FIBTEM as a predictor of intra- and postoperative blood loss in revision total hip arthroplasty: A prospective observational study.

ABSTRACT: Revision total hip arthroplasty (THA) may cause intra- and postoperative massive bleeding. This prospective observational study evaluated if the maximum clot firmness of FIBTEM (MCFFIB) could act as a predictor of perioperative massive bleeding in revision THA.Fifty-eight adult patients undergoing revision THA were included. Pre- and postoperative MCFFIB, hematological and hemostatic laboratory data, as well as the amount of intra- and postoperative blood loss (IBL and PBL) were obtained.The change rate (MCFFIB-C) between the pre- and postoperative MCFFIB had a significant correlation with IBL (??=?0.431, P?=?.001). Moreover, PBL had a significant correlation with MCFFIB-C (??=?0.292, P?=?.026). The MCFFIB-C cut-off value of ? 29% showed the highest sensitivity and specificity for predicting IBL ? 1000?mL or PBL ?500?mL. The incidence of red blood cell transfusion in the postoperative period was higher in patients showing MCFFIB-C ? 29% (34% vs 8%, P?=?.015).The change rate between pre- and postoperative MCFFIB values was correlated well with the amount of IBL or PBL. Moreover, particular change rate of MCFFIB could predict massive bleeding in revision THA.

SUBMITTER: Shin HJ 

PROVIDER: S-EPMC6392916 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature