AI Article Synopsis
- Primary total hip arthroplasty (THA) is a common surgical procedure known for the risk of significant blood loss, affecting many patients.
- A study involving 74,814 patients revealed that pre-operative blood transfusions are linked to increased risk for several complications, including infections, pneumonia, and cardiac arrest.
- It is crucial for future medical decisions regarding THA to include a thorough risk-benefit analysis and vigilant monitoring to minimize the chances of complications.
Article Abstract
Primary total hip arthroplasty (THA) is among the most common surgical procedures and known to potentially cause significant blood loss. In total, 74,814 patients from the National Surgical Quality Improvement Project Database were studied. Complications were divided into post-operative and non-operative complications. Pre-operative transfusion in THA patients was found to be an independent predictor of infection (OR: 5.41), pneumonia (OR: 2.66), failure to wean (OR: 13.84), urinary tract infection (OR: 3.42), cardiac arrest (OR: 5.83), and transfusion post-operatively (OR: 5.94). Future medical decisions in primary THA cases should entail a careful risk-benefit and close monitoring in order to prevent complications.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411999 | PMC |
| http://dx.doi.org/10.1016/j.jor.2019.02.013 | DOI Listing |
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