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Comparison of Perioperative Hemoglobin Changes by Anesthesia Type and Measurement Method in Hip Surgery

  • Journal of The Korea Society of Computer and Information
  • Abbr : JKSCI
  • 2026, 31(3), pp.209~217
  • Publisher : The Korean Society Of Computer And Information
  • Research Area : Engineering > Computer Science
  • Received : January 2, 2026
  • Accepted : February 20, 2026
  • Published : March 31, 2026

Je Bog Yoo 1

1경상국립대학교

Accredited

ABSTRACT

This study compared perioperative hemoglobin(Hb) changes and measurement methods—central laboratory(Lab Hb), arterial blood gas analysis(ABGA Hb), and noninvasive pulse co-oximetry (SpHb)— by anesthesia type(general, spinal) in 240 patients undergoing total hip replacement. A retrospective analysis of electronic medical records confirmed significant postoperative Hb reductions across all methods. ABGA Hb showed strong concordance with Lab Hb (mean difference <1g/dL; agreement >96%), supporting its intraoperative reliability. Although SpHb underestimated Hb by ~1.35g/dL, it maintained over 95% agreement in tracking trends, with no significant difference by anesthesia type. These findings suggest ABGA Hb as a rapid alternative for transfusion decisions, while SpHb enables real-time trend assessment. Integrating these tools into anesthetic nursing protocols may provide objective evidence to support collaborative transfusion decision-making and enhance perioperative patient safety.

Citation status

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