UK Foot and Ankle Thromboembolism (UK-FATE).

Autor: Mangwani J; Academic Team of Musculoskeletal Surgery, Department of Trauma and Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK.; British Orthopaedic Foot and Ankle Society, Nottingham, UK.; Foot Print, Nottingham, UK., Houchen-Wolloff L; Department of Physiotherapy, University Hospitals of Leicester NHS Trust, Leicester, UK., Malhotra K; Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK., Booth S; Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK., Smith A; Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK., Teece L; Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK., Mason LW; Trauma and Orthopaedics, University Hospital Aintree, Liverpool, UK., Shaikh R; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Alfred W; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Okhifun I; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Cinar E; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Bua N; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Vemulapalli K; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Acharya A; Barking Havering & Redbridge NHS Trust, London, United Kingdom., Gadd R; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Money-Taylor J; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Kantharaju R; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Bhosale A; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Bahri S; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Broadbent R; Barnsley Hospital NHS Foundation Trust, Barnsley, United Kingdom., Drummond I; Barts Health - Royal London, London, United Kingdom., Jones N; Barts Health - Royal London, London, United Kingdom., Shah S; Barts Health - Royal London, London, United Kingdom., Ravindrarjah T; Barts Health - Royal London, London, United Kingdom., Yasen Z; Barts Health - Royal London, London, United Kingdom., Singh K; Barts Health - Royal London, London, United Kingdom., Al-Habs R; Barts Health - Royal London, London, United Kingdom., Jeyaseelan L; Barts Health - Whipps Cross, London, United Kingdom., Habbiba A; Barts Health - Whipps Cross, London, United Kingdom., Walker T; Barts Health - Whipps Cross, London, United Kingdom., Dewhurst M; Barts Health - Whipps Cross, London, United Kingdom., Glasgow N; Barts Health - Whipps Cross, London, United Kingdom., Eze D; Barts Health - Whipps Cross, London, United Kingdom., Carter G; Barts Health - Whipps Cross, London, United Kingdom., Rajan P; Basildon University Hospital, Basildon, United Kingdom., Patil V; Basildon University Hospital, Basildon, United Kingdom., Amer O; Basildon University Hospital, Basildon, United Kingdom., Malik K; Basildon University Hospital, Basildon, United Kingdom., Pavanerathan P; Basildon University Hospital, Basildon, United Kingdom., Mallick A; Basildon University Hospital, Basildon, United Kingdom., Seferiadis I; Basildon University Hospital, Basildon, United Kingdom., Currall V; Bedfordshire Hospitals NHS Foundation Trust - Luton & Dunstable, Luton, United Kingdom., Sadasivan P; Bedfordshire Hospitals NHS Foundation Trust - Luton & Dunstable, Luton, United Kingdom., Kumar S; Bedfordshire Hospitals NHS Foundation Trust - Luton & Dunstable, Luton, United Kingdom., Sanjani SR; Bedfordshire Hospitals NHS Foundation Trust - Luton & Dunstable, Luton, United Kingdom., Ciaccio M; Bedfordshire Hospitals NHS Foundation Trust - Luton & Dunstable, Luton, United Kingdom., Ayyaswamy B; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Prasad P; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Anand M; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Sunilraj D; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Lane S; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Prathap S; Blackpool Teaching Hospitals NHS Trust, Blackpool, United Kingdom., Kankate R; Bucks Healthcare, Buckinghamshire, England., Aktselis I; Bucks Healthcare, Buckinghamshire, England., Davda K; Bucks Healthcare, Buckinghamshire, England., Vijapur A; Bucks Healthcare, Buckinghamshire, England., Tayyem M; Bucks Healthcare, Buckinghamshire, England., Chau J; Bucks Healthcare, Buckinghamshire, England., Azhar MS; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Sturdee S; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Hussain H; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Sonde S; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Luqman MQ; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Farooq R; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Wells G; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Shenolikar A; Calderdale and Huddersfield NHS Trust, Huddersfield, United Kingdom., Simons M; Cardiff and Vale UHB, Cardiff, United Kingdom., Hodgson P; Cardiff and Vale UHB, Cardiff, United Kingdom., Thomas R; Cardiff and Vale UHB, Cardiff, United Kingdom., Stevens S; Cardiff and Vale UHB, Cardiff, United Kingdom., Elhassan Y; County Durham Darlington Foundation Trust, Darlington, United Kingdom., Adeniyi A; County Durham Darlington Foundation Trust, Darlington, United Kingdom., Aspinall W; County Durham Darlington Foundation Trust, Darlington, United Kingdom., Joseph V; Cwm Taf Morgannwg UHB - Prince Charles Hospital, Merthyr Tydfil, United Kingdom., Day M; Cwm Taf Morgannwg UHB - Prince Charles Hospital, Merthyr Tydfil, United Kingdom., Tong A; Cwm Taf Morgannwg UHB - Royal Glamorgan Hospital, Ynysmaerdy, United Kingdom., Joyner C; Cwm Taf Morgannwg UHB - Royal Glamorgan Hospital, Ynysmaerdy, United Kingdom., Alzaranky M; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Elhassan O; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Chhantyal K; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Arora A; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Abiddin Z; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Kucharski R; Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, United Kingdom., Ahmad I; Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom., Zeb J; Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom., Ishaq U; Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom., Thomas J; Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom., Jain K; Dudley Group of Hospitals NHS Trust, Dudley, United Kingdom., Deol R; East & North Herts NHS Trust, Stevenage, United Kingdom., Faroug R; East & North Herts NHS Trust, Stevenage, United Kingdom., Johal K; East & North Herts NHS Trust, Stevenage, United Kingdom., Mordecai S; East & North Herts NHS Trust, Stevenage, United Kingdom., Argyropouos M; East & North Herts NHS Trust, Stevenage, United Kingdom., Chawla A; East & North Herts NHS Trust, Stevenage, United Kingdom., Ibrahim M; East & North Herts NHS Trust, Stevenage, United Kingdom., Pereira M; East & North Herts NHS Trust, Stevenage, United Kingdom., Barr L; East Suffold & North Essex Hospitals, Essex, United Kingdom., Julies E; East Suffold & North Essex Hospitals, Essex, United Kingdom., Hill F; East Suffold & North Essex Hospitals, Essex, United Kingdom., Kapoor S; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Bailey J; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Mukhopadhyay I; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Rana S; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Tarig H; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Qualaghassi M; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Seewoonarian S; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Rose B; East Sussex Healthcare NHS Trust, Baldslow, United Kingdom., Crate G; Epsom and St Helier NHS Trust, Carshalton, United Kingdom., Abbott S; Epsom and St Helier NHS Trust, Carshalton, United Kingdom., Fenner C; Epsom and St Helier NHS Trust, Carshalton, United Kingdom., Geleit R; Epsom and St Helier NHS Trust, Carshalton, United Kingdom., Yousaf S; Epsom and St Helier NHS Trust, Carshalton, United Kingdom., Akram N; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Al-Hubeshy Z; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Patel B; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Hussein M; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Clark C; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Giddie J; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Dega R; Frimley Health NHS Foundation Trust - Wexham Park Hospital, Slough, United Kingdom., Dasari K; George Eliot NHS Trust, Warwickshire, United Kingdom., Nandhara G; George Eliot NHS Trust, Warwickshire, United Kingdom., Kumar P; George Eliot NHS Trust, Warwickshire, United Kingdom., Gupta P; George Eliot NHS Trust, Warwickshire, United Kingdom., Poole H; George Eliot NHS Trust, Warwickshire, United Kingdom., Zace P; George Eliot NHS Trust, Warwickshire, United Kingdom., Alvi F; Glan Clwyd Hospital (Betsi Cadwaladr University Health Board), Bodelwyddan, United Kingdom., Jacob J; Glan Clwyd Hospital (Betsi Cadwaladr University Health Board), Bodelwyddan, United Kingdom., Reddy R; Glan Clwyd Hospital (Betsi Cadwaladr University Health Board), Bodelwyddan, United Kingdom., Sateesh V; Glan Clwyd Hospital (Betsi Cadwaladr University Health Board), Bodelwyddan, United Kingdom., Gledhill A; Great Western Hospital Trust, Swindon, United Kingdom., Craven J; Great Western Hospital Trust, Swindon, United Kingdom., Cichero M; Great Western Hospital Trust, Swindon, United Kingdom., Yates B; Great Western Hospital Trust, Swindon, United Kingdom., Newton A; Great Western Hospital Trust, Swindon, United Kingdom., Grice J; Great Western Hospital Trust, Swindon, United Kingdom., Fawcett N; Hampshire Hospitals NHS Foundation Trust, Hampshire, United Kingdom., Fraig H; Hampshire Hospitals NHS Foundation Trust, Hampshire, United Kingdom., Hamad F; Hampshire Hospitals NHS Foundation Trust, Hampshire, United Kingdom., Marsland D; Hampshire Hospitals NHS Foundation Trust, Hampshire, United Kingdom., Elliot R; Hampshire Hospitals NHS Foundation Trust, Hampshire, United Kingdom., Ghani Y; Homerton Healthcare NHS Foundation Trust, London, United Kingdom., Chandrashekhar S; Homerton Healthcare NHS Foundation Trust, London, United Kingdom., Millan RK; Homerton Healthcare NHS Foundation Trust, London, United Kingdom., Clark A; Imperial College Healthcare Trust - St Mary's, Westminster, United Kingdom., Rahman K; Imperial College Healthcare Trust - St Mary's, Westminster, United Kingdom., Sykes M; Imperial College Healthcare Trust - St Mary's, Westminster, United Kingdom., Little Z; Kingston Hospital, Kingston, United Kingdom., Saleem J; Kingston Hospital, Kingston, United Kingdom., Jolly L; Kingston Hospital, Kingston, United Kingdom., Jain A; Kingston Hospital, Kingston, United Kingdom., Qadri A; Kingston Hospital, Kingston, United Kingdom., Rymaruk S; Lancashire Teaching Hospitals NHS Trust, Lancashire, United Kingdom., Kulkarni A; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Garabadi M; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Akhtar M; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Hossain M; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Yunus S; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Saleem M; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Fong J; Lincoln County Hospital, United Lincolnshire NHS Trust, Lincolnshire, United Kingdom., Islam A; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Nusir B; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Chapman J; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Holmes D; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Mamoowala N; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Almond K; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Wright C; Liverpool University Hospitals NHS Foundation Trust, Liverpool, United Kingdom., Caruana E; Manchester University Hospitals - MRI & Trafford, Trafford, United Kingdom., Watson T; Manchester University Hospitals - MRI & Trafford, Trafford, United Kingdom., Allison G; Manchester University Hospitals - MRI & Trafford, Trafford, United Kingdom., Pillai A; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Madhi I; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Alsalihy M; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Elamin K; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Yip CR; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Tew L; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Dahiya R; Manchester University Hospitals - Wythenshawe Hospital, Wythenshawe, United Kingdom., Goff T; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Bagshaw O; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Slade H; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Andrzejowski P; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Gomati A; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Drake C; Mid Yorkshire NHS Trust, West Yorkshire , United Kingdom., Hind J; Milton Keynes University Hospital, Eaglestone, United Kingdom., Morgan R; Milton Keynes University Hospital, Eaglestone, United Kingdom., Khalaf A; Milton Keynes University Hospital, Eaglestone, United Kingdom., Ditta A; Milton Keynes University Hospital, Eaglestone, United Kingdom., Ramasamy A; Milton Keynes University Hospital, Eaglestone, United Kingdom., McIntyre J; NHS Fife, Kirkcaldy, United Kingdom., Blacklock C; NHS Fife, Kirkcaldy, United Kingdom., Middleton S; NHS Fife, Kirkcaldy, United Kingdom., Clayton R; NHS Fife, Kirkcaldy, United Kingdom., Hrycaiczuk A; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Thornhill C; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Jeyakumar G; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Vaithilingam D; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Potter K; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Jamal/Pete Chan B; NHS Greater Glasgow & Clyde, Glasgow, United Kingdom., Mohamed M; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Fraser D; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Elhalawany A; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Beastall J; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Cousins G; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Nunag P; NHS Highland - Raigmore Hospital, Warwickshire, United Kingdom., Loveday D; Norfolk and Norwich University Hospitals, Norwich, United Kingdom., Bawa A; Norfolk and Norwich University Hospitals, Norwich, United Kingdom., Gilmore R; Norfolk and Norwich University Hospitals, Norwich, United Kingdom., Schankat K; Norfolk and Norwich University Hospitals, Norwich, United Kingdom., Walls A; North Bristol NHS Trust, Bristol, United Kingdom., Corin N; North Bristol NHS Trust, Bristol, United Kingdom., Robinson P; North Bristol NHS Trust, Bristol, United Kingdom., Hepple S; North Bristol NHS Trust, Bristol, United Kingdom., Harries W; North Bristol NHS Trust, Bristol, United Kingdom., Riddick A; North Bristol NHS Trust, Bristol, United Kingdom., Winson I; North Bristol NHS Trust, Bristol, United Kingdom., Marsh L; North Bristol NHS Trust, Bristol, United Kingdom., Bashir MA; North Middlesex University Hospital, London, United Kingdom., Saini J; North Middlesex University Hospital, London, United Kingdom., Atkinson H; North Middlesex University Hospital, London, United Kingdom., Limaye R; North Tees and Hartlepool NHS Foundation Trust, Cleveland, United Kingdom., Johnson-Lynn S; North Tees and Hartlepool NHS Foundation Trust, Cleveland, United Kingdom., Sethi M; North Tees and Hartlepool NHS Foundation Trust, Cleveland, United Kingdom., Flanagan G; Northamptonshire Healthcare NHSFT, Northamptonshire, United Kingdom., Uddin A; Northamptonshire Healthcare NHSFT, Northamptonshire, United Kingdom., Reilly I; Northamptonshire Healthcare NHSFT, Northamptonshire, United Kingdom., Martin R; Northumbria Healthcare NHS Trust, Tyne and Wear, United Kingdom., Pujol-Nichol A; Northumbria Healthcare NHS Trust, Tyne and Wear, United Kingdom., Carroll N; Northumbria Healthcare NHS Trust, Tyne and Wear, United Kingdom., Boucher A; Nottingham University Hospital, Nottingham, United Kingdom., Alward M; Nottingham University Hospital, Nottingham, United Kingdom., Myint Y; Nottingham University Hospital, Nottingham, United Kingdom., Butler K; Oxford University Hospitals NHS Trust - Nuffield Orthopaedic Centre, Oxford, United Kingdom., Kendal A; Oxford University Hospitals NHS Trust - Nuffield Orthopaedic Centre, Oxford, United Kingdom., Bugeja M; Oxford University Hospitals NHS Trust - Nuffield Orthopaedic Centre, Oxford, United Kingdom., Mooteeram J; Oxford University Hospitals NHS Trust - Nuffield Orthopaedic Centre, Oxford, United Kingdom., Saedi F; Oxford University Hospitals NHS Trust - Nuffield Orthopaedic Centre, Oxford, United Kingdom., Koc T; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Morcos Z; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Robertson G; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Holmes N; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Tribe H; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Pearkes T; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Soliman A; Portsmouth Hospitals University NHS Trust - Queen Alexandra Hospital, Hampshire, United Kingdom., Prasanna A; Practice Plus Group, Ilford, United Kingdom., Teoh K; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Kamat S; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Bajracharya A; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Reeves J; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Ngwayi M; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Imtiaz G; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Blackmore N; Princess Alexandra Hospital NHS Trust, Harlow, United Kingdom., Lau B; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Naik A; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Tung E; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Murhekar S; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Ray R; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Lyle S; King's NHS Trust - Princess Royal University Hospital, Orpington, United Kingdom., Makwana N; Robert Jones and Agnes Hunt Hospital, Gobowen, United Kingdom., Kaisi KA; Robert Jones and Agnes Hunt Hospital, Gobowen, United Kingdom., Al-Musabi M; Robert Jones and Agnes Hunt Hospital, Gobowen, United Kingdom., Dean M; Royal Devon and Exeter, Exeter, United Kingdom., Hughes A; Royal Devon and Exeter, Exeter, United Kingdom., Shuttlewood K; Royal Devon and Exeter, Exeter, United Kingdom., Welck M; Royal National Orthopaedic Hospital, London, United Kingdom., Patel S; Royal National Orthopaedic Hospital, London, United Kingdom., Sykes A; Royal National Orthopaedic Hospital, London, United Kingdom., Thibbaiah MM; Royal National Orthopaedic Hospital, London, United Kingdom., Hadi H; Royal National Orthopaedic Hospital, London, United Kingdom., Haldar A; Royal National Orthopaedic Hospital, London, United Kingdom., Ardakani AG; Royal National Orthopaedic Hospital, London, United Kingdom., Jani P; Royal National Orthopaedic Hospital, London, United Kingdom., Kutuzov V; Royal Oldham Hospital, Northern Care Alliance, Oldham, United Kingdom., Gibbons J; Royal Oldham Hospital, Northern Care Alliance, Oldham, United Kingdom., Trussler D; Royal Oldham Hospital, Northern Care Alliance, Oldham, United Kingdom., Hawley E; Royal Oldham Hospital, Northern Care Alliance, Oldham, United Kingdom., Akhtar S; Royal Oldham Hospital, Northern Care Alliance, Oldham, United Kingdom., Rajgor HD; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Budair B; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Prem H; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Mckenzie J; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Thurston D; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., O'Sullivan M; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Elmajee M; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Pond E; Royal Orthopaedic Hospital NHS Trust, Birmingham, United Kingdom., Zahra W; Royal Shrewsbury Hospital, Shrewsbury, United Kingdom., Heaver C; Royal Shrewsbury Hospital, Shrewsbury, United Kingdom., Igbagiri K; Royal Surrey Hospital, Guildford, United Kingdom., Gaukroger A; Royal Surrey Hospital, Guildford, United Kingdom., Solan M; Royal Surrey Hospital, Guildford, United Kingdom., Peacock C; Royal Surrey Hospital, Guildford, United Kingdom., Fan KS; Royal Surrey Hospital, Guildford, United Kingdom., Barton T; Royal United Hospital Bath NHS Foundation Trust, Bath, United Kingdom., Robinson D; Royal United Hospital Bath NHS Foundation Trust, Bath, United Kingdom., Graham S; Royal United Hospital Bath NHS Foundation Trust, Bath, United Kingdom., Zeolla J; Royal United Hospital Bath NHS Foundation Trust, Bath, United Kingdom., Everett S; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Iqbal M; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Gourbault L; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Singh S; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Tang C; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Tarhini M; Somerset NHS Foundation Trust - Taunton Site, Taunton, United Kingdom., Khan S; South Tyneside and Sunderland NHS Foundation Trust, Sunderland, United Kingdom., Balasubramanian S; South Tyneside and Sunderland NHS Foundation Trust, Sunderland, United Kingdom., Lever C; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., Bansod V; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., Iyengar K; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., Wadood A; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., McMillan L; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., Toh E; Southport and Ormskirk Hospital NHS Trust, Merseyside, United Kingdom., Masunda S; St Richards Hospital, Chichester, United Kingdom., Federer S; St Richards Hospital, Chichester, United Kingdom., Ahmad F; St Richards Hospital, Chichester, United Kingdom., Lashin A; St Richards Hospital, Chichester, United Kingdom., Kaddah A; St Richards Hospital, Chichester, United Kingdom., Oladeji E; St Richards Hospital, Chichester, United Kingdom., Dawe E; St Richards Hospital, Chichester, United Kingdom., Nolan C; University Hospital Coventry and Warwickshire, Coventry, United Kingdom., El-Bayouk K; University Hospital Coventry and Warwickshire, Coventry, United Kingdom., Dhukaram V; University Hospital Coventry and Warwickshire, Coventry, United Kingdom., Chapman A; University Hospital Coventry and Warwickshire, Coventry, United Kingdom., Beddard L; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Thomas A; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Garg V; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Taylor H; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Kelsall N; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Roslee C; University Hospital Dorset (Bournemouth and Poole), Bournemouth, United Kingdom., Akram N; University Hospitals of Leicester, Leicestershire, United Kingdom., Lowdon H; University Hospitals of Leicester, Leicestershire, United Kingdom., Kamel-Sherif A; University Hospitals of Leicester, Leicestershire, United Kingdom., Jones A; University Hospitals of Leicester, Leicestershire, United Kingdom., Best A; University Hospitals of Leicester, Leicestershire, United Kingdom., Zabaglo M; University Hospitals of Leicester, Leicestershire, United Kingdom., Sayani J; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Kyaw O; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Khin C; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Ali R; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Shaik Y; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Hossain N; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Valente L; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Ajis A; University Hospitals Sussex NHS Trust Worthing, Worthing, West Sussex, United Kingdom., Guha A; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Pereira M; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Ayoub A; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Paraoan V; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Hali N; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Baird C; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Kugan R; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Abdallatif A; Worcestershire Acute Hospitals NHS Trust, Worcester, United Kingdom., Blomfield M; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Jackson G; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Craven J; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Malhotra A; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Toner A; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Render L; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Ashley C; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Limb R; Wirral University Teaching Hospitals, Birkenhead, United Kingdom., Smith R; Wrightington Wigan and Leigh NHS Foundation Trust, Wrightington, United Kingdom., Hughes L; Wrightington Wigan and Leigh NHS Foundation Trust, Wrightington, United Kingdom., Matthews H; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Shiers-Gelalis F; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Ting J; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Place S; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Budgen A; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Stanley J; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom., Jowett C; York and Scarborough Hospitals NHS Trust, North Yorkshire, United Kingdom.
Jazyk: angličtina
Zdroj: The bone & joint journal [Bone Joint J] 2024 Nov 01; Vol. 106-B (11), pp. 1249-1256. Date of Electronic Publication: 2024 Nov 01.
DOI: 10.1302/0301-620X.106B11.BJJ-2024-0128.R1
Abstrakt: Aims: Venous thromboembolism (VTE) is a potential complication of foot and ankle surgery. There is a lack of agreement on contributing risk factors and chemical prophylaxis requirements. The primary outcome of this study was to analyze the 90-day incidence of symptomatic VTE and VTE-related mortality in patients undergoing foot and ankle surgery and Achilles tendon (TA) rupture. Secondary aims were to assess the variation in the provision of chemical prophylaxis and risk factors for VTE.
Methods: This was a multicentre, prospective national collaborative audit with data collection over nine months for all patients undergoing foot and ankle surgery in an operating theatre or TA rupture treatment, within participating UK hospitals. The association between VTE and thromboprophylaxis was assessed with a univariable logistic regression model. A multivariable logistic regression model was used to identify key predictors for the risk of VTE.
Results: A total of 13,569 patients were included from 68 sites. Overall, 11,363 patients were available for analysis: 44.79% were elective (n = 5,090), 42.16% were trauma excluding TA ruptures (n = 4,791), 3.50% were acute diabetic procedures (n = 398), 2.44% were TA ruptures undergoing surgery (n = 277), and 7.10% were TA ruptures treated nonoperatively (n = 807). In total, 11 chemical anticoagulants were recorded, with the most common agent being low-molecular-weight heparin (n = 6,303; 56.79%). A total of 32.71% received no chemical prophylaxis. There were 99 cases of VTE (incidence 0.87% (95% CI 0.71 to 1.06)). VTE-related mortality was 0.03% (95% CI 0.005 to 0.080). Univariable analysis showed that increased age and American Society of Anesthesiologists (ASA) grade had higher odds of VTE, as did having previous cancer, stroke, or history of VTE. On multivariable analysis, the strongest predictors for VTE were the type of foot and ankle procedure and ASA grade.
Conclusion: The 90-day incidence of symptomatic VTE and mortality related to VTE is low in foot and ankle surgery and TA management. There was notable variability in the chemical prophylaxis used. The significant risk factors associated with 90-day symptomatic VTE were TA rupture and high ASA grade.
Competing Interests: J. Mangwani reports support from the Leicester Hospitals Charity, related to this study. J. Mangwani reports payment or honoraria for lectures, presentations, educational events from Orthosolutions, and royalties from Meshworks, unrelated to this study. K. Malhotra reports payment or honoraria for lectures, presentations, speaker bureaus, manuscript writing or educational events from NewClip Technics, unrelated to this study. L. W. Mason reports royalties or licenses, consulting fees, and patents planned, issued or pending from Orthosolutions, unrelated to this study.
(© 2024 The British Editorial Society of Bone & Joint Surgery.)
Databáze: MEDLINE