Anemia and formation of deep vein thrombosis before operation in patients with knee osteoarthritis: a cross-sectional study

作者全名："Xiong, Xiaojuan; Li, Ting; Cheng, Bo"

作者地址："[Xiong, Xiaojuan; Li, Ting] Army Med Univ, Daping Hosp, Army Med Ctr PLA, Dept Anesthesiol, 10 ChangjiangZhilu, Chongqing 400042, Peoples R China; [Cheng, Bo] Chongqing Med Univ Yuzhong Dist, Affiliated Hosp 1, Dept Anesthesiol, 1 Youyi Rd, Chongqing 400000, Peoples R China"

通信作者："Cheng, B (通讯作者)，Chongqing Med Univ Yuzhong Dist, Affiliated Hosp 1, Dept Anesthesiol, 1 Youyi Rd, Chongqing 400000, Peoples R China."

来源：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000912487000006

JCR分区：Q1

影响因子：2.8

年份：2023

卷号：18

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Knee osteoarthritis; Deep vein thrombosis; Preoperative; Anemia

摘要："Background Preoperative anemia is a common complication in knee osteoarthritis (KOA) patients. However, the association between anemia and preoperative deep vein thrombosis (DVT) in osteoarthritis patients remains unknown. The aim of this study was to investigate such association.Methods In this retrospective study, we included 1005 KOA patients undergoing total knee arthroplasty (TKA) in our hospital. According to preoperative hemoglobin levels, the patients were divided into anemia group and non-anemia group. According to the results of Doppler ultrasonography for the lower extremities, the patients were divided into DVT group and non-DVT group. A logistic model was established through propensity score matching (PSM), with anemia before TKA as the dependent variable, DVT-related variable as the covariate, and 0.03 as the Caliper value. The anemia group and non-anemia group were matched at a 1:1 ratio and 310 successfully matched. After matching, logistic regression analysis was used to evaluate the correlation between preoperative anemia and DVT in KOA patients.Results In this study, 342 cases (33.6%) had preoperative anemia and 73 cases (7.2%) had DVT before TKA. After matching, 46 DVT cases (7.42%) were found. By using binary logistic regression after PSM, we found that the risk for preoperative DVT formation in TKA patients with preoperative anemia increased by 1.97 times [95% (CI 1.05-3.69)], P = 0.035.Conclusion Preoperative anemia is considered as an independent risk factor for the formation of preoperative DVT in KOA patients."

基金机构：　

基金资助正文：