Research Article

Incidence, Risk Factors, and Nomogram of Transfusion and Associated Complications in Nonfracture Patients following Total Hip Arthroplasty

Table 1

Univariate analysis of blood transfusion in nonfracture patients after total hip arthroplasty.

Total ()Transfusion ()Nontransfusion ()

Age, years0.716
Gender (male)942 (57.6)106 (11.3)836 (88.7)<0.001
Height, cm<0.001
Weight, kg<0.001
BMI, kg/㎡<0.001
Blood type0.236
 A519 (31.7)70 (13.5)449 (86.5)
 B515 (31.5)84 (16.3)431 (83.7)
 O439 (26.9)80 (18.2)359 (81.8)
 AB162 (9.9)24 (14.8)138 (85.2)
Smoking413 (25.3)29 (7.0)384 (93.0)<0.001
Alcoholism438 (26.8)42 (9.6)396 (90.4)<0.001
CCI0.174
Indications0.041
 ANFH1282 (78.4)189 (14.7)1093 (85.3)
 OA162 (9.9)28 (17.3)134 (82.7)
 RA8 (0.5)3 (37.5)5 (62.5)
 AS9 (0.6)4 (44.4)5 (55.6)
 DDH169 (10.3)33 (19.5)136 (80.5)
 Others5 (0.3)1 (20.0)4 (80.0)
Anesthesia0.007
 General731 (44.7)135 (18.5)596 (81.5)
 Nongeneral904 (55.3)123 (13.6)781 (86.4)
Operation time, min<0.001
Procedures<0.001
 Unilateral1518 (92.8)206 (13.6)1312 (86.4)
 Bilateral117 (7.2)52 (44.4)65 (55.6)
Approach0.903
 Anterior17 (1.0)2 (11.8)15 (88.2)
 Posterior1618 (99.0)256 (15.8)1362 (84.2)
Estimated blood loss, ml<0.001
Drainage use342 (20.9)45 (13.2)297 (86.8)0.135
TXA use604 (36.9)76 (12.6)528 (87.4)0.007
Comorbidities
 Hypertension432 (26.4)65 (15.0)367 (85.0)0.626
 Diabetes116 (7.1)21 (18.1)95 (81.9)0.476
 Coronary heart disease91 (5.6)22 (24.2)69 (75.8)0.024
 Cerebrovascular diseases75 (4.6)11 (14.7)64 (85.3)0.787
 Arrhythmia17 (1.0)5 (29.4)12 (70.6)0.224
 Respiratory diseases69 (4.2)12 (17.4)57 (82.6)0.708
 Digestive diseases98 (6.0)16 (16.3)82 (83.7)0.878
 Urinary diseases35 (2.1)5 (14.3)30 (85.7)0.806
 Mental diseases15 (0.9)2 (13.3)13 (86.7)1.000
 Fibroid28 (1.7)2 (7.1)26 (92.9)0.206
Preoperative Hb, g/L<0.001
Preoperative HCT, %<0.001
Preoperative RDW, %0.021
Preoperative WBC, n/L<0.001
Preoperative PLT, n/L0.117
Preoperative RET, %<0.001

BMI: body mass index; CCI: Charlson comorbidity index; ANFH: avascular necrosis of femoral head; OA: osteoarthritis; RA: rheumatoid arthritis; AS: ankylosing spondylitis; DDH: developmental dysplasia of the hip; TXA: tranexamic acid; Hb: hemoglobin; HCT: hematocrit; RDW: red cell distribution width; WBC: white blood cell; PLT: platelet; RET: reticulocyte.