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 (ρ = 0.431, P = .001). Moreover, PBL had a significant correlation with MCFFIB-C (ρ = 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.

• Authors: Hyun-Jung Shin, Byung-Hun Min, Hyo-Seok Na
• Journal: Medicine (Medicine (Baltimore)) Vol. 97 Issue 22 Pg. e10929 (Jun 2018) ISSN: 1536-5964 [Electronic] United States
• PMID: 29851830 (Publication Type: Journal Article, Observational Study)

Chemical References

• Fibrinogen

Topics

• Aged
• Arthroplasty, Replacement, Hip (adverse effects, methods)
• Blood Coagulation Tests (statistics & numerical data)
• Blood Loss, Surgical (physiopathology)
• Elasticity
• Female
• Fibrinogen (analysis)
• Humans
• Male
• Middle Aged
• Postoperative Hemorrhage (etiology)
• Predictive Value of Tests
• Preoperative Period
• Prospective Studies
• Reoperation (adverse effects, methods)