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Venous thromboembolism rates after hip and knee arthroplasty and hip fractures
BACKGROUND: The ideal thromboprophylaxis regime following lower limb arthroplasty and proximal femur fractures remains controversial. Guidelines disagree on the type of chemical prophylaxis, its dose or duration. This article describes a method of monitoring venous thromboembolism (VTE) rates follow...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017506/ https://www.ncbi.nlm.nih.gov/pubmed/32050949 http://dx.doi.org/10.1186/s12891-020-3100-4 |
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author | Mula, Viswanath Parikh, Sunny Suresh, Sivakolundu Bottle, Alex Loeffler, Mark Alam, Mahbub |
author_facet | Mula, Viswanath Parikh, Sunny Suresh, Sivakolundu Bottle, Alex Loeffler, Mark Alam, Mahbub |
author_sort | Mula, Viswanath |
collection | PubMed |
description | BACKGROUND: The ideal thromboprophylaxis regime following lower limb arthroplasty and proximal femur fractures remains controversial. Guidelines disagree on the type of chemical prophylaxis, its dose or duration. This article describes a method of monitoring venous thromboembolism (VTE) rates following Total Hip (THA), Total Knee Arthroplasty (TKA) and surgery for hip fractures (NOF#). METHODS: Over 3 years, all patients investigated for VTE were analysed using Picture Archiving Communications System (PACS). All positive scans were then cross-referenced using PACS and local registry data to see if they had undergone THA, TKA or NOF# in the preceding 90 days. Mortality data were obtained from the national administrative database, Hospital Episode Statistics. RESULTS: Five thousand seven hundred eighty-eight patients underwent investigation for VTE and there were 29 diagnoses of PE and 24 of DVT. There was a 0.77% rate of symptomatic DVT after THA, 0.05% after TKA and 0.55% after NOF #. The rate of confirmed symptomatic PE for THA was 0.46, 0.27% for TKA and 0.96% for NOF #. Mortality at one-year post-THA was 0.6, 0.6% for TKA and 25.9% after NOF#. All patients contacted either remained within the catchment area for the minimum 90 postoperative days or died within the catchment area. CONCLUSIONS: The 90 day post-operative prevalence of symptomatic VTE of 1.2, 0.3 and 1.5% in THA, TKA and NOF # respectively are similar to other studies using symptomatic and imaging positive VTE as their endpoint. The study uses a method of collecting data which can be utilised in centres where PACS is available. |
format | Online Article Text |
id | pubmed-7017506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-70175062020-02-20 Venous thromboembolism rates after hip and knee arthroplasty and hip fractures Mula, Viswanath Parikh, Sunny Suresh, Sivakolundu Bottle, Alex Loeffler, Mark Alam, Mahbub BMC Musculoskelet Disord Research Article BACKGROUND: The ideal thromboprophylaxis regime following lower limb arthroplasty and proximal femur fractures remains controversial. Guidelines disagree on the type of chemical prophylaxis, its dose or duration. This article describes a method of monitoring venous thromboembolism (VTE) rates following Total Hip (THA), Total Knee Arthroplasty (TKA) and surgery for hip fractures (NOF#). METHODS: Over 3 years, all patients investigated for VTE were analysed using Picture Archiving Communications System (PACS). All positive scans were then cross-referenced using PACS and local registry data to see if they had undergone THA, TKA or NOF# in the preceding 90 days. Mortality data were obtained from the national administrative database, Hospital Episode Statistics. RESULTS: Five thousand seven hundred eighty-eight patients underwent investigation for VTE and there were 29 diagnoses of PE and 24 of DVT. There was a 0.77% rate of symptomatic DVT after THA, 0.05% after TKA and 0.55% after NOF #. The rate of confirmed symptomatic PE for THA was 0.46, 0.27% for TKA and 0.96% for NOF #. Mortality at one-year post-THA was 0.6, 0.6% for TKA and 25.9% after NOF#. All patients contacted either remained within the catchment area for the minimum 90 postoperative days or died within the catchment area. CONCLUSIONS: The 90 day post-operative prevalence of symptomatic VTE of 1.2, 0.3 and 1.5% in THA, TKA and NOF # respectively are similar to other studies using symptomatic and imaging positive VTE as their endpoint. The study uses a method of collecting data which can be utilised in centres where PACS is available. BioMed Central 2020-02-12 /pmc/articles/PMC7017506/ /pubmed/32050949 http://dx.doi.org/10.1186/s12891-020-3100-4 Text en © The Author(s). 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Mula, Viswanath Parikh, Sunny Suresh, Sivakolundu Bottle, Alex Loeffler, Mark Alam, Mahbub Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title | Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title_full | Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title_fullStr | Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title_full_unstemmed | Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title_short | Venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
title_sort | venous thromboembolism rates after hip and knee arthroplasty and hip fractures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7017506/ https://www.ncbi.nlm.nih.gov/pubmed/32050949 http://dx.doi.org/10.1186/s12891-020-3100-4 |
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