Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Systemic
Abstract number: 26506
PERIOPERATIVE MANAGEMENT OF JOINT REPLACEMENT: WHAT WE DO
DIFFERENTLY TEN YEARS LATER?
Kaur KIRJANEN, Reet KIKAS, Triin TREIAL, Jüri KARJAGIN, Aare MÄRTSON
Tartu University Hospital; Clinics of Traumatology and Orthopeadics, Tartu
(ESTONIA)
Introduction: The purpose of this retrospective study is to compare patients operated
at Tartu University Hospital with primary arthroplasty of hip or knee from years 1995
and 2005, with special interest of perioperative management. Results: The numbers
of files reviewed were 98 and 871 patients, respectively. Average ages of studied
populations were 63±7.2 and 67.2±10.2. 61.4% were females in year 1995 and it
increased to 72.6% in year 2005. Co-morbidities were present in nearly 80% of
patients in both years. The most abundant co-morbidities were arterial hypertension,
other cardiovascular diseases and overweight. In year 1995 general anaesthesia
were employed approximately in ~50% of the cases, but only in less than 10% during
year 2005. Average operative volumes of crystalloids were 1474 ml in 1995 and 1362
ml in 2005. 50% of patients received colloids in average amount 443 ml in 1995, but
80% of patients received colloids in average amount 575 ml in 2005. Erythrocyte
mass transfusion during operation in 1995 was performed in all patients and
averaged 936 ml compared to 10% of patients being transfused in 2005 with average
transfusion of 519 ml.Length of hospital stay was 18.5 and 6 days, respectively.
Conclusions: The number of operated patients increased nearly 10 times during 10
years. The perioperative management of patients became more intensive, less
hospital stays, more intense pain therapy. Concerning fluid management, the
transfusion of blood products was reduced and use of synthetic colloids increased
during 10 years.
164