Research Article

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

Table 4

Univariate analysis of postoperative complications in nonhip fracture patients after total hip arthroplasty.

30-day complications90-day complications
Complication ()Noncomplication ()Complication ()Noncomplication ()

Transfusion<0.001<0.001
 Yes19 (38.8)239 (15.1)21 (34.4)237 (15.1)
 No30 (61.2)1347 (84.9)40 (65.6)1337 (84.9)
Age, years0.0110.005
Gender (M)27 (55.1)915 (57.7)0.71833 (54.1)909 (57.8)0.571
BMI, km/㎡0.9020.830
CCI0.002<0.001
Indications0.7740.423
 ANFH40 (81.6)1242 (78.3)50 (82.0)1232 (78.3)
 OA6 (12.2)156 (9.8)6 (9.8)156 (9.9)
 RA0 (0.0)8 (0.5)0 (0.0)8 (0.5)
 AS0 (0.0)9 (0.6)0 (0.0)9 (0.6)
 DDH3 (6.1)166 (10.5)4 (6.6)165 (10.5)
 Others0 (0.0)5 (0.3)1 (1.6)4 (0.3)
Smoking9 (18.4)404 (25.5)0.260402 (25.5)11 (18.0)0.185
Drinking13 (26.5)425 (26.8)0.967422 (26.8)16 (26.2)0.920
Anesthesia0.2540.262
 General18 (36.7)713 (45.0)23 (37.7)708 (45.0)
 Nongeneral31 (63.3)873 (55.0)38 (62.3)866 (55.0)
Operation time, min0.8260.309
Blood loss, ml0.2940.293
Procedures0.7760.661
 Unilateral46 (93.9)1472 (92.8)58 (95.1)1460 (92.8)
 Bilateral3 (6.1)114 (7.2)3 (4.9)114 (7.2)
Approach0.4661.000
 Anterior0 (0.0)17 (1.1)0 (0.0)17 (1.1)
 Posterior49 (100)1569 (98.9)61 (100)1557 (98.9)
Drainage use14 (28.6)328 (20.7)0.18116 (26.2)326 (20.7)0.298
TXA use13 (26.5)591 (37.3)0.12518 (29.5)586 (37.2)0.220
Complication
 Hypertension17 (34.7)415 (26.2)0.18222 (36.1)410 (26.2)0.082
 Diabetes4 (8.2)112 (7.1)0.9894 (6.6)112 (7.1)1.000
Coronary hear disease4 (8.2)87 (5.5)0.6256 (9.8)85 (5.4)0.231
 Cerebrovascular diseases6 (12.2)69 (4.4)0.0248 (13.1)67 (4.3)0.003
 Arrhythmia0 (0.0)17 (1.1)1.0001 (1.6)16 (1.0)0.478
 Respiratory diseases3 (6.1)66 (4.2)0.7556 (9.8)63 (4.0)0.058
 Digestive diseases5 (10.2)93 (5.9)0.3405 (8.2)93 (5.9)0.643
 Urinary diseases3 (6.1)32 (2.0)0.1463 (4.9)32 (2.0)0.282
 Mental diseases0 (0.0)15 (0.9)1.0000 (0.0)15 (1.0)1.000
 Fibroid1 (2.0)27 (1.7)0.5761 (1.6)27 (1.7)1.000
Preoperative Hb, g/L0.2390.141
Preoperative HCT, %0.2370.125
Preoperative RDW, %0.8390.376
Preoperative WBC, n/L0.3510.083
Preoperative PLT, n/L0.6730.685
Preoperative RET, 1012/L0.4050.605

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.