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International Orthopaedics
Erschienen in:

13.10.2022 | Original Paper

Enhanced recovery after surgery for primary total hip arthroplasty: analysis of post-operative blood indexes

verfasst von: Xiaoguang Wang, Yinyin Chen, Jianzong Zhao, Bo Wang, Zhiping Chen

Erschienen in: International Orthopaedics | Ausgabe 1/2023

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Abstract

Introduction

To explore the clinical efficacy of the enhanced recovery after surgery (ERAS) program in terms of blood management for primary hip arthroplasty patients.

Method

Ninety cases of total hip arthroplasty in our hospital from October 2020 to January 2022 were selected as the research objects, 45 cases as the control group, and 45 cases as the ERAS group. The control group was given routine care after operation, while the ERAS group was given ERAS management. The leucocytes, haemoglobin, platelets, albumin, D-dimer, C-reactive protein (CRP), total length of stay (LOS), and estimated blood loss after operation were compared between the two groups.

Results

The results showed that the Hb, TPO, and Alb of the ERAS group before operation, one day and three days after operation were significantly higher than those of the control group (P < 0.05). The WBC, CRP, and D-dimer in ERAS group were significantly lower than those in the control group (P < 0.05). The LOS in ERAS group was significantly less than that in control group (P < 0.05).

Discussion

ERAS scheme can reduce the loss of blood and nutrients from surgery in patients. WBC, CRP, and D-dimer in ERAS group were significantly lower than those in the control group. Humane care from ERAS programs can relieve patients’ anxiety to some extent.

Conclusion

ERAS management contributes to the recovery of hip function in patients undergoing THA, reduces blood loss during peri-operative period, and reduces the effect of operation on blood system.
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Metadaten
Titel
Enhanced recovery after surgery for primary total hip arthroplasty: analysis of post-operative blood indexes
verfasst von
Xiaoguang Wang
Yinyin Chen
Jianzong Zhao
Bo Wang
Zhiping Chen
Publikationsdatum
13.10.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 1/2023
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-022-05606-8

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