Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study
Abstract Background Hidden blood loss (HBL) is often ignored unilateral biportal endoscopic interbody fusion surgery (ULIF). We investigated the amount and influencing factors of HBL in ULIF surgery in this study. Methods From October 2020 to November 2023, 100 patients’ clinical and radiological da...
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BMC
2024-12-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-08104-7 |
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| author | Jian-fang Jin Hao-ran Chen Yu-jian Peng Jun Dai Qian-liang Wang Jun Yan |
| author_facet | Jian-fang Jin Hao-ran Chen Yu-jian Peng Jun Dai Qian-liang Wang Jun Yan |
| author_sort | Jian-fang Jin |
| collection | DOAJ |
| description | Abstract Background Hidden blood loss (HBL) is often ignored unilateral biportal endoscopic interbody fusion surgery (ULIF). We investigated the amount and influencing factors of HBL in ULIF surgery in this study. Methods From October 2020 to November 2023, 100 patients’ clinical and radiological data were retrospectively analyzed. Pearson or Spearman correlation and multivariate linear regression were used to identify factors linked to HBL. Results The mean hidden blood loss (HBL) was 255.84 ± 290.89 ml, making up 62.48% of total blood loss. Correlation analysis showed HBL positively related to ASA classification (P = 0.009), operation time (P = 0.004), number of operation levels (P = 0.046), and paraspinal muscle thickness (P = 0.043), but negatively related to tranexamic acid use (P = 0.001). A multivariate linear regression analysis showed that HBL was positively associated with ASA classification (P = 0.038) and operation time (P = 0.046), but negatively associated with tranexamic acid use (P = 0.001). Conclusion Patients undergoing ULIF surgery incurred a great deal of HBL. More importantly, ASA classification, operation time and tranexamic acid use were independent risk factors for HBL. |
| format | Article |
| id | doaj-art-e66265566e2d407cb8a6eed8ab27ad24 |
| institution | OA Journals |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-e66265566e2d407cb8a6eed8ab27ad242025-08-20T02:31:44ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-012511710.1186/s12891-024-08104-7Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective studyJian-fang Jin0Hao-ran Chen1Yu-jian Peng2Jun Dai3Qian-liang Wang4Jun Yan5Department of Hospital Outpatient, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityDepartment of Orthopedic Surgery, The Second Affiliated Hospital of Soochow UniversityAbstract Background Hidden blood loss (HBL) is often ignored unilateral biportal endoscopic interbody fusion surgery (ULIF). We investigated the amount and influencing factors of HBL in ULIF surgery in this study. Methods From October 2020 to November 2023, 100 patients’ clinical and radiological data were retrospectively analyzed. Pearson or Spearman correlation and multivariate linear regression were used to identify factors linked to HBL. Results The mean hidden blood loss (HBL) was 255.84 ± 290.89 ml, making up 62.48% of total blood loss. Correlation analysis showed HBL positively related to ASA classification (P = 0.009), operation time (P = 0.004), number of operation levels (P = 0.046), and paraspinal muscle thickness (P = 0.043), but negatively related to tranexamic acid use (P = 0.001). A multivariate linear regression analysis showed that HBL was positively associated with ASA classification (P = 0.038) and operation time (P = 0.046), but negatively associated with tranexamic acid use (P = 0.001). Conclusion Patients undergoing ULIF surgery incurred a great deal of HBL. More importantly, ASA classification, operation time and tranexamic acid use were independent risk factors for HBL.https://doi.org/10.1186/s12891-024-08104-7Unilateral biportal endoscopic lumbar interbody fusionHidden blood lossMultiple regression analysisRisk factors |
| spellingShingle | Jian-fang Jin Hao-ran Chen Yu-jian Peng Jun Dai Qian-liang Wang Jun Yan Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study BMC Musculoskeletal Disorders Unilateral biportal endoscopic lumbar interbody fusion Hidden blood loss Multiple regression analysis Risk factors |
| title | Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study |
| title_full | Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study |
| title_fullStr | Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study |
| title_full_unstemmed | Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study |
| title_short | Risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion : a single-center retrospective study |
| title_sort | risk factors for hidden blood loss in unilateral biportal endoscopic lumbar interbody fusion a single center retrospective study |
| topic | Unilateral biportal endoscopic lumbar interbody fusion Hidden blood loss Multiple regression analysis Risk factors |
| url | https://doi.org/10.1186/s12891-024-08104-7 |
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