Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Fagotti,Lorenzo
Data de Publicação: 2018
Outros Autores: Ejnisman,Leandro, Miyahara,Helder de Souza, Gurgel,Henrique de Melo Campos, Croci,Alberto Tesconi, Vicente,Jose Ricardo Negreiros
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200236
Resumo: ABSTRACT Objective: This study aimed to investigate drain use in a controlled population of patients with hip osteoarthritis undergoing primary total hip arthroplasty. Methods: This prospective controlled trial evaluated 93 patients randomized into two groups: a group that received drains and a group that did not. The patients who were randomized to the drain group used a 3.2 mm drain placed under the fascia that was kept in place for 24 h. Postoperative evaluations were performed after 24 h and then three, six, and 12 weeks after total hip arthroplasty. The primary outcome was perioperative blood loss in both groups 24 h after total hip arthroplasty. The other parameters that were evaluated included mid-thigh circumference, the rate of blood transfusion, hematocrit, inflammatory serum levels, and the Harris Hip Score. Results: The clinical and laboratory data revealed no differences between the study groups with respect to blood loss and need for blood transfusion, duration of hospital stay, reoperation rate, complications, inflammatory serum markers, and the Harris Hip Score. Patients without closed suction drainage reported higher pain levels after 24 h (VAS score 1 vs. 2, p < 0.01). Conclusion: Similar clinical and laboratory outcomes were found in both cohorts.
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spelling Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trialArthroplasty replacement hipSuctionDrainageBlood loss surgicalABSTRACT Objective: This study aimed to investigate drain use in a controlled population of patients with hip osteoarthritis undergoing primary total hip arthroplasty. Methods: This prospective controlled trial evaluated 93 patients randomized into two groups: a group that received drains and a group that did not. The patients who were randomized to the drain group used a 3.2 mm drain placed under the fascia that was kept in place for 24 h. Postoperative evaluations were performed after 24 h and then three, six, and 12 weeks after total hip arthroplasty. The primary outcome was perioperative blood loss in both groups 24 h after total hip arthroplasty. The other parameters that were evaluated included mid-thigh circumference, the rate of blood transfusion, hematocrit, inflammatory serum levels, and the Harris Hip Score. Results: The clinical and laboratory data revealed no differences between the study groups with respect to blood loss and need for blood transfusion, duration of hospital stay, reoperation rate, complications, inflammatory serum markers, and the Harris Hip Score. Patients without closed suction drainage reported higher pain levels after 24 h (VAS score 1 vs. 2, p < 0.01). Conclusion: Similar clinical and laboratory outcomes were found in both cohorts.Sociedade Brasileira de Ortopedia e Traumatologia2018-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000200236Revista Brasileira de Ortopedia v.53 n.2 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2018.01.001info:eu-repo/semantics/openAccessFagotti,LorenzoEjnisman,LeandroMiyahara,Helder de SouzaGurgel,Henrique de Melo CamposCroci,Alberto TesconiVicente,Jose Ricardo Negreiroseng2018-05-14T00:00:00Zoai:scielo:S0102-36162018000200236Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-05-14T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
title Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
spellingShingle Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
Fagotti,Lorenzo
Arthroplasty replacement hip
Suction
Drainage
Blood loss surgical
title_short Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
title_full Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
title_fullStr Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
title_full_unstemmed Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
title_sort Use of closed suction drainage after primary total hip arthroplasty: a prospective randomized controlled trial
author Fagotti,Lorenzo
author_facet Fagotti,Lorenzo
Ejnisman,Leandro
Miyahara,Helder de Souza
Gurgel,Henrique de Melo Campos
Croci,Alberto Tesconi
Vicente,Jose Ricardo Negreiros
author_role author
author2 Ejnisman,Leandro
Miyahara,Helder de Souza
Gurgel,Henrique de Melo Campos
Croci,Alberto Tesconi
Vicente,Jose Ricardo Negreiros
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fagotti,Lorenzo
Ejnisman,Leandro
Miyahara,Helder de Souza
Gurgel,Henrique de Melo Campos
Croci,Alberto Tesconi
Vicente,Jose Ricardo Negreiros
dc.subject.por.fl_str_mv Arthroplasty replacement hip
Suction
Drainage
Blood loss surgical
topic Arthroplasty replacement hip
Suction
Drainage
Blood loss surgical
description ABSTRACT Objective: This study aimed to investigate drain use in a controlled population of patients with hip osteoarthritis undergoing primary total hip arthroplasty. Methods: This prospective controlled trial evaluated 93 patients randomized into two groups: a group that received drains and a group that did not. The patients who were randomized to the drain group used a 3.2 mm drain placed under the fascia that was kept in place for 24 h. Postoperative evaluations were performed after 24 h and then three, six, and 12 weeks after total hip arthroplasty. The primary outcome was perioperative blood loss in both groups 24 h after total hip arthroplasty. The other parameters that were evaluated included mid-thigh circumference, the rate of blood transfusion, hematocrit, inflammatory serum levels, and the Harris Hip Score. Results: The clinical and laboratory data revealed no differences between the study groups with respect to blood loss and need for blood transfusion, duration of hospital stay, reoperation rate, complications, inflammatory serum markers, and the Harris Hip Score. Patients without closed suction drainage reported higher pain levels after 24 h (VAS score 1 vs. 2, p < 0.01). Conclusion: Similar clinical and laboratory outcomes were found in both cohorts.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-01
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2018.01.001
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.53 n.2 2018
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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reponame_str Revista Brasileira de Ortopedia (Online)
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repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
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