지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 25 - 30 (6page)
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초록· 키워드
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Purpose: Despite the long history of drain use in total knee arthroplasty (TKA), no drain has been gaining popularity. The purpose of this study was to investigate whether drainage is related to the length of hospital stay.Materials and Methods: A total of 166 consecutive unilateral TKAs performed on 135 patients with osteoarthritis were retrospectively reviewed. Closed suction drainage was used in 111 cases (67%). Length of hospital stay after surgery was recorded, and a multivariate linear regression analysis was performed to evaluate various variables (patient factors, surgical factors, and postsurgical factors) and to investigate whether drainage was an independent variable.Results: Hospital stay was shorter in no drain cases (21.7±4.8 days) than in drain cases (24.2±3.7 days, p<0.001). The multivariate analysis showed that older age (β=0.12, p=0.02), drain use (β=2.81, p=0.03), and occurrence of comorbidity (β=1.46, p=0.04) were the independent variables associated with the extended hospital stay. There was no difference in comorbidity between drain cases (39.6%) and no drain cases (27.2%, p=0.13). Conclusions: The drain use, age, and occurrence of comorbidity were related to the length of hospital stay. TKA without drain is an effective procedure both medically and economically.
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참고문헌 (20)
참고문헌 신청
Waugh TR / 1961 / Suction drainage of orthopaedic wounds / J Bone Joint Surg Am 43:939~946
Kim YH / 1998 / Drainage versus nondrainage in simultaneous bilateral total hip arthroplasties / J Arthroplasty 13:156~161
Esler CN / 2003 / The use of a closedsuction drain in total knee arthroplasty. A prospective, randomised study / J Bone Joint Surg Br 85:215~217
Walmsley PJ / 2005 / A prospective, randomised, controlled trial of the use of drains in total hip arthroplasty / J Bone Joint Surg Br 87:1397~1401
Holt JB / 2016 / Minimizing blood transfusion in total hip and knee arthroplasty through a multimodal approach / J Arthroplasty 31:378~382
Kim YH / 1998 / Drainage versus nondrainage in simultaneous bilateral total hip arthroplasties / J Arthroplasty 13:156~161
Esler CN / 2003 / The use of a closedsuction drain in total knee arthroplasty. A prospective, randomised study / J Bone Joint Surg Br 85:215~217
Walmsley PJ / 2005 / A prospective, randomised, controlled trial of the use of drains in total hip arthroplasty / J Bone Joint Surg Br 87:1397~1401
Holt JB / 2016 / Minimizing blood transfusion in total hip and knee arthroplasty through a multimodal approach / J Arthroplasty 31:378~382
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