A Hospital Based Prospective Study to Assess the Haematological Complications Among Patients Undergone Various Orthopaedic Surgery

Abstract

Background: Hematological post- operative complications in orthopedic surgery are commonly encountered phenomenons across the world. Hence, we planned the present study to assess various post-operative hematological complications occurring in patients undergoing orthopedic surgery .Materials& Methods: This is a prospective study was conducted on 80 patients who underwent orthopedic surgery in the department of orthopedic surgery of the Government Medical College, Pali, Rajasthan during one year period. We performed a medical record review of all blood bank data and obtained number and date of transfusions. All the postoperative data were separately recorded and analyzed in excel sheet. SPSS software version 17.0 was used for evaluation of results. Chi- square test was used for assessment of level of significance.Results: A total of 80 subjects were included in the present study. The mean age of the subjects was 57.4 years. Out of 80, 48 were males and 32 were females. In 72 subjects, the type of orthopedic procedure was elective, while in remaining 8, the procedure was emergency type. Spine surgery was the most commonly done surgical procedure in our study population, followed by knee and hip surgery. In total of 30 patients, post-operative hematological complications were seen. Out of these complications, transfusion occurred in 20 patients. Major bleeding occurred in 5 patients.Conclusion: We concluded that hematological complications do occur in significant proportion of subjects undergoing various types of orthopedic surgeries. However, future studies with larger study group are recommended for assessing the correlation of hematological complications and prognosis of patients.