Risk Factors of Deep Vein Thrombosis in Adults with Acute Compartment Syndrome Following Lower Extremity Fractures
This study aimed to identify the risk factors of deep vein thrombosis (DVT) in adults with acute compartment syndrome (ACS) following lower extremity fractures. We collected data on adults with ACS following lower extremity fractures in our hospital from November 2013 to January 2021. Patients were...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-03-01
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| Series: | Clinical and Applied Thrombosis/Hemostasis |
| Online Access: | https://doi.org/10.1177/10760296231165053 |
| _version_ | 1827986246986629120 |
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| author | Shuo Yang MD Tao Wang MD Yubin Long MD Junfei Guo MD Zhiyong Hou MD |
| author_facet | Shuo Yang MD Tao Wang MD Yubin Long MD Junfei Guo MD Zhiyong Hou MD |
| author_sort | Shuo Yang MD |
| collection | DOAJ |
| description | This study aimed to identify the risk factors of deep vein thrombosis (DVT) in adults with acute compartment syndrome (ACS) following lower extremity fractures. We collected data on adults with ACS following lower extremity fractures in our hospital from November 2013 to January 2021. Patients were divided into the DVT group and the non-DVT group according to whether they had DVT or not. The demographics, comorbidities, and admission laboratory examinations were computed by univariate analysis, logistic regression analysis, and receiver operating characteristic (ROC) curve analysis. In our study, the rate of DVT (26 of 110) was 23.6%. Univariate analysis showed that numerous factors were associated with the formation of DVT. Logistic regression analysis showed that patients with multiple fractures ( P = .015, OR = 5.688), patients with a history of hypertension ( P = .011, OR = 16.673), and patients with a higher BMI ( P = .008, OR = 1.950) and FDP ( P = .013, OR = 1.031) were relevant predictors of DVT. ROC curve analysis indicated 24.73 kg/m 2 and 28.33 μg/mL were the cutoff values of BMI and FDP to predict the DVT, respectively. Furthermore, the combination of BMI and FDP had the highest diagnostic accuracy. Our findings identified multiple fractures, BMI, and FDP as independent risk factors for DVT in patients with ACS following lower extremity fractures and determined the cutoff values of BMI and FDP, helping us individualize the assessment of the risk of DVT to manage early targeted interventions. |
| first_indexed | 2024-04-09T23:27:54Z |
| format | Article |
| id | doaj.art-c504e719a8184424b9a2616156067252 |
| institution | Directory Open Access Journal |
| issn | 1938-2723 |
| language | English |
| last_indexed | 2024-04-09T23:27:54Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical and Applied Thrombosis/Hemostasis |
| spelling | doaj.art-c504e719a8184424b9a26161560672522023-03-21T08:33:23ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232023-03-012910.1177/10760296231165053Risk Factors of Deep Vein Thrombosis in Adults with Acute Compartment Syndrome Following Lower Extremity FracturesShuo Yang MD0Tao Wang MD1Yubin Long MD2Junfei Guo MD3Zhiyong Hou MD4 Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, P.R. China Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, P.R. China The Third Department of Orthopedics, , Baoding, Hebei, P.R. China Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, P.R. China NHC Key Laboratory of Intelligent Orthopaedic Equipment (The Third Hospital of Hebei Medical University)This study aimed to identify the risk factors of deep vein thrombosis (DVT) in adults with acute compartment syndrome (ACS) following lower extremity fractures. We collected data on adults with ACS following lower extremity fractures in our hospital from November 2013 to January 2021. Patients were divided into the DVT group and the non-DVT group according to whether they had DVT or not. The demographics, comorbidities, and admission laboratory examinations were computed by univariate analysis, logistic regression analysis, and receiver operating characteristic (ROC) curve analysis. In our study, the rate of DVT (26 of 110) was 23.6%. Univariate analysis showed that numerous factors were associated with the formation of DVT. Logistic regression analysis showed that patients with multiple fractures ( P = .015, OR = 5.688), patients with a history of hypertension ( P = .011, OR = 16.673), and patients with a higher BMI ( P = .008, OR = 1.950) and FDP ( P = .013, OR = 1.031) were relevant predictors of DVT. ROC curve analysis indicated 24.73 kg/m 2 and 28.33 μg/mL were the cutoff values of BMI and FDP to predict the DVT, respectively. Furthermore, the combination of BMI and FDP had the highest diagnostic accuracy. Our findings identified multiple fractures, BMI, and FDP as independent risk factors for DVT in patients with ACS following lower extremity fractures and determined the cutoff values of BMI and FDP, helping us individualize the assessment of the risk of DVT to manage early targeted interventions.https://doi.org/10.1177/10760296231165053 |
| spellingShingle | Shuo Yang MD Tao Wang MD Yubin Long MD Junfei Guo MD Zhiyong Hou MD Risk Factors of Deep Vein Thrombosis in Adults with Acute Compartment Syndrome Following Lower Extremity Fractures Clinical and Applied Thrombosis/Hemostasis |
| title | Risk Factors of Deep Vein Thrombosis
in Adults with Acute Compartment
Syndrome Following Lower Extremity Fractures |
| title_full | Risk Factors of Deep Vein Thrombosis
in Adults with Acute Compartment
Syndrome Following Lower Extremity Fractures |
| title_fullStr | Risk Factors of Deep Vein Thrombosis
in Adults with Acute Compartment
Syndrome Following Lower Extremity Fractures |
| title_full_unstemmed | Risk Factors of Deep Vein Thrombosis
in Adults with Acute Compartment
Syndrome Following Lower Extremity Fractures |
| title_short | Risk Factors of Deep Vein Thrombosis
in Adults with Acute Compartment
Syndrome Following Lower Extremity Fractures |
| title_sort | risk factors of deep vein thrombosis in adults with acute compartment syndrome following lower extremity fractures |
| url | https://doi.org/10.1177/10760296231165053 |
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