Routine postoperative complete blood counts are not necessary after most primary total hip and knee arthroplasties
Journal of Arthroplasty Nov 03, 2020
Gilde A, Downes K, Leverett S, et al. - Sine routine postoperative complete blood count (CBC) tests are commonplace after total joint arthroplasty. This research was sought to distinguish if these results in any clinically meaningful action and whether it would be safe to forego this testing in a population without known risk factors for transfusion. Researchers conducted a retrospective review of 1,060 individuals undergoing a total knee or total hip arthroplasty at a single institution. This research indicates that routine postoperative CBC testing is not absolutely required and does not give additional value in the vast majority of patients with preoperative Hb levels equal to or greater than 12 g/dL when tranexamic acid is administered. In addition, this could avoid unnecessary testing in patients and elevated savings to the healthcare system.
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