Management of Postoperative Anemia After Lower Limb Arthroplasty in Patients Over 65 Years Old

Conlon, Niamh; Bale, E; Herbison, Peter; McCarroll, Michele L.

doi:10.1213/ane.0b013e3181934208

Cited by 1 publication

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“…Secondly, preoperative Hct and RBC values were obtained randomly from the patients within four weeks prior to surgery, therefore it may not accurately reflect their levels at the time Hb mean value was 144 giL in elderly males and 130 giL in females, with a mean of 102 giL at 9-11 days after surgery. Of interest, in a previous study, the preoperative Hb mean value was 133 giL for elderly men and 121 giL for women, with a mean value of 97 giL on the eighth day, which is very similar to our data (19).…”

Section: Discussionsupporting

confidence: 90%

Behaviour of Perioperative Values of Haemoglobin, Haematocrit and Red Blood Cells in Elderly Patients Undergoing Lower Limb Arthroplasty: A Retrospective Cohort Study on Non-Transfused Patients

Drago

Vecchi

Romanò

et al. 2013

Int J Immunopathol Pharmacol

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Little is known on how elderly patients recover pre-operative haemoglobin, haematocrit and red blood cell levels after total hip and knee arthroplasties. In this study we aimed to evaluate blood loss and recovery blood levels in relation to gender, type of surgery and preoperative haemoglobin values. We conducted a retrospective cohort study on 187 patients over 65 years of age who underwent total knee or total hip arthroplasty between January 2008 and December 2009. Preoperative blood analysis was carried out within 40 days prior to intervention followed by a 15-day postoperative follow-up. Haemoglobin recovery values in anaemic patients versus healthy patients was also estimated. All tested values decreased significantly during the first 3-5 postoperative days. Haemoglobin levels decreased statistically significantly more in males than in females, while no significant differences were observed for haematocrit and erythrocytes. Recovery of haemoglobin values did not differ significantly between healthy patients and patients with preoperative haemoglobin below 120 g/L. Furthermore, our data showed a higher blood loss in total hip arthroplasty, whilst recovery rates showed to be higher after a total knee arthroplasty procedure. In conclusion, the type of intervention and gender played an important role in blood loss and recovery rates in total joint arthroplasty.

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Section: Discussionsupporting

confidence: 90%