Perioperative Blood Loss in Bipolar Hemiarthroplasty for Femoral Neck Fracture: Analysis of Risk Factors

Jai Hyung Park; Hyoung Soo Kim; Jeong Hyun Yoo; Joo Hak Kim; Ki Hyuk Sung; Joon Yub Kim; Sang Jun Park; In Hyeok Lee

doi:10.5371/hp.2013.25.2.110

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Park, Kim, Yoo, Kim, Sung, Kim, Park, and Lee: Perioperative Blood Loss in Bipolar Hemiarthroplasty for Femoral Neck Fracture: Analysis of Risk Factors

Original Article

Hip & Pelvis 2013; 25(2): 110-114.

Published online: 30 June 2013

DOI: https://doi.org/10.5371/hp.2013.25.2.110

Perioperative Blood Loss in Bipolar Hemiarthroplasty for Femoral Neck Fracture: Analysis of Risk Factors

Jai Hyung Park, MD, Hyoung Soo Kim, MD, Jeong Hyun Yoo, MD, Joo Hak Kim, MD, Ki Hyuk Sung, MD, Joon Yub Kim, MD, Sang Jun Park, MD, In Hyeok Lee, MD

Department of Orthopaedic Surgery, Myongji Hospital, Goyang, Korea.

Address reprint request to Jai Hyung Park, MD. Department of Orthopaedic Surgery, Myongji Hospital, 55, Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 412-826, Korea. TEL: +82-31-810-6539, FAX: +82-31-810-6900, wonnypia@hanmail.net

Received 20 April 2013 Revised 21 June 2013 Accepted 22 June 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

We compared visible blood loss and calculated blood loss after bipolar hemiarthroplasty in femoral neck fracture, and evaluated correlation between blood loss and its risk factors.

Materials and Methods

A total of 356 patients who underwent bipolar hemiarthroplasty in femoral neck fracture between 2004 and 2010 were enrolled in this study. The total blood loss was calculated using the formula reported by Mercuiali and Brecher. We analyzed several factors, including gender, age, body mass index (BMI), anesthesia method, cardiovascular and cerebrovascular disease, preoperative anemia, American Society of Anesthesiologists (ASA) score, use of cement, and use of antithrombotic agents.

Results

Total calculated blood loss(1,408±72 ml) differed significantly from visible blood loss(980±102 ml). In addition, calculated blood loss differed between risk factors(1,526±369 ml in cardiovascular disease, 1,588±279 ml in general anesthesia, 1,645±920 ml in obesity, and 1,605±439 ml in use of antithrombotic agents).

Conclusion

Total calculated blood loss was much greater than visible blood loss. Patients with risk factors such as cardiovascular disease, obesity, use of antithrombotic agents, and general anesthesia should be treated with care in order to reduce blood loss.

Keywords: Femoral neck fracture, Bipolar hemiarthroplasty, Blood loss, Risk factors

Figures and Tables

Table 1

Characteristics of Studied Patients

GA: general anesthesia, SA: spinal anesthesia, Hb: hemoglobin, ASA: American society of anesthesiologists, BMI: body mass index.

Table 2

Predictor of Total Blood Loss in Patients Underwent Bipolar Hemiarthroplasty in Multivariate Analysis

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