1
|
Kobayashi T, Akiyama T, Mawatari M. Predictors of preoperative deep vein thrombosis in hip fractures: A systematic review and meta-analysis. J Orthop Sci 2023; 28:222-232. [PMID: 34593286 DOI: 10.1016/j.jos.2021.08.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 08/25/2021] [Accepted: 08/27/2021] [Indexed: 01/10/2023]
Abstract
BACKGROUND The predictors of preoperative deep vein thrombosis (DVT) in patients with hip fractures remain unclear. Therefore, this study describes the results of a systematic review and meta-analysis of relevant peer-reviewed literature on this topic. METHODS We searched PubMed, Google Scholar, Cochrane Library, Web of Science, and MEDLINE for articles published in English on the predictors of preoperative DVT in hip fractures. We calculated pooled odds ratios (OR) or mean differences (MD) for the DVT groups as compared with the non-DVT groups for each variable, including gender, age, body mass index, injury side, current smoking status, time from injury to admission, time from injury to surgery, fracture type, hypertension, arrhythmia, coronary artery disease, diabetes, stroke, kidney disease, liver disease, lung disease, malignancy, rheumatoid arthritis, D-dimer, fibrinogen, activated partial thromboplastin time, prothrombin time, thrombin time, hemoglobin, albumin, total cholesterol, and triglycerides. RESULTS We included 9 studies involving 3,123 Asian patients with hip fractures (DVT, n = 570; non-DVT, n = 2,553). Being female (OR = 1.27; 95% confidence interval [CI] 1.04-1.56; p = 0.02), being of advanced age (MD = 1.63; 95% CI 0.80-2.47; p = 0.0001), having a longer time from injury to admission (MD = 0.80; 95% CI 0.48-1.12; p < 0.00001), having a longer time from injury to surgery (MD = 2.20; 95% CI 1.53-2.88; p < 0.00001), and the presence of kidney disease (OR = 1.76; 95% CI 1.04-2.96; p = 0.03) were correlated with a high risk of DVT. However, we found no significant differences between the two groups in the other predictors. CONCLUSIONS Evidence indicates that being female, being of advanced age, having a longer time from injury to admission, having a longer time from injury to surgery, and having kidney disease are significantly correlated with a high risk of preoperative DVT in Asian patients with hip fracture. Further investigations with patients of other ethnicities are required.
Collapse
Affiliation(s)
- Takaomi Kobayashi
- Department of Orthopaedic Surgery, Imari-Arita Kyoritsu Hospital, 860 Ninosekou Arita-Town Nishimatsuura-Gun, Saga 849-4141, Japan; Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan.
| | - Takayuki Akiyama
- Department of Orthopaedic Surgery, Imari-Arita Kyoritsu Hospital, 860 Ninosekou Arita-Town Nishimatsuura-Gun, Saga 849-4141, Japan; Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan
| | - Masaaki Mawatari
- Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan
| |
Collapse
|
2
|
Yang W, Wang H, Wei Q, Ding K, Jia Y, Li C, Zhu Y, Chen W. Preoperative incidence and risk factors of deep vein thrombosis in patients with an isolated patellar fracture. BMC Musculoskelet Disord 2022; 23:204. [PMID: 35241054 PMCID: PMC8895776 DOI: 10.1186/s12891-022-05163-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 02/28/2022] [Indexed: 11/10/2022] Open
Abstract
Purpose This study aimed to investigate the incidence, location, and related factors of preoperative deep venous thrombosis (DVT) in patients with isolated patellar fractures. Methods Patients with an isolated patellar fracture, admitted between January 2013 and December 2019 at our institution, were retrospectively analyzed. Upon admission, patients underwent routine Doppler ultrasound scanning (DUS) of the bilateral lower extremities to detect DVT; those with DVT were assigned to the case group and those without DVT to the control group. Patients in both groups did not perform preoperative off-bed weight-bearing exercises. Data on demographics, comorbidities, and laboratory test results upon admission were extracted. Variables were evaluated between the two groups using univariate analyses, and independent risk factors associated with DVT were identified by logistic regression analysis. Results During the study period, 827 patients were included, of whom 5.8% (48/827) were found to have preoperative DVT. In DVT patients, 85.4%(41/48) were injured, 8.3%(4/48) were not injured, and 6.3%(3/48) were lower limbs. Multivariate analysis showed that male (male vs. female, odds ratio, OR = 2.25), delayed from injury to DUS (in each day, OR = 1.29), and elevated plasma D-dimer level (> 0.5 µg/mL, OR = 2.47) were independent risk factors associated with DVT. Conclusions Despite the low prevalence of DVT after an isolated patellar fracture, this study underscores the importance of identifying those with a high risk of DVT, especially those with multiple identifiable factors, and encourage the early targeted use of anti-thromboembolic agents to reduce DVT occurrence.
Collapse
Affiliation(s)
- Weijie Yang
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China
| | - Haicheng Wang
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China
| | - Qun Wei
- Department of Hospital Infection Control, Department of Public Health, Hebei General Hospital, Shijiazhuang, 050051, Hebei, PR China
| | - Kai Ding
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China
| | - Yuxuan Jia
- Department of Clinical Medicine, School of Basic Medicine, Hebei Medical University, Shijiazhuang, Hebei, PR China
| | - Chao Li
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China
| | - Yanbin Zhu
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China.
| | - Wei Chen
- Trauma Emergency Center, Key Laboratory of Biomechanics of Hebei Province, the Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Qiaoxi District, Shijiazhuang, 050051, Hebei, PR China.
| |
Collapse
|
3
|
Lv B, Wang H, Li W, Han G, Liu X, Zhang C, Zhang Z. Admission Prevalence and Risk Factors of Deep Vein Thrombosis in Patients with Spinal Cord Injury Complicated with Cervical Fractures. Clin Appl Thromb Hemost 2022; 28:10760296221108969. [PMID: 35763449 PMCID: PMC9247371 DOI: 10.1177/10760296221108969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The purpose of this study was to investigate the prevalence of deep vein
thrombosis (DVT) and to clarify the risk factors of DVT in patients with acute
spinal cord injury (SCI) complicated with cervical fractures at admission. From
January 2018 to December 2021, a total of 175 patients with acute SCI
complicated with cervical fractures in our hospital were retrospectively
analyzed. Duplex ultrasound was used to diagnose the DVT. All patients' medical
record data, including demographic variables, medical history, and laboratory
results, were collected. The patients were divided into DVT group and non-DVT
group according to ultrasound results. The prevalence of DVT was determined and
risk factors of DVT were identified. Receiver operating characteristic (ROC)
curve analysis was used to evaluate the diagnostic value of different factors.
The prevalence of DVT at admission was 21.71%(38/175), including one (2.63%)
with central DVT, thirty-two (84.21%) with peripheral DVT and five (13.16%) with
mixed DVT. The multivariate analysis revealed that decreased lower extremity
muscle strength, time from injury to admission, and D-dimer were risk factors
for DVT at admission. The diagnostic value of D-dimer was the highest among
these risk factors. In conclusion, in patients with acute SCI complicated with
cervical fractures, the risk of DVT at admission is very high. Decreased lower
extremity muscle strength, time from injury to admission, and D-dimer are risk
factors for DVT. Moreover, D-dimer has the highest diagnostic value among these
risk factors.
Collapse
Affiliation(s)
- Bing Lv
- Department of Medical Ultrasonics, 592469Baoding No.1 Central Hospital, Baoding, PR China
| | - Haiying Wang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| | - Weifeng Li
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| | - Gefeng Han
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| | - Xiangdong Liu
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| | - Cheng Zhang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| | - Zipeng Zhang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, PR China
| |
Collapse
|
4
|
Chen CP, Kung PT, Chou WY, Tsai WC. Effect of introducing biologics to patients with rheumatoid arthritis on the risk of venous thromboembolism: a nationwide cohort study. Sci Rep 2021; 11:17009. [PMID: 34426637 PMCID: PMC8382764 DOI: 10.1038/s41598-021-96508-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 07/29/2021] [Indexed: 02/07/2023] Open
Abstract
In the United States, 100,000-300,000 patients die from venous thromboembolism (VTE) each year, with more than 500,000 people related hospitalizations. While in Europe, 500,000 people die from VTE each year. Patients with rheumatoid arthritis are at increased risk of VTE. The use of biologics in patients with rheumatoid arthritis may be associated with an increased risk of VTE. We identified all patients who had been newly approved for Catastrophic Illness Card of rheumatoid arthritis extracted the claims data from the National Health Insurance research database and Registry for Catastrophic Illness Patient Database from 2003 to 2016. VTE was defined as the presence of inpatient VTE diagnostic codes (including DVT or PE) according to the discharge diagnosis protocol. An analysis of VTE variables indicated that the incidence of VTE in the biologic group (14.33/10,000 person-years) was higher than that in the conventional drug group (12.61/10,000 person-years). As assessed by the Cox proportional hazards model, the relative HR for VTE in the biologic group (HR: 1.11; 95% CI 0.79-1.55) versus that in the conventional drug group did not reach a significant difference. In conclusion, this study found no significant differences in risk were observed between the use of conventional DMARDs and biologics.
Collapse
Affiliation(s)
- Chao-Ping Chen
- grid.254145.30000 0001 0083 6092Department of Health Services Administration, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung, 406040 Taiwan ,grid.410764.00000 0004 0573 0731Department of Orthopaedics, Taichung Veterans General Hospital, Taichung, 40705 Taiwan ,Department of Acupressure Technology, Jen-Teh Junior College of Medicine, Nursing and Management, Miaoli, 35664 Taiwan
| | - Pei-Tseng Kung
- grid.252470.60000 0000 9263 9645Department of Healthcare Administration, Asia University, Taichung, 41354 Taiwan ,Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, 40402 Taiwan
| | - Wen-Yu Chou
- grid.254145.30000 0001 0083 6092Department of Health Services Administration, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung, 406040 Taiwan
| | - Wen-Chen Tsai
- grid.254145.30000 0001 0083 6092Department of Health Services Administration, China Medical University, No. 100, Sec. 1, Jingmao Rd., Beitun Dist., Taichung, 406040 Taiwan
| |
Collapse
|
5
|
Chang W, Wang B, Li Q, Zhang Y, Xie W. Study on the Risk Factors of Preoperative Deep Vein Thrombosis (DVT) in Patients With Lower Extremity Fracture. Clin Appl Thromb Hemost 2021; 27:10760296211002900. [PMID: 33754840 PMCID: PMC7995307 DOI: 10.1177/10760296211002900] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Objective: The objective of this work is to discuss and analyze the related factors of lower extremity fracture complicated by preoperative deep vein thrombosis (DVT). Methods: A total of 11,891 patients with closed fractures of lower extremities were selected. By analyzing each patient’s gender, age, presence or absence of diabetes and hypertension, preoperative plasma D-dimer level, and color Doppler ultrasound of the lower extremity vein, the pertinent factors of the patients with lower extremity fractures complicated by preoperative DVT were analyzed. Results: A total of 578 with preoperative DVT were detected, displaying a total incidence of 4.86%. All patients were categorized into either the DVT group or non-DVT group. The results demonstrate that there were statistically significant differences between the 2 groups in age, the presence of diabetes and hypertension, the fracture site, and the preoperative plasma D-dimer level (P < 0.05). Logistic multivariate analysis revealed that age, the presence of diabetes, and the preoperative plasma D-dimer level of patients were independent risk factors for lower extremity fracture complicated by DVT. Conclusion: Age, the presence of diabetes, the fracture site, and increased D-dimer levels were found to be potential risk factors and indicators for preoperative DVT in patients with lower extremity fractures. In addition, the preoperative plasma D-dimer level has certain guiding significance for the prediction of venous thrombosis after lower extremity fracture, which is conducive to the early prediction and diagnosis of DVT, but it often must be followed with good clinic acumen and examinations.
Collapse
Affiliation(s)
- Wenjie Chang
- 74738Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Bin Wang
- Laizhou Hospital of Traditional Chinese Medicine, Laizhou, China
| | - Qiwei Li
- 74738Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Yongkui Zhang
- Department of Orthopedic Surgery, 159393Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Lixia District, Jinan City, Shandong Province, China
| | - Wenpeng Xie
- Department of Orthopedic Surgery, 159393Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Lixia District, Jinan City, Shandong Province, China
| |
Collapse
|
6
|
Liu X, Liu X, Su Y, Chen F, Wang Z, Wang P. The value of combined dynamic detection of coagulation and fibrinolytic factor in diagnosis and treatment of deep vein thrombosis after hip fracture operation in the elderly. Minerva Med 2021; 113:594-595. [PMID: 33576196 DOI: 10.23736/s0026-4806.20.07248-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Xianhua Liu
- Department of Vascular Surgery, People's Hospital of Rizhao, Rizhao, China
| | - Xiufen Liu
- Department of Orthopaedics, Jiyang People's Hospital, Jinan, China
| | - Yang Su
- No.1 Department of Cardiovascular Disease, Rizhao Hospital of TCM, Rizhao, China
| | - Fang Chen
- ICU, Zhangqiu District People's Hospital, Jinan, China
| | - Zerong Wang
- Lanzhou University Second Hospital, Lanzhou, China
| | - Pingliang Wang
- Department of Vascular Surgery, People's Hospital of Rizhao, Rizhao, China -
| |
Collapse
|
7
|
Wang H, Lv B, Zhang Z, Wang S, Ding W. Prevalence and Predictors for Preoperative Deep Vein Thrombosis in Patients with Thoracolumbar Fractures Caused by High-Energy Injuries. World Neurosurg 2020; 141:e431-e436. [PMID: 32461179 DOI: 10.1016/j.wneu.2020.05.162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 05/16/2020] [Accepted: 05/18/2020] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To determine the prevalence of preoperative deep vein thrombosis (DVT) and to identify the predictors for preoperative DVT in patients with thoracolumbar fractures caused by high-energy injuries. METHODS A total of 429 patients with thoracolumbar fractures caused by high-energy injuries from October 2016 to November 2019 were included in this retrospective study. The patients underwent ultrasonography before operation and were divided into the DVT group and non-DVT group. Demographic data and laboratory results were collected, and mechanical and chemical prophylaxis were performed to prevent DVT. The incidence of DVT was evaluated and the predictors of preoperative DVT were identified. RESULTS The overall incidence of preoperative DVT was 14.45% (62/429). Of all patients, 1 (0.23%) had proximal DVT and 61 (14.22%) had distal DVT. The incidence of preoperative DVT was 24.59% in patients with thoracic fractures and 11.04% in those with lumbar fractures. Multivariate logistic regression identified 3 predictors, including lower extremity motor (P < 0.001), time from injury to operation (P < 0.001), and D-dimer (P = 0.001). Lower extremity motor score <3, time from injury to operation >3 days, and D-dimer >1.81 mg/L showed satisfied accuracy for predicting preoperative DVT. The receiver operating characteristic curve analysis indicated the diagnostic value of D-dimer was the highest when the area under the receiver operating characteristic curve curve was 0.769. CONCLUSIONS Despite mechanical and chemical prophylaxis, the incidence of preoperative DVT is still very high, especially in thoracic fractures. Lower extremity motor score <3, time from injury to operation >3 days, and D-dimer >1.81 mg/L are predictors for preoperative DVT. More attention is warranted to prevent preoperative DVT when ≥2 predictors are present.
Collapse
Affiliation(s)
- Haiying Wang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, P.R. China
| | - Bing Lv
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, P.R. China
| | - Zipeng Zhang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, P.R. China
| | - Shunyi Wang
- Department of Orthopaedic Surgery, Baoding No.1 Central Hospital, Baoding, P.R. China.
| | - Wenyuan Ding
- Department of Spinal Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, P.R. China
| |
Collapse
|
8
|
[Trochanteric and subtrochanteric fractures]. Chirurg 2018; 89:837-848. [PMID: 30182268 DOI: 10.1007/s00104-018-0714-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Proximal femoral fractures are one of the most common fractures, particularly in older people. The most common cause is a falling event due to dizziness and gait insecurity. In most cases prompt surgical treatment is necessary to achieve early mobilization and to reduce the risk of mortality. The aim is a stable osteosynthesis and patient-centered care. A great variety of implants are available for this purpose. Furthermore, perioperative management is important to prevent further problematic events, such as delirium, reoccurrence of falling events and to diagnose and adequately treat a pre-existing osteoporosis.
Collapse
|
9
|
Li Q, Chen X, Wang Y, Li L. Analysis of the occurrence of deep venous thrombosis in lower extremity fractures: A clinical study. Pak J Med Sci 2018; 34:828-832. [PMID: 30190736 PMCID: PMC6115566 DOI: 10.12669/pjms.344.14752] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Objective: To clarify if fracture site is correlated to the occurrence of deep venous thrombosis, and determine the risk factors of deep venous thrombosis in lower extremity fractures, help surgeons make prophylaxis for the disease correctly. Methods: The patients with lower extremity fractures treated surgically in the orthopedics department of our hospital from May 2012 to July 2017 were reviewed retrospectively. The clinical data including age, gender, fracture site, surgery modality, hospital stay, operation time, occupation type, hypertension, coronary heart disease, diabetes, smoking status, drinking status, postoperative exercises were collected and analyzed. Results: Eight hundred and twenty-nine patients were included for analysis, in which 68 were included in deep venous thrombosis group, 761 were included in the non-deep venous thrombosis group, and the incidence of deep venous thrombosis was 8.2%. There were significant differences in age, fracture site, surgery modality, occupation type, operation time, smoking status, hospital stay and postoperative exercises between the two groups (p<0.05), but no significant differences in gender, drinking status, coronary heart disease, diabetes and hypertension (p>0.05). In multivariate analysis, old age greater than 50 years, arthroplasty and operation time more than three hours were independent risk factors, while physical labor and postoperative exercises were protective factors for deep venous thrombosis in lower extremity fractures. Conclusion: Fracture site was correlated to the incidence of deep venous thrombosis, old age, longer operation time, and arthroplasty were independent risk factors, physical labor and postoperative exercises were protective factors for deep venous thrombosis in patients with lower extremity fractures.
Collapse
Affiliation(s)
- Qiang Li
- Qiang Li, Vascular Surgery Department, Qingdao Hiser Medical Group, Qingdao, Shandong Province, 266033, China
| | - Xiao Chen
- Xiao Chen, Vascular Surgery Department, Qingdao Hiser Medical Group, Qingdao, Shandong Province, 266033, China
| | - Yuanyuan Wang
- Yuanyuan Wang, Vascular Surgery Department, Qingdao Hiser Medical Group, Qingdao, Shandong Province, 266033, China
| | - Lin Li
- Lin Li, Vascular Surgery Department, Qingdao Hiser Medical Group, Qingdao, Shandong Province, 266033, China
| |
Collapse
|
10
|
Alanazi RM, Alanazi AA, Alenezi IQ, Alsulobi AM, Almutairy AF, Ali WMB, Alanazi MA, Alkhidhr MA, Elfetoh NMA, Ali AMB. Deep venous thrombosis in elderly patients as a surgical emergency at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Electron Physician 2018; 9:5754-5759. [PMID: 29403615 PMCID: PMC5783124 DOI: 10.19082/5754] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 09/16/2017] [Indexed: 12/21/2022] Open
Abstract
Background Deep venous thrombosis (DVT) is a condition that occurs frequently among surgical, as well as acutely ill hospitalized medical patients, and is responsible for significant morbidity and mortality in hospitalized patients. Risk factors include older age, surgery and immobilization (as with bed rest, orthopedic casts, and sitting on long flights. Objective This study was conducted to identify the frequency and factors associated with occurrence of DVT among elderly patients referred to King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia. Methods The current study is a hospital based cross sectional study. The emergency, inpatients and outpatients' departments at KAU hospital were reviewed. We studied all the referred elderly subjects during the study period. All elderly patients (540) referred to or admitted to the hospital departments and who were clinically suspected to have DVT and subjected to Doppler examination were included in the study. Data were analyzed using descriptive statistics and Chi square test. Results Based on the results of Doppler examination, DVT was detected in 97 (18.0%) of the studied elderly population. There were no significant differences in gender between patients who developed DVT and those who were negative by Doppler examination (p=0.018). Other comorbidities as diabetes, IHD and hypertension were significantly associated with the occurrence of DVT among the participants (p=0.05, 0.05 and 0.04 respectively). Furthermore, the other investigated factors such as being bed ridden, cancer, orthopedic cast and previous DVT were not significantly associated with the development of DVT among the studied elderly patients (p=0.42, 0.16, 0.45 and 0.75 respectively). Conclusion DVT has high prevalence in Jeddah; KSA. Thrombophilia screening should be regular for elderly patients with diabetes, hypertension and bed-ridden patients with recurrent DVT or patients with other risk factors. Knowing the most common risk factors and their significance in developing DVT is essential for early detection of DVT to prevent unwanted complications for elderlies.
Collapse
Affiliation(s)
- Reham Muqbil Alanazi
- Intern, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia
| | - Ashjan Aqeel Alanazi
- Medical Student, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia
| | - Ibtihaj Qaseem Alenezi
- Medical Student, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia
| | - Anwar Matar Alsulobi
- Intern, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia
| | | | | | | | | | - Nagah Mohamed Abo Elfetoh
- Associate Professor, Community Medicine Department, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia
| | | |
Collapse
|
11
|
Lee B, Na S, Park M, Ham S, Kim J. Home Return After Surgery in Patients Aged over 85 Years is Associated with Preoperative Albumin Levels, the Type of Surgery, and APACHE II Score. World J Surg 2016; 41:919-926. [DOI: 10.1007/s00268-016-3830-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|