Journal of Hebei Medical University ›› 2023, Vol. 44 ›› Issue (12): 1427-1431.doi: 10.3969/j.issn.1007-3205.2023.12.010

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Correlation analysis of perioperative blood transfusion with serum HGB, PLT and HCT levels after developmental dislocation of the hip

  

  1. Department of Blood Transfusion, Beijing Jishuitan Hospital, Beijing 100035, China

  • Online:2024-01-02 Published:2024-01-02

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Abstract: Objective To study the correlation of perioperative blood transfusion with hemoglobin (HGB), platelet count (PLT) and hematocrit (HCT) after developmental dislocation of the hip (DDH). 
Methods The clinical data of 84 children undergoing surgery for DDH in our hospital were retrospectively analyzed. Blood transfusion in children during perioperative period was recorded. The children undergoing blood transfusion were set as the blood transfusion group (n=50), and the children without undergoing blood transfusion were set as the non-transfusion group (n=34). The gender, age, body weight, the affected side, Tonnis grade, duration of operation, and differences in HGB, PLT, and HCT were compared between two groups. Receiver operating characteristic (ROC) curve was used to analyze the value of HGB, PLT, and HCT in predicting perioperative blood transfusion for DDH. Ultimately, multivariate Logistic regression was used to analyze the influencing factors of perioperative blood transfusion for DDH. 
Results There was no significant difference in gender composition ratio, age, body weight, affected side composition ratio, Tonnis grade composition ratio, and duration of operation between two groups (P＞0.05). The levels of HGB, PLT and HCT in the blood transfusion group were significantly lower in the non-transfusion group, and the difference was statistically significant (P＜0.05). ROC analysis confirmed that HGB, PLT HCT and joint testing could be used to predict perioperative blood transfusion for DDH, and the area under the ROC curve (AUC) was 0.714, 0.852， 0.858 and 0.894, respectively (P＜0.05). Multivariate Logistic regression analysis confirmed that HGB, PLT, and HCT were the influencing factors of perioperative blood transfusion for DDH (P＜0.05). 
Conclusion There is a high incidence of blood transfusion in the perioperative period of DDH. The incidence of blood transfusion is affected by the reduction of HGB, PLT, HCT and other factors, which warrants close attention of clinicians. 


Key words: 髋脱位, 输血, 血小板计数, 血红蛋白, 红细胞比容