53-276
Comparación de los requerimientos de sangre y estancia hospitalaria tras la implantación del protocolo fast track en prótesis total de rodilla.
Comparison between blood requirements and length of stay after the implementation of the fast track protocol in total knee arthroplasty.
B. SEGARRA MUÑOZ, M. SOLER PEIRO, J. SEVIL DE LA TORRE, V. CORTES TRONCH, M. RUIZ MIL, J. RIBES IBORRA DEPARTAMENTO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO DE LA RIBERA. ALCIRA, VALENCIA
Recepción:
11/09/2019
Aceptación:
11/09/2019
Publicación:
13/09/2019
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Resumen (ES)
Objectives. To analyse the differences in blood requirements and length of stay in patients undergoing total knee arthroplasty during the period before and after the implementation of the fast track protocol. Material and methods. Retrospective observational follow-up study or cohorts. The variables under study were: initial and minimum haemoglobin, number of patients and units transfused and days of hospital stay. For the comparisons, the chi-square and U-Mann Whitney statistics were calculated. Values of p≤0.05 were considered significant. Results. A sample of 189 patients was studied. The pre- and post-implementation values for the variables under study were: minimum haemoglobin 10.2 vs. 11.2 (p = 0.0), percentage of patients who required blood transfusion 20.8 vs. 4.5% (p = 0.001), rate of anaemia 3.4 vs. 2.9 (p = 0.002) and lengths of hospital stay 5.9 vs. 3.8 days (p = 0.017). Conclusions. The fast track protocol significantly improved haemoglobin values and decreased the need for transfusion and length of stay
Palabras clave (ES):
Fast
Rodilla
Prótesis
Artroplastia
Rehabilitación
Estancia
hospitalaria
track
Resumen (EN)
Objectives. To analyse the differences in blood requirements and length of stay in patients undergoing total knee arthroplasty during the period before and after the implementation of the fast track protocol. Material and methods. Retrospective observational follow-up study or cohorts. The variables under study were: initial and minimum haemoglobin, number of patients and units transfused and days of hospital stay. For the comparisons, the chi-square and U-Mann Whitney statistics were calculated. Values of p≤0.05 were considered significant. Results. A sample of 189 patients was studied. The pre- and post-implementation values for the variables under study were: minimum haemoglobin 10.2 vs. 11.2 (p = 0.0), percentage of patients who required blood transfusion 20.8 vs. 4.5% (p = 0.001), rate of anaemia 3.4 vs. 2.9 (p = 0.002) and lengths of hospital stay 5.9 vs. 3.8 days (p = 0.017). Conclusions. The fast track protocol significantly improved haemoglobin values and decreased the need for transfusion and length of stay
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