{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:19Z","timestamp":1740148639022,"version":"3.37.3"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003O objetivo deste estudo \u00e9 identificar os fatores de risco para o aumento de sangramento perioperat\u00f3rio em cirurgias para tratamento de escoliose.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Estudo de coorte prospectivo incluindo 30 pacientes com escoliose idiop\u00e1tica submetidos \u00e0 instrumenta\u00e7\u00e3o posterior com o uso do sistema de parafusos pediculares em um hospital universit\u00e1rio.<\/jats:p><jats:p>\n          Resultados\u2003As perdas sangu\u00edneas intraoperat\u00f3rias totalizaram 798,6\u2009ml\u2009\u00b1\u2009340\u2009ml (24,8% do volume sangu\u00edneo). Houve perda maci\u00e7a de sangue em 9 pacientes. Em m\u00e9dia, a hemoglobina caiu 3,7\u2009g\/dl e foram transfundidas 1,4 bolsas de sangue por paciente. A perda sangu\u00ednea p\u00f3s-operat\u00f3ria foi de 693,4\u2009ml\u2009\u00b1\u2009331,1ml, e o total de dias utilizando dreno foi 2,7\u2009\u00b1\u20090,7. No intraoperat\u00f3rio, as seguintes vari\u00e1veis apresentaram correla\u00e7\u00f5es significativas (p\u2009&lt;\u20090,05) com o aumento do sangramento: idade, intervalo entre diagn\u00f3stico e tratamento, Cobb pr\u00e9-operat\u00f3rio, quantidade de corre\u00e7\u00e3o da curva, n\u00famero de n\u00edveis instrumentados e fixados, n\u00famero total de parafusos e o n\u00famero de bolsas transfundidas. No p\u00f3s-operat\u00f3rio, as seguintes vari\u00e1veis apresentaram rela\u00e7\u00e3o (p\u2009&lt;\u20090,05): idade, Cobb pr\u00e9-operat\u00f3rio, tempo de interna\u00e7\u00e3o, quantidade de bolsas de sangue transfundidas e o n\u00famero de n\u00edveis fixados com parafuso.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003As vari\u00e1veis que mais contribu\u00edram para a perda sangu\u00ednea foram idade, Cobb pr\u00e9-operat\u00f3rio, quantidade de bolsas de sangue transfundidas e n\u00famero de n\u00edveis fixados com parafuso. Portanto, os pacientes podem se beneficiar do tratamento cir\u00fargico enquanto mais jovens e com menor \u00e2ngulo de Cobb, consequentemente, exigindo menor grau corre\u00e7\u00e3o da curva e a utiliza\u00e7\u00e3o de implantes de menor densidade.<\/jats:p>","DOI":"10.1055\/s-0043-1775887","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T23:50:48Z","timestamp":1702079448000},"page":"e905-e911","source":"Crossref","is-referenced-by-count":0,"title":["Controle de sangramento em pacientes com escoliose idiop\u00e1tica submetidos a artrodese da coluna: Avalia\u00e7\u00e3o prospectiva de uma coorte de pacientes"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8896-8897","authenticated-orcid":false,"given":"Sebasti\u00e3o Vieira de","family":"Morais","sequence":"additional","affiliation":[{"name":"Chefe do Servi\u00e7o de Ortopedia e Traumatologia do Hospital Universit\u00e1rio Presidente Dutra, Universidade Federal do Maranh\u00e3o, S\u00e3o Lu\u00eds, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6977-7764","authenticated-orcid":false,"given":"Anderson Matheus Medeiros de","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"M\u00e9dico Residente de Ortopedia e Traumatologia do Hospital Universit\u00e1rio Presidente Dutra, Universidade Federal do Maranh\u00e3o, S\u00e3o Lu\u00eds, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3597-713X","authenticated-orcid":false,"given":"Camila Costa Lacerda de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Acad\u00eamica de medicina da Universidade UNICEUMA \u2013 Centro Universit\u00e1rio do Maranh\u00e3o, S\u00e3o Lu\u00eds, 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