010435

Cited by 22 publications

(30 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Amount of intraoperative bleeding (ml) (8): Amount of intraoperative bleeding = (intraoperative amount of liquid absorbed by the gauze + amount of liquid sucked by the autologous blood transfusion equipment + amount of liquid sucked on the wound surface) - amount of washing liquid.…”

Section: Methodsmentioning

confidence: 99%

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Wan

Zhang

et al. 2019

Exp Ther Med

View full text Add to dashboard Cite

This study investigated the clinical feasibility and application value of computer virtual reduction combined with three-dimensional (3D) printing technique in patients with complex acetabular fracture. Ninety-six patients diagnosed with complex acetabular fracture in the Orthopedics Department in The Second Affiliated Hospital of Luohe Medical College from January 2016 to June 2017 were selected and randomly divided into the routine operation group (n=48) and the 3D model group (n=48) according to the admission number of the patients. In the 3D model group, computed tomography (CT) scan was performed preoperatively, and the model was made using the virtual technique and 3D printing technique. The surgical scheme was designed according to the model. Patients in the routine operation group were diagnosed with the conventional CT scan without using the computer virtual technique and 3D printing technique. During operation, the operation time, amount of intraoperative bleeding and times of intraoperative fluoroscopy were recorded in both groups. After operation, the incidence rate of such complications as inflammatory response, iatrogenic neurological symptoms and loss of reduction were recorded in both groups. Moreover, the reduction quality of acetabular fracture was evaluated according to the Matta imaging score at 3 days after operation, and the hip joint function was evaluated based on the Hariss score at 6 months after operation. In the 3D model group, the operation time was significantly shorter than that in the control group, the amount of intraoperative bleeding and times of intraoperative fluoroscopy were significantly less than those in the routine operation group, and the incidence rate of postoperative complications was obviously lower than that in the routine operation group (P<0.05). In conclusion, computer virtual reduction combined with the 3D printing technique can significantly reduce the operation time, amount of intraoperative bleeding, times of intraoperative fluoroscopy and incidence rate of postoperative complications without adverse effects on the reduction quality of acetabular fracture and hip joint function of patients, which has a higher clinical application value and greater social significance.

show abstract

Section: Methodsmentioning

confidence: 99%

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Wan

Zhang

et al. 2019

Exp Ther Med

View full text Add to dashboard Cite

show abstract

“… 10 However, these result contradicted that of Cao’s. 9 A possible reason may be that there were 14 mid-thoracic vertebrae in Cao’s study.…”

Section: Discussionmentioning

confidence: 88%

“… 5 The duration of symptoms, number of fracture segments, loss and recovery rate of vertebral body height, operation time and cement leakage were reported as risk factors for increased HBL during PKP. 9 Although the procedure of PVP is similar to PKP, a lower recovery rate of vertebral height, a shorter operation time and higher cement leakage rate are reported for PVP compared with PKP. 11 , 19 However, PVP is more widely used due to its lower cost and equivalent clinical effect compared with PKP.…”

Section: Discussionmentioning

confidence: 97%

“…However, Wu et al found 19.5% (26/133) and Cao et al found 39.3% (48/122) of patients developed anemia, whose Hb was normal preoperatively, after PKP treatment for OVCF. 9 , 10 Elderly patients are generally in poor physical condition, are more obviously affected by surgical trauma, and have less tolerance for blood loss. 15 , 16 Even a small amount of blood loss may also cause an imbalance of body homeostasis in elderly patients, resulting in serious postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

“…However, previous studies found that there was significant HBL during the perioperative period of PKP. 9 , 10 It is commonly believed that the PVP procedure is simpler and it is more economical than PKP, and thus PVP is used more often in the treatment of OVCF. 11 Clarifying that perioperative HBL can more accurately evaluate the total blood loss due to PVP is of great importance, especially for the perioperative safety of elderly patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perioperative Hidden Blood Loss in Elderly Osteoporotic Vertebral Compression Fracture Patients With Percutaneous Vertebroplasty and Influencing Factors

Cai

Wang

Nan

et al. 2021

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Introduction: To analyze perioperative hidden blood loss (HBL) and its influencing factors in elderly patients with osteoporotic vertebral compression fracture (OVCF) treated with percutaneous vertebroplasty (PVP). Materials and Methods: From January 2016 to December 2018, 103 elderly patients with OVCF (age > 85 years) treated with PVP were selected. The patient’s height, weight, duration of symptoms, previous medical history and other basic information were recorded. The hemoglobin (Hb) and hematocrit (Hct) immediately after admission and the next day postoperative were recorded. The operation time, surgical bleeding, Kummell’s disease, vertebral height preoperative and postoperative, and bone cement leakage was recorded. The total blood loss (TBL) was calculated according to Gross’s formula, and HBL was calculated based on the TBL and surgical bleeding. The influential factors were analyzed by multivariate linear regression analysis and single factor correlation analysis. Results: The mean surgical bleeding was 11.83 ± 5.37 mL, and HBL was 306.19 ± 185.92 mL, with a statistically significant difference (P = 0.000). According to the multiple linear regression analysis, the duration of symptoms (P = 0.030), number of fracture segments (P = 0.016), operation time (P = 0.004), loss of vertebral height (P = 0.026), recovery of vertebral height (P = 0.004), Kummell’s disease (P = 0.040) and cement leakage (P = 0.004) were correlated with an increased amount of HBL. Sex (P = 0.077), body mass index (BMI) (P = 0.486), hypertension (P = 0.734), diabetes (P = 0.769), fracture level (P = 0.518) and surgical bleeding (P = 0.821) had no correlation with the amount of HBL. Conclusions: There was obvious HBL during the perioperative period of PVP in elderly patients with OVCF. A fresh fracture, multi-segment vertebral fracture, longer operation time, presence of Kummell’s disease, loss of vertebral height, recovery of vertebral height and cement leakage the increased perioperative HBL during PVP.

show abstract

Assessment of Hidden Blood Loss in Spinal Metastasis Surgery: A Comprehensive Approach with MRI‐Based Radiomics Models

Zhao

Qin

Wang

et al. 2023

Magnetic Resonance Imaging

View full text Add to dashboard Cite

BackgroundPatients undergoing surgery for spinal metastasis are predisposed to hidden blood loss (HBL), which is associated with poor surgical outcomes but unpredictable.PurposeTo evaluate the role of MRI‐based radiomics models for assess the risk of HBL in patients undergoing spinal metastasis surgery.Study TypeRetrospective.Subjects202 patients (42.6% female) operated on for spinal metastasis with a mean age of 58 ± 11 years were divided into a training (n = 162) and a validation cohort (n = 40).Field Strength/Sequence1.5T or 3.0T scanners. Sagittal T1‐weighted and fat‐suppressed T2‐weighted imaging sequences.AssessmentHBL was calculated using the Gross formula. Patients were classified as low and high HBL group, with 1000 mL as the threshold. Radiomics models were constructed with radiomics features. The radiomics score (Radscore) was obtained from the optimal radiomics model. Clinical variables were accessed using univariate and multivariate logistic regression analyses. Independent risk variables were used to build a clinical model. Clinical variables combined with Radscore were used to establish a combined model.Statistical TestsPredictive performance was evaluated using area under the curve (AUC), accuracy, sensitivity, specificity, and F1 score. Calibration curves and decision curves analyses were produced to evaluate the accuracy and clinical utility.ResultsAmong the radiomics models, the fusion (T1WI + FS‐T2WI) model demonstrated the highest predictive efficacy (AUC: 0.744, 95% confidence interval [CI]: 0.576–0.914). The Radscore model (AUC: 0.809, 95% CI: 0.664–0.954) performs slightly better than the clinical model (AUC: 0.721, 95% CI: 0.524–0.918; P = 0.418) and the combined model (AUC: 0.752, 95% CI: 0.593–0.911; P = 0.178).Data ConclusionA radiomics model may serve as a promising assessment tool for the risk of HBL in patients undergoing spinal metastasis surgery, and guide perioperative planning to improve surgical outcomes.Level of Evidence3Technical EfficacyStage 2

show abstract

Hidden blood loss and its influencing factors after percutaneous kyphoplasty surgery

Cited by 22 publications

References 20 publications

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Perioperative Hidden Blood Loss in Elderly Osteoporotic Vertebral Compression Fracture Patients With Percutaneous Vertebroplasty and Influencing Factors

Assessment of Hidden Blood Loss in Spinal Metastasis Surgery: A Comprehensive Approach with MRI‐Based Radiomics Models

Contact Info

Product

Resources

About