Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.

Transfusions are a cause of significant patient morbidity as well as expense. Anesthesia literature has examined controlled intraoperative hypotension as a means for reducing blood loss and transfusions. Our hypothesis is that inversely increased blood pressure post-operatively would then lead to in...

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Autores principales:	Russell R Russo, Vinod Dasa, Robert Duarte, Burton Beakley, Manish Mishra, Hilary Thompson
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6199b3ad977f458e868ca75ec0e0d649
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spelling	oai:doaj.org-article:6199b3ad977f458e868ca75ec0e0d6492021-11-18T08:03:49ZPost-operative hypertension after total knee arthroplasty and the effects on transfusion rates.1932-620310.1371/journal.pone.0050967https://doaj.org/article/6199b3ad977f458e868ca75ec0e0d6492012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23300531/?tool=EBIhttps://doaj.org/toc/1932-6203Transfusions are a cause of significant patient morbidity as well as expense. Anesthesia literature has examined controlled intraoperative hypotension as a means for reducing blood loss and transfusions. Our hypothesis is that inversely increased blood pressure post-operatively would then lead to increased blood loss and transfusions.We examined 105 consecutive patients who underwent TKA. We found a significant odds ratio of 1.123 for pre-operative hematocrit. For post-operative blood pressure, we calculated an insignificant odds ratio of 1.007, proving no relationship between post-operative blood pressure and transfusions.This is the first study to examine increased post-operative blood pressure's contribution to transfusion rates. Although we confirmed that low pre-operative hematocrit contributes to increased transfusions, we did not find a relationship between post-operative blood pressure and transfusions.Russell R RussoVinod DasaRobert DuarteBurton BeakleyManish MishraHilary ThompsonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 12, p e50967 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Russell R Russo Vinod Dasa Robert Duarte Burton Beakley Manish Mishra Hilary Thompson Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
description	Transfusions are a cause of significant patient morbidity as well as expense. Anesthesia literature has examined controlled intraoperative hypotension as a means for reducing blood loss and transfusions. Our hypothesis is that inversely increased blood pressure post-operatively would then lead to increased blood loss and transfusions.We examined 105 consecutive patients who underwent TKA. We found a significant odds ratio of 1.123 for pre-operative hematocrit. For post-operative blood pressure, we calculated an insignificant odds ratio of 1.007, proving no relationship between post-operative blood pressure and transfusions.This is the first study to examine increased post-operative blood pressure's contribution to transfusion rates. Although we confirmed that low pre-operative hematocrit contributes to increased transfusions, we did not find a relationship between post-operative blood pressure and transfusions.
format	article
author	Russell R Russo Vinod Dasa Robert Duarte Burton Beakley Manish Mishra Hilary Thompson
author_facet	Russell R Russo Vinod Dasa Robert Duarte Burton Beakley Manish Mishra Hilary Thompson
author_sort	Russell R Russo
title	Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
title_short	Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
title_full	Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
title_fullStr	Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
title_full_unstemmed	Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
title_sort	post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/6199b3ad977f458e868ca75ec0e0d649
work_keys_str_mv	AT russellrrusso postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates AT vinoddasa postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates AT robertduarte postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates AT burtonbeakley postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates AT manishmishra postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates AT hilarythompson postoperativehypertensionaftertotalkneearthroplastyandtheeffectsontransfusionrates
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Post-operative hypertension after total knee arthroplasty and the effects on transfusion rates.

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