| Autor: |
SooHoo NF, Farng E, Zingmond DS |
| Zdroj: |
Foot & Ankle International; Jul2010, Vol. 31 Issue 7, p600-603, 4p |
| Abstrakt: |
Background: The purpose of Ihis study was to identify the rates of readmission to the hospital for pulmonary embolism following open reduction and internal fixation of metatarsal fractures using observational, population-based data from all inpatient admissions in California over an II-year period. Materials and Me/hods: We identified patients undergoing open reduction and internal fixation of a metatarsal fracture in the years 1995 to 2005 as inpatients usiug California's discharge database. The outcomes analyzed included readmission within 90 days of surgery for pulmonary embolism. Logistic regression models were used to estimate the impact of patifnt factors such as age, race/ethnirity and gfnder in predicting the rates of thromboembolic disease. Results: A total of 1,477 metatarsal ORIF procedures were performed as inpatients during the study period. We identified four patients (0.27% I readmitted with pulmonary embolism within 90 da)'s of their initial ORIF proce~ dure. There were three (0.20%) cases of mortalit)'. none of which occurred in the four patients readmitted with pulmonary embolism. Given the low incidence. we did not identify age, gender. or race/ethnicit)' as statistically significant predictors of a higher risk of thromboembolic disease. Conclusion: The rate of readmission for pulmonary embolism was low. This suggests that the routine use of thromboprophylaxis rna)' not be necessar)' for isolated metatarsal fractures to prevent pulmonary embolism. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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