Re-evaluating the necessity of routine laboratory tests after high tibial osteotomy surgery
| العنوان: | Re-evaluating the necessity of routine laboratory tests after high tibial osteotomy surgery |
|---|---|
| المؤلفون: | Xin-gen Liao, Zhi-ming Tang, Hong-bo Li, Min Lan, Si Nie |
| المصدر: | BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021) BMC Musculoskeletal Disorders |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Blood transfusion, Sports medicine, Anemia, medicine.medical_treatment, Diseases of the musculoskeletal system, Logistic regression, Rheumatology, High tibial osteotomy, medicine, Humans, Orthopedics and Sports Medicine, Blood Transfusion, Hypoalbuminemia, Postoperative Period, Retrospective Studies, business.industry, Postoperative clinical interventions, medicine.disease, Surgery, Osteotomy, Risk factors, RC925-935, Orthopedic surgery, Female, Postoperative laboratory tests, business, Body mass index, Research Article |
| الوصف: | Background To assess the utility of routine postoperative laboratory tests for patients undergoing high tibial osteotomy (HTO) surgery. Methods The associations between clinical risk factors and postoperative clinical treatment were analyzed. Additionally, a logistic regression analysis was performed to detect independent risk factors for patients requiring postoperative clinical treatment. Results A total of 482 patients with symptomatic isolated medial compartment osteoarthritis from January 2015 to May 2020 were included in the present study and underwent examination by the full set of postoperative laboratory tests within 3 days after HTO surgery. However, only a small proportion of the patients with anemia (3.9 %), hypoalbuminemia (4.1 %), and abnormal serum potassium levels (3.5 %) required clinical intervention after surgery. Binary logistic regression analysis showed that the body mass index (BMI), preoperative hemoglobin level, estimated blood loss and operative duration were independent risk factors for postoperative blood transfusion in patients who underwent HTO surgery, and factors associated with albumin supplementation were female sex and preoperative albumin level. In addition, these results indicated that preoperative potassium was potential risk factor for patients who required potassium supplementation postoperatively. Conclusions Based on the analysis, we conclude that routinely ordering postoperative laboratory tests after HTO surgery is unnecessary. However, for patients with identified risk factors, routine postoperative laboratory tests are still needed. |
| اللغة: | English |
| تدمد: | 1471-2474 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad9cd577d28bbb02aae50299a3608a76 https://doaj.org/article/02962205d1d54c5ba07995327bb400d9 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ad9cd577d28bbb02aae50299a3608a76 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712474 |
|---|