Venous thromboembolism after total knee and hip arthroplasty. A retrospective study
| Autor: | Mosaad Almegren, Mohammad A. Al Qahtani, Amal S. Alomri, Rawan S. Mesmar, Alhanouf A. Alhedaithy, Nouf F. Albawardy |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty orthopedic surgery medicine.medical_treatment Deep vein Arthroplasty Replacement Hip Population education Saudi Arabia lcsh:Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans anticoagulation Arthroplasty Replacement Knee Aged Retrospective Studies Aged 80 and over Venous Thrombosis 030222 orthopedics education.field_of_study business.industry Medical record Incidence (epidemiology) Incidence lcsh:R Retrospective cohort study General Medicine Venous Thromboembolism Middle Aged medicine.disease Arthroplasty Pulmonary embolism Surgery medicine.anatomical_structure Orthopedic surgery arthroplasty Female Original Article thromboprophylaxis business Pulmonary Embolism |
| Zdroj: | Saudi Medical Journal Saudi Medical Journal, Vol 39, Iss 11, Pp 1096-1101 (2018) |
| ISSN: | 0379-5284 |
| Popis: | Objectives: To evaluate the incidence and risk factors of Venous thromboembolism (VTE) among total knee arthroplasty (TKA) and total hip arthroplasty (THA) patients following surgery. Methods : We conducted a retrospective review of electronic medical records of consecutive patients between January 2010 and January 2015 who underwent TKA or THA at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Results : The incidence of symptomatic VTE was 1.9% (17 events, 95% CI: 1.1–2.8) in 756 patients who underwent 889 surgeries. All VTE cases developed before hospital discharge. Twelve (1.4%) patients developed pulmonary embolism, and 5 (0.6%) patients developed deep vein thrombosis. The majority of patients (n=557, 62.7%) underwent surgery for single TKA, and 138 (15.5%) patients underwent bilateral arthroplasty. Based on univariate risk analysis, bilateral arthroplasty was the only potential predictor for VTE after surgery. Conclusion : The rate of symptomatic VTE in a Saudi population following arthroplasty is low and comparable to the international data. However, efforts and more trials are needed to further improve in-hospital thromboprophylaxis measures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|