XXXX after hip and knee surgery in the rehabilitation setting: is it an occasional phenomenon? Relationship with @entity1150 and functional outcome.

@entity1 @entity1150 @entity2002 @entity1148
BACKGROUND: @entity1148 can follow surgery and has occasionally been observed after major orthopaedic surgery. The aim of the present study was to ascertain the platelet count (PLTC) change in @entity1 admitted to a rehabilitation unit after major joint surgery and whether @entity1150 ( @entity1150 ) and poor outcomes occurred in those who had @entity1148 . METHOD: PLTC, red blood cells (RBC), haemoglobin (Hb), @entity2002 , and D-dimers were assessed in @entity1 on admission and at discharge after major joint surgery. Functional outcomes were ascertained using the Barthel Scale (BS), the Functional Independence Measure (FIM) and gait evaluation. @entity1148 was considered to have occurred when PLTC was greater than or equal to 500 * 100(9)/L. All subjects with @entity1148 had ultrasonography to assess @entity1150 occurrence. The @entity1 were divided into "young" and "old" groups according to an age cut-off of 75  years to investigate potential age-related differences. RESULTS: Two hundred and seventy-five @entity1 were identified and 142 (36  M and 106  F, mean age 77.2        10.7) were enrolled. Seventy-six (53.5%) underwent total hip arthroplasty (THA), 40 (51.1%) underwent hip internal fixation and 26 (18.3%) subjects underwent total knee arthroplasty (TKA). The young and old groups included 60 and 82 @entity1 , respectively. Fifty-nine (42.4%) @entity1 had PLTC above 400 * 100(9)/L. Of these, 28 (20.1%) had @entity1148 with PLTC above 500 * 100(9)/L, and 15 of them (10.7%) had very high values above 600 * 100(9)/L. Increased levels of @entity2002 and D-dimers were also detected. No subject with @entity1148 had @entity1150 . Outcome was not affected by PLTC. At discharge, significant improvement in all functional assessments was observed in young compared to old @entity1 ; gait: 2.9        0.2 vs. 2.2        0.8; BS: 97        6.9 vs. 70.5        25.6; and FIM: 116.4        10.9 vs. 83.6        31.2 (p   <   0.004), respectively. BS and FIM mean scores were positively correlated with Hb level. CONCLUSION: Elevated PLTC and @entity1148 were not uncommon in @entity1 after major joint surgery, but no subject developed @entity1150 . Platelet count change did not affect the outcome. Higher age and lower haemoglobin level correlated with poorer functional recovery.
