Comparison of hospital Length Of Stay (LOS) and Complication between Closed Suction Drainage (CSD) and No drainage after Unilateral Total Knee Arthroplasty (UTKA)
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Abstract
Background: The clinical necessity of closed suction drainage (CSD) following total knee arthroplasty (TKA) remains controversial.
Objective: This study aimed to compare outcomes between patients who received CSD and those who did not, focusing on hospital length of stay (LOS) and blood transfusion rate.
Method: A retrospective review was conducted of TKA procedures performed at Debaratana Nakhon Ratchasima Hospital between October 2017 and September 2022. A total of 230 knees were analyzed and divided into CSD and non-CSD groups. Key outcomes included LOS and postoperative transfusion rates.
Result: Patients (aged 44–85, 88.3% female) commonly had comorbidities including hypertension (62.9%) and diabetes (14.3%). Of the cases, 101 knees (43.9%) received CSD. The CSD group had a significantly longer hospital stay than the non-CSD group (5.6±1.3 vs. 4.8±1.7 days; p<0.001). Transfusion rates showed no significant difference (6.9% vs. 3.1%; p=0.177).
Conclusion: Use of closed suction drainage after unilateral TKA is associated with increased hospitalization duration without a reduction in transfusion rate. Routine use of CSD in this patient population is therefore not recommended.
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References
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