Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study
<h3>Purpose</h3><p dir="ltr">The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need...
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| مؤلفون آخرون: | , , , , , |
| منشور في: |
2023
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| _version_ | 1864513530969980928 |
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| author | Anas Albasha (17765964) |
| author2 | Loay A. Salman (14150322) Ahmed Elramadi (16367583) Abedallah Abudalou (17707245) Ahmed Mustafa (14312595) Hasan Azzam Abu Hejleh (17765967) Ghalib Ahmed (14146800) |
| author2_role | author author author author author author |
| author_facet | Anas Albasha (17765964) Loay A. Salman (14150322) Ahmed Elramadi (16367583) Abedallah Abudalou (17707245) Ahmed Mustafa (14312595) Hasan Azzam Abu Hejleh (17765967) Ghalib Ahmed (14146800) |
| author_role | author |
| dc.creator.none.fl_str_mv | Anas Albasha (17765964) Loay A. Salman (14150322) Ahmed Elramadi (16367583) Abedallah Abudalou (17707245) Ahmed Mustafa (14312595) Hasan Azzam Abu Hejleh (17765967) Ghalib Ahmed (14146800) |
| dc.date.none.fl_str_mv | 2023-08-23T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-023-05946-z |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Outcomes_of_drain_versus_no_drain_in_total_knee_arthroplasty_a_retrospective_cohort_study/24972138 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Total knee arthroplasty Suction drain Infection rate Blood loss Blood transfusion Length of hospital stay |
| dc.title.none.fl_str_mv | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need, and length of hospital stay.</p><h3>Methods</h3><p dir="ltr">A retrospective observational cohort study was conducted at a tertiary hospital between January 1, 2015, and December 30, 2019, and included 262 patients who underwent unilateral non-traumatic primary TKA and were over 18 years old. The Institutional Review Board (IRB) approved the study (MRC-02–20-278).</p><h3>Results</h3><p dir="ltr">A total of 262 patients were included, with an age range of 47 to 91 years. Most of the included patients were females, 74.4% (195). Hypertension was the most frequent risk factor, 67.6%, followed by diabetes. Of 262 patients, 156 (59.5%) received a drain. The drain group had significantly longer hospital stay, 30% longer tourniquet time, greater haemoglobin and haematocrit drops, higher count of transfused packed RBC units, and lower use of anticoagulants. Moreover, tranexamic acid (TXA) use (n = 106) in surgery reduced hospital stays, tourniquet time, drain output, and increased pre- and postoperative haemoglobin and hematocrit levels compared to no TXA group (n = 156) (p < 0.05, z-score reported).</p><h3>Conclusions</h3><p dir="ltr">This study found that patients who received a drain had longer hospital stays and greater blood loss and transfusion rates compared to those who did not. The use of TXA in surgery was associated with improved outcomes and reduced overall complications.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05946-z" target="_blank">https://dx.doi.org/10.1007/s00264-023-05946-z</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_d39b8bb2e567740d9022f41ab31fb316 |
| identifier_str_mv | 10.1007/s00264-023-05946-z |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24972138 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort studyAnas Albasha (17765964)Loay A. Salman (14150322)Ahmed Elramadi (16367583)Abedallah Abudalou (17707245)Ahmed Mustafa (14312595)Hasan Azzam Abu Hejleh (17765967)Ghalib Ahmed (14146800)Biomedical and clinical sciencesClinical sciencesTotal knee arthroplastySuction drainInfection rateBlood lossBlood transfusionLength of hospital stay<h3>Purpose</h3><p dir="ltr">The use of suction drains in total knee arthroplasty (TKA) remains controversial. The aim of this study is to compare the outcomes of patients who received suction drains versus those who did not, focusing on blood loss, blood transfusion need, and length of hospital stay.</p><h3>Methods</h3><p dir="ltr">A retrospective observational cohort study was conducted at a tertiary hospital between January 1, 2015, and December 30, 2019, and included 262 patients who underwent unilateral non-traumatic primary TKA and were over 18 years old. The Institutional Review Board (IRB) approved the study (MRC-02–20-278).</p><h3>Results</h3><p dir="ltr">A total of 262 patients were included, with an age range of 47 to 91 years. Most of the included patients were females, 74.4% (195). Hypertension was the most frequent risk factor, 67.6%, followed by diabetes. Of 262 patients, 156 (59.5%) received a drain. The drain group had significantly longer hospital stay, 30% longer tourniquet time, greater haemoglobin and haematocrit drops, higher count of transfused packed RBC units, and lower use of anticoagulants. Moreover, tranexamic acid (TXA) use (n = 106) in surgery reduced hospital stays, tourniquet time, drain output, and increased pre- and postoperative haemoglobin and hematocrit levels compared to no TXA group (n = 156) (p < 0.05, z-score reported).</p><h3>Conclusions</h3><p dir="ltr">This study found that patients who received a drain had longer hospital stays and greater blood loss and transfusion rates compared to those who did not. The use of TXA in surgery was associated with improved outcomes and reduced overall complications.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05946-z" target="_blank">https://dx.doi.org/10.1007/s00264-023-05946-z</a></p>2023-08-23T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-023-05946-zhttps://figshare.com/articles/journal_contribution/Outcomes_of_drain_versus_no_drain_in_total_knee_arthroplasty_a_retrospective_cohort_study/24972138CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249721382023-08-23T03:00:00Z |
| spellingShingle | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study Anas Albasha (17765964) Biomedical and clinical sciences Clinical sciences Total knee arthroplasty Suction drain Infection rate Blood loss Blood transfusion Length of hospital stay |
| status_str | publishedVersion |
| title | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| title_full | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| title_fullStr | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| title_full_unstemmed | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| title_short | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| title_sort | Outcomes of drain versus no drain in total knee arthroplasty: a retrospective cohort study |
| topic | Biomedical and clinical sciences Clinical sciences Total knee arthroplasty Suction drain Infection rate Blood loss Blood transfusion Length of hospital stay |