Perioperative prevalence of deep vein thrombosis in patients with percutaneous kyphoplasty
| Autor: | Tianzhu Qiao, Wencan Fan, Jun Zhang, Jijian Gao, Yongqing You |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male China medicine.medical_specialty pulmonary embolism Percutaneous Deep vein Observational Study Asymptomatic percutaneous kyphoplasty 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Prevalence medicine Humans Kyphoplasty cardiovascular diseases 030212 general & internal medicine Perioperative Period Aged Retrospective Studies deep venous thrombosis Venous Thrombosis business.industry Retrospective cohort study ultrasonography General Medicine Perioperative Middle Aged medicine.disease Thrombosis Surgery Venous thrombosis medicine.anatomical_structure 030220 oncology & carcinogenesis Female medicine.symptom business Paraplegia Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000019402 |
| Popis: | In recent years, deep venous thrombosis (DVT) after spine surgery has received extensive attention, but perioperative prevalence of DVT in patients undergoing percutaneous kyphoplasty (PKP) is lacking. To assess the perioperative prevalence of deep vein thrombosis (DVT) in patients undergoing PKP with routinely applied ultrasonography. We reviewed 1113 consecutive patients undergoing PKP from January 2014 to August 2017. The surgical procedure was bilateral PKP. All patients were routinely examined with ultrasonography when admitted to the hospital and on the first post-operative day. Clinical signs of DVT were checked and recorded before examination. Forty (3.6%) out of 1113 patients were diagnosed with DVT by ultrasonography. Of the 40 detected cases of DVT, only six (0.54%) patients presented with clinical signs of DVT, demonstrating that there were 34 (3.05%) asymptomatic cases. No patient presenting with clinically suspected pulmonary embolism (PE) was observed. Gender, body mass index (BMI), operative time, hypertension, diabetes, heart disease, and lower limb fracture were not significant risk factors for DVT (P > .05). In contrast, patient age, oncologic conditions, DVT history, and paraplegia appeared to be significant risk factors for DVT (P .05). The total incidence of perioperative DVT diagnosed with ultrasonography in patients undergoing PKP was 3.6%, of which only 0.54% was symptomatic cases. It is necessary to assess DVT using ultrasonography during the perioperative procedure of PKP, especially for high-risk patients. Level of evidence: Level IV. |
| Databáze: | OpenAIRE |
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