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Deng X, Li Q, Weng M, Yuan H, Wu H, Gu P, Fan S. Knowledge, attitudes, and practices of patients with lower limb fractures post-surgery regarding deep vein thrombosis. Sci Rep 2025; 15:9520. [PMID: 40108272 PMCID: PMC11923059 DOI: 10.1038/s41598-025-92632-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2024] [Accepted: 03/03/2025] [Indexed: 03/22/2025] Open
Abstract
Deep vein thrombosis (DVT) is a significant postoperative complication in patients with lower limb fractures, potentially leading to life-threatening outcomes such as pulmonary embolism. This study aimed to evaluate the knowledge, attitudes, and practices (KAP) of this high-risk population regarding DVT prevention. A cross-sectional study was conducted at Nanchang Hongdu Hospital of Traditional Chinese Medicine between March 2023 and May 2024. A structured questionnaire collected demographic and KAP data, analyzed using descriptive statistics and structural equation modeling (SEM). Among 442 valid respondents, SEM revealed direct effects of knowledge on attitudes (β = 0.593, P < 0.001) and attitudes on practices (β = 0.746, P < 0.001). Despite proactive practices, patients demonstrated inadequate knowledge and negative attitudes towards DVT. These findings underscore the need for targeted educational interventions to enhance patient understanding and attitudes, ultimately improving preventive behaviors and reducing DVT-related complications.
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Affiliation(s)
- Xiongwei Deng
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China.
| | - Qiang Li
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China
| | - Meizhi Weng
- Discipline of Chinese and Western Integrative Medicine, Jiangxi University of Chinese Medicine, Nanchang, 330004, Jiangxi, China
| | - Haitao Yuan
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China
| | - Hang Wu
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China
| | - Peng Gu
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China
| | - Shaoyong Fan
- Department of Foot and Ankle Surgery, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, 330038, Jiangxi, China
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Pavone P, Marino L, Cacciaguerra G, Di Nora A, Parano E, Musumeci G, Ruggieri M, Polizzi A, Falsaperla R. Klippel-Trenaunay Syndrome, Segmental/Focal Overgrowth Malformations: A Review. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1421. [PMID: 37628420 PMCID: PMC10453504 DOI: 10.3390/children10081421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 08/07/2023] [Accepted: 08/18/2023] [Indexed: 08/27/2023]
Abstract
Klippel-Trenaunay syndrome is an uncommon, infrequent, congenital disorder characterized by a triad of capillary malformation, varicosities, and tissue and bone hypertrophy. The presence of two of these three signs is enough to obtain the diagnosis. Capillary malformations are usually present at birth, whereas venous varicosities and limb hypertrophy become more evident later. The syndrome has usually a benign course, but serious complications involving various organs, such as gastrointestinal and genitourinary organs, as well as the central nervous system, may be observed. Recently, Klippel-Trenaunay syndrome has been included in the group of PIK3CA-related overgrowth spectrum (PROS) disorders. In terms of this disorder, new results in etiopathogenesis and in modalities of treatment have been advanced. We report here a review of the recent genetic findings, the main clinical characteristics and related severe complications, differential diagnoses with a similar disorder, and the management of patients with this complex and uncommon syndrome.
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Affiliation(s)
- Piero Pavone
- Section of Pediatrics and Child Neuropsychiatry, Department of Child and Experimental Medicine, University of Catania, 95100 Catania, Italy; (G.C.); (A.D.N.); (M.R.)
- National Council of Research, Institute for Biomedical Research and Innovation (IRIB), Unit of Catania, 95100 Catania, Italy;
| | - Lidia Marino
- Pediatrics and Pediatric Emergency Department, University Hospital, A.O.U. “Policlinico-Vittorio Emanuele”, 95100 Catania, Italy; (L.M.); (R.F.)
| | - Giovanni Cacciaguerra
- Section of Pediatrics and Child Neuropsychiatry, Department of Child and Experimental Medicine, University of Catania, 95100 Catania, Italy; (G.C.); (A.D.N.); (M.R.)
| | - Alessandra Di Nora
- Section of Pediatrics and Child Neuropsychiatry, Department of Child and Experimental Medicine, University of Catania, 95100 Catania, Italy; (G.C.); (A.D.N.); (M.R.)
| | - Enrico Parano
- National Council of Research, Institute for Biomedical Research and Innovation (IRIB), Unit of Catania, 95100 Catania, Italy;
| | - Giuseppe Musumeci
- Department of Biomedical and Biotechnological Sciences, Human Anatomy and Histology Section, School of Medicine, University of Catania, 95100 Catania, Italy
| | - Martino Ruggieri
- Section of Pediatrics and Child Neuropsychiatry, Department of Child and Experimental Medicine, University of Catania, 95100 Catania, Italy; (G.C.); (A.D.N.); (M.R.)
| | - Agata Polizzi
- Department of Educational Science, University of Catania, 95100 Catania, Italy;
| | - Raffaele Falsaperla
- Pediatrics and Pediatric Emergency Department, University Hospital, A.O.U. “Policlinico-Vittorio Emanuele”, 95100 Catania, Italy; (L.M.); (R.F.)
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