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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 4/2020

01-08-2020 | Original Article

High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission

Authors: Francisco Bengoa, Gerardo Vicencio, Daniel Schweitzer, Maria Jesus Lira, Tomás Zamora, Ianiv Klaber

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2020

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Abstract

Purpose

Deep vein thrombosis (DVT) is a common complication in hip fracture patients, associated with significant morbidity and mortality. Research has focused on postoperative DVT, with scant reports on preoperative prevalence. The aim of this study was to describe the prevalence of preoperative DVT in patients accessing medical care ≥ 48 h after a hip fracture.

Methods

We included elderly patients admitted ≥ 48 h after sustaining a hip fracture, between September 2015 and October 2017. Patients with a previous episode of DVT, undergoing anticoagulation therapy, with pathologic fractures or undergoing cancer treatment were excluded. Of 273 patients, 59 were admitted at least 48 h after the fracture. DVT screening by Doppler ultrasound of both lower extremities was carried upon hospital admission. We recorded age, sex, Charlson comorbidity index and ASA score, fracture type, time since injury, time from admission to surgery and total length of hospital stay.

Results

We studied 41 patients, 79 (± 10.34) years old. The delay from injury to admission was 120 h (48–696 h). Seven patients (17.1%) had a DVT upon admission. There were no significant differences between patients with and without DVT, regarding time from admission to surgery or the total length of the hospital stay.

Conclusions

The prevalence of DVT in patients admitted ≥ 48 h after a hip fracture was 17.1%. The diagnosis and management of DVT did not increase time to surgery or hospital stay. Our results suggest routine screening for DVT in patients consulting emergency services ≥ 48 h after injury.
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Metadata
Title
High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission
Authors
Francisco Bengoa
Gerardo Vicencio
Daniel Schweitzer
Maria Jesus Lira
Tomás Zamora
Ianiv Klaber
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 4/2020
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-018-1059-8

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