Influencing factors and nursing strategies of hidden blood loss in patients with adult degenerative scoliosis undergoing posterior approach

GU Jinyu; JI Ping; ZHAO Shujie; ZHAO Juan

doi:10.7619/jcmp.20233951

Journal of Clinical Medicine in Practice > 2024 > 28(5): 107-110. > DOI: 10.7619/jcmp.20233951

GU Jinyu, JI Ping, ZHAO Shujie, ZHAO Juan. Influencing factors and nursing strategies of hidden blood loss in patients with adult degenerative scoliosis undergoing posterior approach[J]. Journal of Clinical Medicine in Practice, 2024, 28(5): 107-110. DOI: 10.7619/jcmp.20233951

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Influencing factors and nursing strategies of hidden blood loss in patients with adult degenerative scoliosis undergoing posterior approach

1.
Department of Anesthesia and Perioperative Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210000
2.
Department of Orthopedics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210000

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Received Date: December 05, 2023
Revised Date: January 29, 2024
Available Online: March 21, 2024

Graphical Abstract

Abstract

Abstract

Objective
To investigate the influencing factors and nursing strategies of hidden blood loss (HBL) in patients with adult degenerative scoliosis (ADS) undergoing posterior approach.
Methods
Eighty ADS patients who underwent posterior spinal surgery were selected as the study objects.Demographic characteristics and perioperative blood loss were retrospectively collected.The influencing factors of HBL were analyzed by multi-factor linear regression analysis.
Results
Operation time, muscle thickness and allogeneic blood transfusion were independent risk factors for increased HBL in ADS patients (P < 0.05); female, autologous blood transfusion and intraoperative thermal blanket were independent protective factors for elevated HBL (P < 0.05).
Conclusion
In view of the above independent risk factors of elevated HBL, the nursing staff should make preoperative preparation and strengthen the temperature management of ADS patients during the operation, so as to accelerate the recovery of patients and reduce the occurrence of postoperative complications.
- adult degenerative scoliosis,
- spine surgery,
- hidden blood loss,
- influencing factors,
- nursing strategy

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References (22)

References

[1]	柴敦元, 王丹. 后路手术选择性融合固定治疗退变性脊柱侧弯的疗效分析[J]. 实用临床医药杂志, 2019, 23(2): 68-71. doi: 10.7619/jcmp.201902019
[2]	ZHANG Y, LIU C, GE X. Clinical and radiographic outcomes of stand-alone oblique lateral interbody fusion in the treatment of adult degenerative scoliosis: a retrospective observational study[J]. BMC Musculoskelet Disord, 2022, 23(1): 1133. doi: 10.1186/s12891-022-06035-9
[3]	QIN K X, TIAN H S, ZHANG K H, et al. Risk factors for hidden blood loss associated with vertebroplasty or kyphoplasty for osteoporotic vertebral compression fracture: a systematic review and meta-analysis[J]. World Neurosurg, 2023, 175: 47-56. doi: 10.1016/j.wneu.2023.03.114
[4]	眭江涛, 马俊毅, 程俊杰, 等. 重度特发性胸腰段脊柱侧凸患者应用前后路手术联合内固定的疗效及预后[J]. 实用临床医药杂志, 2017, 21(11): 81-83. doi: 10.7619/jcmp.201711024
[5]	HUANG X, LI F L, SHI W F, et al. Efficacy of perioperative cryotherapy combined with intra-articular injection of tranexamic acid in total knee arthroplasty[J]. Medicine, 2023, 102(29): e34381. doi: 10.1097/MD.0000000000034381
[6]	KOLZ J M, NEAL K M. Hidden blood loss in adolescent idiopathic scoliosis surgery[J]. Orthop Traumatol Surg Res, 2022, 108(6): 103216. doi: 10.1016/j.otsr.2022.103216
[7]	STREUFERT B D, ONYEDIMMA C, YOLCU Y U, et al. Rheumatoid arthritis in spine surgery: a systematic review and meta-analysis[J]. Global Spine J, 2022, 12(7): 1583-1595. doi: 10.1177/21925682211057543
[8]	CAI L J, CHEN L, ZHAO C C, et al. Influencing factors of hidden blood loss after primary total hip arthroplasty through the posterior approach: a retrospective study[J]. BMC Musculoskelet Disord, 2023, 24(1): 582. doi: 10.1186/s12891-023-06716-z
[9]	PENG Y J, FAN Z Y, WANG Q L, et al. Comparison of the total and hidden blood loss in patients undergoing single-level open and unilateral biportal endoscopic transforaminal lumbar interbody fusion: a retrospective case control study[J]. BMC Musculoskelet Disord, 2023, 24(1): 295. doi: 10.1186/s12891-023-06393-y
[10]	YANG Y, PENG Y X. Hidden blood loss and its risk factors in percutaneous vertebroplasty surgery for osteoporotic vertebral compression fractures[J]. Arch Orthop Trauma Surg, 2023, 143(9): 5575-5581. doi: 10.1007/s00402-023-04873-3
[11]	胡攀, 胡月. 脊柱手术围手术期隐性失血的研究进展[J]. 中医正骨, 2019, 31(4): 52-55. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYZG201904014.htm
[12]	KITAMURA K, VAN HOOFF M, JACOBS W, et al. Which frailty scales for patients with adult spinal deformity are feasible and adequate?A systematic review[J]. Spine J, 2022, 22(7): 1191-1204. doi: 10.1016/j.spinee.2022.01.017
[13]	LI X Y, CHEN X L, WANG Y, et al. Early outcomes of oblique lateral interbody fusion with posterior fixation versus posterior interbody fusion with fixation for treating adult degenerative scoliosis[J]. J Orthop Surg Res, 2023, 18(1): 873. doi: 10.1186/s13018-023-04363-7
[14]	HUNG S F, LIAO J C, TSAI T T, et al. Comparison of outcomes between indirect decompression of oblique lumbar interbody fusion and MIS-TLIF in one single-level lumbar spondylosis[J]. Sci Rep, 2021, 11(1): 12783. doi: 10.1038/s41598-021-92330-9
[15]	HISHIMURA R, ONODERA T, OHKOSHI Y, et al. The effect of local injection of tranexamic acid into peri-articular tissue versus drain clamping in total knee arthroplasty: a randomized controlled trial[J]. BMC Musculoskelet Disord, 2022, 23(1): 111. doi: 10.1186/s12891-022-05058-6
[16]	班正涛, 刘汝专. 腰椎椎间融合术后隐性失血的研究进展[J]. 中国骨伤, 2018, 31(11): 1077-1080. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGU201811020.htm
[17]	CAI T C, WANG F, NAN L P, et al. Perioperative hidden blood loss in elderly osteoporotic vertebral compression fracture patients with percutaneous vertebroplasty and influencing factors[J]. Geriatr Orthop Surg Rehabil, 2021, 12: 2151459321996178.
[18]	BAO J, ZOU D, LI W S. Characteristics of the DXA measurements in patients undergoing lumbar fusion for lumbar degenerative diseases: a retrospective analysis of over 1000 patients[J]. Clin Interv Aging, 2021, 16: 1131-1137. doi: 10.2147/CIA.S300873
[19]	MURAKI S, YAMAMOTO S, ISHIBASHI H, et al. Impact of degenerative spinal diseases on bone mineral density of the lumbar spine in elderly women[J]. Osteoporos Int, 2004, 15(9): 724-728.
[20]	LIU F, ZHU H M, MA J L, et al. Performance of iCare quantitative computed tomography in bone mineral density assessment of the hip and vertebral bodies in European spine phantom[J]. J Orthop Surg Res, 2023, 18(1): 777. doi: 10.1186/s13018-023-04174-w
[21]	白冰, 黄宇光, 易杰, 等. 小儿脊柱侧弯手术隐性失血相关因素的调查[J]. 上海医学, 2015, 38(8): 635-638. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYX201508009.htm
[22]	GE Z L, ZHAO W H, WU Z H, et al. Hidden blood loss and its possible risk factors in full endoscopic lumbar interbody fusion[J]. J Pers Med, 2023, 13(4): 674. doi: 10.3390/jpm13040674

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