Frequency and Risk Factor of Lower-limb Deep Vein Thrombosis after Major Orthopedic Surgery in Vietnamese Patients
My Hanh Bui 1, Duong Duc Hung 2, Pham Quang Vinh 3, Nguyen Hoang Hiep 4, Le Lan Anh 3, Toi Chu Dinh 3
PMID: 32215072. PMCID: PMC7084020. DOI: 10.3889/oamjms.2019.369
Abstract
Background: Deep venous thrombosis (DVT) is a prevalent complication of orthopedic surgery. According in many studies. The incidence of DVT may be up to 50% if thromboprophylaxis is not available.
Aim: The objective of this study was to check the degree of disease, clinical characteristics and analyzed factors in vulnerabilities with lower-limp DVT after orthopedic surgery in a Vietnam teaching hospital.
Methods: Orthopedic patients who met criteria were recruited at our hospital between August 2017 and June 2018. Ultrasound was used to discovering lower-limp DVT in pre-surgery and 7 days after surgery in all patients.
Results: The incidence of DVT after orthopedic surgery was 7.2%. Patients with older age (> 60) have a risk of 2 times higher of DVT after surgery than normal people (p < 0.05). The incidence of postoperative DVT was higher in immobile individuals > 72 hours (p < 0.05). Patients with prolonged surgical time (>120 minutes) had a higher risk of postoperative DVT than non-surgical patients’ surgery (p < 0.05).
Conclusions: DVT remains a common complication following orthopedic surgery. Older age, immobility status, and surgical time have been found to be risky factors for the development of postoperative lower-limp DVT in orthopedic patients.
Reference:
Maced J Med Sci. 2019 Dec 20;7(24):4250-4254. doi: 10.3889/oamjms.2019.369.eCollection 2019 Dec 30.