Perioperative medicine & outcomes

Identification of the haemoglobin level associated with a lower risk of complications after total hip and knee arthroplasty

Acta Anaesthesiol ScandPublished Planned secondary analysis of a multicentre cohort study

Authors' conclusion

Preoperative haemoglobin ≥14 g dl-1 is associated with a lower risk of postoperative complications in patients undergoing primary TKA and THA.

Study context

Population
Patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) in 131 Spanish hospitals3,818 THA and 2281 TKA
Participants
6,099 patients
Comparison
Preoperative anaemia vs no anaemia; preoperative Hb categories
  • Anaemian = 539
  • No anaemian = 5,560reference
Primary endpoint
Patients with in-hospital postoperative complications (European Perioperative Clinical Outcome definitions and specific surgical TKA and THA complications)
Follow-up
30-day
Methodological details131 Spanish hospitals, multivariable logistic regression
  • 131 Spanish hospitals
  • Multivariable logistic regression

Primary result

As reported in the abstract

Overall complications

P < 0.001

Secondary outcomes

Moderate-to-severe complications · 30-day

P < 0.001

Original publication

Identification of the haemoglobin level associated with a lower risk of complications after total hip and knee arthroplasty. Acta Anaesthesiol Scand. Published 20 February 2023. doi:10.1111/aas.14217

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