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European Journal of Trauma and Emergency Surgery

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22-01-2022 | Venous Thrombosis | Original Article

Incidence and risk factors of preoperative deep venous thrombosis following hip fracture: a retrospective analysis of 293 consecutive patients

Authors: Si-ying He, Ping Zhang, Han-jun Qin, Nan Jiang, Bin Yu

Published in: European Journal of Trauma and Emergency Surgery | Issue 4/2022

Abstract

Purpose

This study investigated the incidence and risk factors of preoperative deep venous thrombosis (DVT) after an acute hip fracture.

Methods

We searched the electronic medical record system at our hospital for patients who received treatment for femoral neck (FN), intertrochanteric (IT), or subtrochanteric (ST) fractures between January 1, 2016, and December 31, 2020. DVT was diagnosed using venous compression ultrasonography. Univariate and multivariate regression analyses were performed to identify risk factors for preoperative DVT.

Results

Out of 512 consecutively admitted patients with hip fracture, 293 (median age, 77 years; 174 females) were included in the final analysis after application of the exclusion criteria. There were 162 FN, 122 IT, and 9 ST fractures. Preoperative DVT occurred in 58 patients. Patients over 80 years of age had a significantly higher incidence of preoperative DVT than those aged < 65 years (P = 0.014). Preoperative DVT incidence following extracapsular fracture was significantly higher than that after intracapsular fracture (27.5% versus 13.6%, P = 0.003). Multivariate regression analysis revealed that advanced age (odds ratio [OR] 1.027, P = 0.026) and extracapsular fracture (OR = 2.149, P = 0.013) were associated with a significantly higher risk of preoperative DVT development. While the serum D-dimer level was abnormally elevated in 99% of the patients, this was not a significant factor in the final multivariate analysis (P = 0.562).

Conclusion

The incidence of preoperative DVT after acute hip fracture in this Chinese cohort was approximately 20%. Increased age and extracapsular fracture were independent risk factors for preoperative DVT following acute hip fracture.

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Title: Incidence and risk factors of preoperative deep venous thrombosis following hip fracture: a retrospective analysis of 293 consecutive patients
Authors: Si-ying He
Ping Zhang
Han-jun Qin
Nan Jiang
Bin Yu
Publication date: 22-01-2022
Publisher: Springer Berlin Heidelberg
Keywords: Venous Thrombosis
Venous Thrombosis
Published in: European Journal of Trauma and Emergency Surgery / Issue 4/2022
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01861-3

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Springer Medicine

Incidence and risk factors of preoperative deep venous thrombosis following hip fracture: a retrospective analysis of 293 consecutive patients

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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