Influence of hemoglobin levels on inpatient rehabilitation outcomes after total knee arthroplasty

被引：52

作者：

Diamond, Paul T.

Conaway, Mark R.

Mody, Samir H.

Bhirangi, Kiran

机构：

[1] Univ Virginia, Dept Phys Med & Rehabil, Charlottesville, VA USA

[2] Univ Virginia, Dept Hlth Evaluat Sci, Charlottesville, VA USA

[3] Ortho Biotech Clin Affairs LLC, Bridgewater, NJ USA

来源：

JOURNAL OF ARTHROPLASTY | 2006年 / 21卷 / 05期

关键词：

rehabilitation; hemoglobin; total knee arthroplasty; functional independence measure; FIM;

D O I：

10.1016/j.arth.2005.09.006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

This retrospective study examined the influence of hemoglobin (Hb) on the outcomes of 184 acute inpatient rehabilitation patients admitted to a single university-based inpatient rehabilitation facility after primary total knee arthroplasty between 2001 and 2003. Patient function was measured using the Functional Independence Measure (FIM) instrument. Average length of stay was 9.4 days. Total FIM score increased from 81.5 to 110.8. Mean baseline Hb was 10.5 g/dL. Multivariate analyses demonstrated that a higher Hb at baseline was associated with significantly shorter length of stay (P = .004) and greater FIM efficiency (change in total FIM score/length of stay) (P = .04). Hemoglobin is associated with rehabilitation outcomes after total knee arthroplasty; additional research into the influence of blood management strategies on rehabilitation outcomes is warranted.

引用

页码：636 / 641

页数：6

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