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BMC Surgery
Published in: BMC Surgery 1/2022

Open Access 01-12-2022 | Phlebothrombosis | Research

Preoperative incidence and risk factors of deep venous thrombosis in patients with isolated femoral shaft fracture

Authors: Weijie Yang, Qun Wei, Haicheng Wang, Kai Ding, Ming Li, Chao Li, Chunhui Liang, Yanbin Zhu, Wei Chen

Published in: BMC Surgery | Issue 1/2022

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Abstract

Background

Preoperative deep vein thrombosis (DVT) of the lower extremities delays surgery in patients with femoral shaft fractures and impairs functional recovery. However, studies on preoperative DVT in patients with femoral shaft fractures are still rare. This study was aimed to retrospectively analyze the preoperative incidence, location and risk factors associated with DVT in patients with femoral shaft fractures.

Methods

Data of patients with femoral shaft fractures and treated with surgery at the Third Hospital of Hebei Medical University were retrospectively collected from January 2013 to December 2019. The information collected included demographic data, comorbidities, injury-related data and laboratory tests. Patients were divided into DVT and non-DVT groups. Univariate and multivariate logistic regression analyses were performed to determine independent risk factors.

Results

A total of 432 patients were included in this study, of whom 114 (26.4%) patients were diagnosed with preoperative DVT (all asymptomatic) and injured extremities of 78.1% (89/114) were investigated. Multivariate analysis showed that older age (increase in each 10 years), delay time from injury to operation (in each day), FIB > 4 g/L were independent risk factors for preoperative DVT.

Conclusion

Patients with femoral shaft fractures (especially the elderly and patients with the above-mentioned conditions) are at the risk of DVT right from admission to surgery hence should be intensively monitored and provided with prompt treatment to prevent DVT.
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Metadata
Title
Preoperative incidence and risk factors of deep venous thrombosis in patients with isolated femoral shaft fracture
Authors
Weijie Yang
Qun Wei
Haicheng Wang
Kai Ding
Ming Li
Chao Li
Chunhui Liang
Yanbin Zhu
Wei Chen
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-022-01534-x

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