The effects of patient related factors on hidden and total blood loss in single-level open transforaminal lumbar interbody fusion surgery

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dc.authoridKaya Turan / 0000-0002-0547-995Xen_US
dc.authoridÇağatay Öztürk / 0000-0003-3133-206X
dc.authoridHüseyin Kavak / 0000-0001-9123-9276
dc.authorscopusidKaya Turan / 57201721233
dc.authorscopusidGökhan Kürşat Kara / 57853681400
dc.authorscopusidHüseyin Kavak / 57853514600
dc.authorscopusidKaya Turan / 57201721233
dc.authorwosidKaya Turan / GSD-1790-2022en_US
dc.authorwosidHüseyin Kavak / GXJ-8898-2022
dc.authorwosidGökhan Kürşat Kara / W-4795-2018
dc.authorwosidÇağatay Öztürk / Y-7483-2018
dc.contributor.authorKara, Gökhan Kürşat
dc.contributor.authorKavak, Huseyin
dc.contributor.authorGökçen, Bahadır
dc.contributor.authorTuran, Kaya
dc.contributor.authorÖztürk, Çağatay
dc.contributor.authorAydınlı, Ufuk
dc.date.accessioned2022-08-19T05:28:31Z
dc.date.available2022-08-19T05:28:31Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractObjective: The aim of this retrospective study was to identify the amount of TBL and HBL and analyse the risk factors using multivariate linear regression analysis during single-level OTLIF surgery. Methods: In this study 62 patients (32 male, 30 female, mean age 49.22 ± 13.26) who underwent single-level interbody fusion proce dures by a single surgeon between 2015 and 2021 were included. Retrospectively, relevant statistics regarding body mass index (BMI), American Society of Anesthesiologist Score (ASA), preoperative mean arterial pressure (MAP), and age were gathered. Preoperative MR images were used to assess and measure radiological parameters such as skin-disc distance (SDA), canal area (CA), paravertebral muscle area (PVMA),lumbosacral maximum subcutaneous fat thickness (LSMSF), operation level subcutaneous fat thickness (OPSF) and spi nous process length (SPL).Total blood loss (TBL) was calculated according to Nadler's formula. Hidden blood loss (HBL) was measured by deducting the measured (visible) blood loss from TBL. TBL, HBL and their relationship with preoperative parameters were assessed. Results: HBL was determined to be significantly higher in older patients (P = 0.012). MAP was seen to have a statistically significant cor relation with operating time (P = 0.002), operative bleeding (P = 0.002), TBL (P = 0.006), and HBL (P = 0.001), and an inverse correlation with postoperative drainage (P = 0.007). The ASA scores were observed to be statistically significantly correlated with TBL (P = 0.001), and HBL (P = 0.001). LSMSF showed a significant correlation with TBL (P = 0.005) and HBL (P = 0.002). OPSF was determined to be correlated with TBL (P = 0.011), HBL (P = 0.009) and length of stay in hospital (P =0.034). SDD was correlated with TBL (P =0.043), and SPL with HBL (P = 0.013). It was shown that age (P =0.012), MAP (P =0.001), ASA (P =0.001), LSMFS (P = 0.002), OPSF (P = 0.009), SPL (P = 0.013) were risk factors for HBL. According to multivariate logistic regression analysis; two anatomical factors LSMSF and SPL were independent risk factors for HBL (P < 0.05). Conclusion: This results of this study have revealed that most patient-related parameters have a significant effect on HBL and TBL.The study has also demonstrated that LSMSF and SPL are independent risk factors for HBL. Level of evidence: Level IV, Therapeutic Study.en_US
dc.identifier.citationKara GK, Kavak H, Gökçen B, Turan K, Öztürk Ç, Aydınlı U. The effects of patient related factors on hidden and total blood loss in single-level open transforaminal lumbar interbody fusion surgery. Acta Orthop Traumatol Turc. 2022 Jul;56(4):262-267. doi: 10.5152/j.aott.2022.21380. PMID: 35943076.en_US
dc.identifier.doi10.5152/j.aott.2022.21380en_US
dc.identifier.endpage267en_US
dc.identifier.issue4en_US
dc.identifier.pmid35943076en_US
dc.identifier.scopus2-s2.0-85136341925en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage262en_US
dc.identifier.trdizinid1124458en_US
dc.identifier.urihttp://doi.org/10.5152/j.aott.2022.21380
dc.identifier.uri1017-995X
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3109
dc.identifier.volume56en_US
dc.identifier.wosWOS:000860761700006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorTuran, Kaya
dc.language.isoenen_US
dc.publisherActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleThe effects of patient related factors on hidden and total blood loss in single-level open transforaminal lumbar interbody fusion surgeryen_US
dc.typeArticleen_US

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