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Enhanced recovery after surgery for primary total hip arthroplasty: analysis of post-operative blood indexes

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A Letter to the Editor to this article was published on 21 December 2022

A Letter to the Editor to this article was published on 05 November 2022

Abstract

Introduction

To explore the clinical efficacy of the enhanced recovery after surgery (ERAS) program in terms of blood management for primary hip arthroplasty patients.

Method

Ninety cases of total hip arthroplasty in our hospital from October 2020 to January 2022 were selected as the research objects, 45 cases as the control group, and 45 cases as the ERAS group. The control group was given routine care after operation, while the ERAS group was given ERAS management. The leucocytes, haemoglobin, platelets, albumin, D-dimer, C-reactive protein (CRP), total length of stay (LOS), and estimated blood loss after operation were compared between the two groups.

Results

The results showed that the Hb, TPO, and Alb of the ERAS group before operation, one day and three days after operation were significantly higher than those of the control group (P < 0.05). The WBC, CRP, and D-dimer in ERAS group were significantly lower than those in the control group (P < 0.05). The LOS in ERAS group was significantly less than that in control group (P < 0.05).

Discussion

ERAS scheme can reduce the loss of blood and nutrients from surgery in patients. WBC, CRP, and D-dimer in ERAS group were significantly lower than those in the control group. Humane care from ERAS programs can relieve patients’ anxiety to some extent.

Conclusion

ERAS management contributes to the recovery of hip function in patients undergoing THA, reduces blood loss during peri-operative period, and reduces the effect of operation on blood system.

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Authors and Affiliations

  1. Orthopedics, Affiliated Hospital of Jiangsu University, Zhenjiang, 212000, China

    Xiaoguang Wang, Yinyin Chen, Jianzong Zhao & Bo Wang

  2. Orthopedics, Taizhou Second People’s Hospital, Taizhou, 225500, China

    Zhiping Chen

Authors
  1. Xiaoguang Wang
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  2. Yinyin Chen
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  3. Jianzong Zhao
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  4. Bo Wang
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Contributions

Medical writing and statistical analysis services were provided by Xiaoguang Wang and Yinyin Chen. Project administration, supervision, and statistical analysis services were provided by Zhiping Chen. Data curation service was provided by Jianzhong Zhao and Bo Wang.

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Correspondence to Zhiping Chen.

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Ethical approval was approved by the local Ethics Committee of Affiliated Hospital of Jiangsu University.

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Wang, X., Chen, Y., Zhao, J. et al. Enhanced recovery after surgery for primary total hip arthroplasty: analysis of post-operative blood indexes. International Orthopaedics (SICOT) 47, 125–129 (2023). https://doi.org/10.1007/s00264-022-05606-8

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  • DOI: https://doi.org/10.1007/s00264-022-05606-8

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