Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery

Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery

Abstract This study aimed to investigate the incidence of and risk factors for postoperative new-onset deep venous thrombosis (PNO-DVT) following intertrochanteric fracture surgery. Information on 1672 patients who underwent intertrochanteric fracture surgery at our hospital between January 2016 and...

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Autores principales: Kuo Zhao, Junzhe Zhang, Junyong Li, Hongyu Meng, Zhiyong Hou, Yingze Zhang
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/52ac1706a7a249b2ac5604aff1a0a23a
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spelling oai:doaj.org-article:52ac1706a7a249b2ac5604aff1a0a23a2021-12-02T18:53:08ZIncidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery10.1038/s41598-021-96937-w2045-2322https://doaj.org/article/52ac1706a7a249b2ac5604aff1a0a23a2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96937-whttps://doaj.org/toc/2045-2322Abstract This study aimed to investigate the incidence of and risk factors for postoperative new-onset deep venous thrombosis (PNO-DVT) following intertrochanteric fracture surgery. Information on 1672 patients who underwent intertrochanteric fracture surgery at our hospital between January 2016 and December 2019 was extracted from a prospective hip fracture database. Demographic information, surgical data, and preoperative laboratory indices were analysed. Receiver operating characteristic curve analysis, univariate analyses and binary logistic regression analyses were performed. The incidences of postoperative deep venous thrombosis (DVT) and PNO-DVT in inpatients after intertrochanteric fracture surgery were 11.5% (202 of 1751 patients) and 7.4% (123 of 1672 patients), respectively. PNO-DVT accounted for 60.9% of postoperative DVT. Additionally, there were 20 cases of central thrombosis (16.3%), 82 cases of peripheral thrombosis (66.7%), and 21 cases of mixed thrombosis (17.1%). In addition, 82.1% of PNO-DVTs were diagnosed within 8 days after surgery. The multivariate analysis revealed that age > 70 years, duration of surgery (> 197 min), type of anaesthesia (general), and comorbidities (≥ 3) were independent risk factors for the development of PNO-DVT after intertrochanteric fracture surgery. This study demonstrated a high incidence of PNO-DVT in inpatients after intertrochanteric fracture surgery. Therefore, postoperative examination for DVT should be routinely conducted for patients.Kuo ZhaoJunzhe ZhangJunyong LiHongyu MengZhiyong HouYingze ZhangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kuo Zhao
Junzhe Zhang
Junyong Li
Hongyu Meng
Zhiyong Hou
Yingze Zhang
Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
description Abstract This study aimed to investigate the incidence of and risk factors for postoperative new-onset deep venous thrombosis (PNO-DVT) following intertrochanteric fracture surgery. Information on 1672 patients who underwent intertrochanteric fracture surgery at our hospital between January 2016 and December 2019 was extracted from a prospective hip fracture database. Demographic information, surgical data, and preoperative laboratory indices were analysed. Receiver operating characteristic curve analysis, univariate analyses and binary logistic regression analyses were performed. The incidences of postoperative deep venous thrombosis (DVT) and PNO-DVT in inpatients after intertrochanteric fracture surgery were 11.5% (202 of 1751 patients) and 7.4% (123 of 1672 patients), respectively. PNO-DVT accounted for 60.9% of postoperative DVT. Additionally, there were 20 cases of central thrombosis (16.3%), 82 cases of peripheral thrombosis (66.7%), and 21 cases of mixed thrombosis (17.1%). In addition, 82.1% of PNO-DVTs were diagnosed within 8 days after surgery. The multivariate analysis revealed that age > 70 years, duration of surgery (> 197 min), type of anaesthesia (general), and comorbidities (≥ 3) were independent risk factors for the development of PNO-DVT after intertrochanteric fracture surgery. This study demonstrated a high incidence of PNO-DVT in inpatients after intertrochanteric fracture surgery. Therefore, postoperative examination for DVT should be routinely conducted for patients.
format article
author Kuo Zhao
Junzhe Zhang
Junyong Li
Hongyu Meng
Zhiyong Hou
Yingze Zhang
author_facet Kuo Zhao
Junzhe Zhang
Junyong Li
Hongyu Meng
Zhiyong Hou
Yingze Zhang
author_sort Kuo Zhao
title Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
title_short Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
title_full Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
title_fullStr Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
title_full_unstemmed Incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
title_sort incidence of and risk factors for new-onset deep venous thrombosis after intertrochanteric fracture surgery
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/52ac1706a7a249b2ac5604aff1a0a23a
work_keys_str_mv AT kuozhao incidenceofandriskfactorsfornewonsetdeepvenousthrombosisafterintertrochantericfracturesurgery
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AT zhiyonghou incidenceofandriskfactorsfornewonsetdeepvenousthrombosisafterintertrochantericfracturesurgery
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