Cargando…
Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients
OBJECTIVE: To investigate the incidences of deep vein thrombosis (DVT) before and after operation in inpatients with hip fractures in both lower extremities. PATIENTS AND METHODS: We collected the clinical data of 463 patients with lower extremities fractures who presented at Xi’an Honghui Hospital...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912380/ https://www.ncbi.nlm.nih.gov/pubmed/29713152 http://dx.doi.org/10.2147/CIA.S161191 |
_version_ | 1783316370659737600 |
---|---|
author | Zhang, Bin-Fei Wei, Xing Huang, Hai Wang, Peng-Fei Liu, Ping Qu, Shuang-Wei Li, Jia-Hao Wang, Hu Cong, Yu-Xuan Zhuang, Yan Zhang, Kun |
author_facet | Zhang, Bin-Fei Wei, Xing Huang, Hai Wang, Peng-Fei Liu, Ping Qu, Shuang-Wei Li, Jia-Hao Wang, Hu Cong, Yu-Xuan Zhuang, Yan Zhang, Kun |
author_sort | Zhang, Bin-Fei |
collection | PubMed |
description | OBJECTIVE: To investigate the incidences of deep vein thrombosis (DVT) before and after operation in inpatients with hip fractures in both lower extremities. PATIENTS AND METHODS: We collected the clinical data of 463 patients with lower extremities fractures who presented at Xi’an Honghui Hospital between July 1, 2014, and October 31, 2016 and met all the inclusion criteria. Doppler ultrasonography was used to diagnose DVT. The patients were examined preoperatively and postoperatively and divided into the thrombosis and non-thrombosis group according to the ultrasonographic findings. We divided the DVT cases into central, peripheral, and mixed thromboses. RESULTS: The incidence of preoperative DVT was 34.98%, and the prevalence of DVT on the uninjured side was 13.60%. This composition ratio increased to 57.23% postoperatively, and the prevalence of DVT on the uninjured side was 25.05%. Age (odds ratio [OR], 1.03; 95% CI: 1.01–1.04; P=0.002), venous thrombosis at admission (OR, 4.05; 95% CI, 2.30–7.13; P=0.000), and the days between the fracture and the operation (OR, 1.10; 95% CI, 1.02–1.20; P=0.020) were the independent risk factors of preoperative DVT. Coronary heart disease (OR, 1.85; 95% CI: 1.18–2.89; P=0.007), venous thrombosis at admission (OR, 22.35; 95% CI: 6.78–73.60; P=0.000), days between fracture and operation (OR, 1.06; 95% CI: 1.01–1.11; P=0.021), and blood loss (OR, 1.002; 95% CI: 1.000–1.003; P=0.014) were independent risk factors of postoperative DVT. CONCLUSION: The actual incidence of DVT after hip fracture may be underestimated. The incidences of preoperative and postoperative DVTs and the incidence of DVT on the uninjured limb were high. |
format | Online Article Text |
id | pubmed-5912380 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-59123802018-04-30 Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients Zhang, Bin-Fei Wei, Xing Huang, Hai Wang, Peng-Fei Liu, Ping Qu, Shuang-Wei Li, Jia-Hao Wang, Hu Cong, Yu-Xuan Zhuang, Yan Zhang, Kun Clin Interv Aging Original Research OBJECTIVE: To investigate the incidences of deep vein thrombosis (DVT) before and after operation in inpatients with hip fractures in both lower extremities. PATIENTS AND METHODS: We collected the clinical data of 463 patients with lower extremities fractures who presented at Xi’an Honghui Hospital between July 1, 2014, and October 31, 2016 and met all the inclusion criteria. Doppler ultrasonography was used to diagnose DVT. The patients were examined preoperatively and postoperatively and divided into the thrombosis and non-thrombosis group according to the ultrasonographic findings. We divided the DVT cases into central, peripheral, and mixed thromboses. RESULTS: The incidence of preoperative DVT was 34.98%, and the prevalence of DVT on the uninjured side was 13.60%. This composition ratio increased to 57.23% postoperatively, and the prevalence of DVT on the uninjured side was 25.05%. Age (odds ratio [OR], 1.03; 95% CI: 1.01–1.04; P=0.002), venous thrombosis at admission (OR, 4.05; 95% CI, 2.30–7.13; P=0.000), and the days between the fracture and the operation (OR, 1.10; 95% CI, 1.02–1.20; P=0.020) were the independent risk factors of preoperative DVT. Coronary heart disease (OR, 1.85; 95% CI: 1.18–2.89; P=0.007), venous thrombosis at admission (OR, 22.35; 95% CI: 6.78–73.60; P=0.000), days between fracture and operation (OR, 1.06; 95% CI: 1.01–1.11; P=0.021), and blood loss (OR, 1.002; 95% CI: 1.000–1.003; P=0.014) were independent risk factors of postoperative DVT. CONCLUSION: The actual incidence of DVT after hip fracture may be underestimated. The incidences of preoperative and postoperative DVTs and the incidence of DVT on the uninjured limb were high. Dove Medical Press 2018-04-18 /pmc/articles/PMC5912380/ /pubmed/29713152 http://dx.doi.org/10.2147/CIA.S161191 Text en © 2018 Zhang et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Zhang, Bin-Fei Wei, Xing Huang, Hai Wang, Peng-Fei Liu, Ping Qu, Shuang-Wei Li, Jia-Hao Wang, Hu Cong, Yu-Xuan Zhuang, Yan Zhang, Kun Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title | Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title_full | Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title_fullStr | Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title_full_unstemmed | Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title_short | Deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
title_sort | deep vein thrombosis in bilateral lower extremities after hip fracture: a retrospective study of 463 patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912380/ https://www.ncbi.nlm.nih.gov/pubmed/29713152 http://dx.doi.org/10.2147/CIA.S161191 |
work_keys_str_mv | AT zhangbinfei deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT weixing deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT huanghai deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT wangpengfei deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT liuping deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT qushuangwei deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT lijiahao deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT wanghu deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT congyuxuan deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT zhuangyan deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients AT zhangkun deepveinthrombosisinbilaterallowerextremitiesafterhipfracturearetrospectivestudyof463patients |