Utility of noninvasive transcutaneous measurement of postoperative hemoglobin in total joint arthroplasty patients

J Arthroplasty. 2014 Nov;29(11):2084-6. doi: 10.1016/j.arth.2014.06.029. Epub 2014 Jul 8.


This study prospectively evaluated the clinical utility of a noninvasive transcutaneous device for postoperative hemoglobin measurement in 100 total hip and knee arthroplasty patients. A protocol to measure hemoglobin noninvasively, prior to venipuncture, successfully avoided venipuncture in 73% of patients. In the remaining 27 patients, there were a total of 48 venipunctures performed during the postoperative hospitalization period due to reasons including transcutaneous hemoglobin measurement less than or equal to 9 g/dL (19), inability to obtain a transcutaneous hemoglobin measurement (8), clinical signs of anemia (3), and noncompliance with the study protocol (18). Such screening protocols may provide a convenient and cost-effective alternative to routine venipuncture for identifying patients at risk for blood transfusion after elective joint arthroplasty.

Keywords: anemia; cost-effective; postoperative venipuncture; total joint arthroplasty; transcutaneous hemoglobin measurement.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip*
  • Arthroplasty, Replacement, Knee*
  • Blood Chemical Analysis / methods
  • Clinical Protocols
  • Elective Surgical Procedures
  • Female
  • Hemoglobins / analysis*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Period
  • Prospective Studies
  • Young Adult


  • Hemoglobins