The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study
This study was to investigate the incidences of DVT in lower extremities after pelvic fracture before and after operation, and explore the risk factors. The records of patients with pelvic fractures receiving operation were collected. The patients were examined by preoperative and postoperative ultr...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-07-01
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| Series: | Clinical and Applied Thrombosis/Hemostasis |
| Online Access: | https://doi.org/10.1177/10760296211033024 |
| _version_ | 1818453173662121984 |
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| author | Yun Yan MB Baobao Zhang MB Jie Yang MB Yan Zhang MB Lei Zhang MB Dan Wang MB Jing Gao MB Lianzhi He MB Pengfei Wang MD Yan Zhuang MD Kun Zhang MD Ping Liu MB |
| author_facet | Yun Yan MB Baobao Zhang MB Jie Yang MB Yan Zhang MB Lei Zhang MB Dan Wang MB Jing Gao MB Lianzhi He MB Pengfei Wang MD Yan Zhuang MD Kun Zhang MD Ping Liu MB |
| author_sort | Yun Yan MB |
| collection | DOAJ |
| description | This study was to investigate the incidences of DVT in lower extremities after pelvic fracture before and after operation, and explore the risk factors. The records of patients with pelvic fractures receiving operation were collected. The patients were examined by preoperative and postoperative ultrasonography, and divided into thrombosis group and non-thrombosis group according to the preoperative and postoperative ultrasonographic results. Totally, 128 patients with pelvic fractures were included in this study. The incidence of DVT was 21.09% preoperatively, and increased to 35.16% postoperatively. Peripheral DVT constituted 92.60% and 86.67% of preoperative and postoperative DVTs, respectively. The results showed that age (odds ratio [OR] = 1.07; 95% CI: 1.01-1.12; P = 0.013), fracture classification (OR = 3.80; 95% CI: 1.31-11.00; P = 0.014) and D-dimer at admission (OR = 1.04; 95% CI: 1.00-1.08; P = 0.029) were independent risk factors of preoperative DVT, and female (OR = 0.21; 95% CI: 0.06-0.81; P = 0.023) was independent protective factor. In addition, age (OR, 1.06; 95% CI, 1.00-1.11; P = 0.026), operative blood transfusion (OR, 1.34; 95% CI, 1.05-1.72; P = 0.020) were independent risk factors of postoperative DVT. In conclusion, the DVT prevention strategy has not changed the high incidence of DVT in pelvic fractures, and orthopedic surgeons should pay more attention to perioperative DVT. When a male or patient with Tile-C type pelvic fracture is at admission, it is should be reminded that the screening the DVT in lower extremities. In addition, the surgeon should stanch bleeding completely, to reduce the blood transfusion and formation of DVT. |
| first_indexed | 2024-12-14T21:34:47Z |
| format | Article |
| id | doaj.art-95680bcb3d084b95b8e6ac606ebbf600 |
| institution | Directory Open Access Journal |
| issn | 1938-2723 |
| language | English |
| last_indexed | 2024-12-14T21:34:47Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical and Applied Thrombosis/Hemostasis |
| spelling | doaj.art-95680bcb3d084b95b8e6ac606ebbf6002022-12-21T22:46:36ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232021-07-012710.1177/10760296211033024The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control StudyYun Yan MB0Baobao Zhang MB1Jie Yang MB2Yan Zhang MB3Lei Zhang MB4Dan Wang MB5Jing Gao MB6Lianzhi He MB7Pengfei Wang MD8Yan Zhuang MD9Kun Zhang MD10Ping Liu MB11 Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of China Department of Orthopedic Trauma, Honghui Hospital, , Xi’an, Shaanxi Province, People’s Republic of ChinaThis study was to investigate the incidences of DVT in lower extremities after pelvic fracture before and after operation, and explore the risk factors. The records of patients with pelvic fractures receiving operation were collected. The patients were examined by preoperative and postoperative ultrasonography, and divided into thrombosis group and non-thrombosis group according to the preoperative and postoperative ultrasonographic results. Totally, 128 patients with pelvic fractures were included in this study. The incidence of DVT was 21.09% preoperatively, and increased to 35.16% postoperatively. Peripheral DVT constituted 92.60% and 86.67% of preoperative and postoperative DVTs, respectively. The results showed that age (odds ratio [OR] = 1.07; 95% CI: 1.01-1.12; P = 0.013), fracture classification (OR = 3.80; 95% CI: 1.31-11.00; P = 0.014) and D-dimer at admission (OR = 1.04; 95% CI: 1.00-1.08; P = 0.029) were independent risk factors of preoperative DVT, and female (OR = 0.21; 95% CI: 0.06-0.81; P = 0.023) was independent protective factor. In addition, age (OR, 1.06; 95% CI, 1.00-1.11; P = 0.026), operative blood transfusion (OR, 1.34; 95% CI, 1.05-1.72; P = 0.020) were independent risk factors of postoperative DVT. In conclusion, the DVT prevention strategy has not changed the high incidence of DVT in pelvic fractures, and orthopedic surgeons should pay more attention to perioperative DVT. When a male or patient with Tile-C type pelvic fracture is at admission, it is should be reminded that the screening the DVT in lower extremities. In addition, the surgeon should stanch bleeding completely, to reduce the blood transfusion and formation of DVT.https://doi.org/10.1177/10760296211033024 |
| spellingShingle | Yun Yan MB Baobao Zhang MB Jie Yang MB Yan Zhang MB Lei Zhang MB Dan Wang MB Jing Gao MB Lianzhi He MB Pengfei Wang MD Yan Zhuang MD Kun Zhang MD Ping Liu MB The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study Clinical and Applied Thrombosis/Hemostasis |
| title | The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study |
| title_full | The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study |
| title_fullStr | The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study |
| title_full_unstemmed | The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study |
| title_short | The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study |
| title_sort | perioperative deep vein thrombosis in lower extremities in patients with pelvic fracture a case control study |
| url | https://doi.org/10.1177/10760296211033024 |
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