Usefulness of clinical predictors for preoperative screening of deep vein thrombosis in hip fractures

BMC Musculoskeletal Disorders
Kitchai LuksameearunothaiChanyut Suphachatwong

Abstract

Recent studies showed that preoperative deep vein thrombosis (DVT) was common after hip fracture (HF), and preoperative DVT screening has been recommended for preventing the fatal DVT-related complications, especially in elderly HF patients with high surgical risk. However, to our knowledge, no previous studies have demonstrated the correlation between the clinical risk predictors and preoperative DVT. Therefore, this study aimed to correlate those clinical predictors related to DVT risk assessment with the incidence of preoperative DVT. A prospective study was conducted, between July 2015 and June 2016, in 92 HF patients. All patients were evaluated for the DVT-related risk, as patients' characteristics, clinical signs, D-dimer, DVT risk assessment score (Wells score and Caprini score), and then underwent doppler ultrasonography preoperatively. The incidence of preoperative DVT was correlated with each clinical risk predictor, and then significant factors were calculated for diagnostic accuracy. The average patients' age was 78 ± 10 years. Sixty-eight patients (74%) were female. The incidence of preoperative DVT was 16.3% (n = 15). The median time from injury to doppler ultrasonography was 2 days (range 0-150 days). DVT group ...Continue Reading

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Citations

Apr 4, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·MaryAnne CroninJoseph A Caprini
Apr 4, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Eugene S KraussJoseph A Caprini
Apr 12, 2019·Journal of Orthopaedic Trauma·J A Caprini
Nov 22, 2018·Journal of Orthopaedic Surgery and Research·Ze-Nan XiaXi-Sheng Weng
May 28, 2019·Journal of Orthopaedic Trauma·Joseph A Caprini
May 28, 2019·Journal of Orthopaedic Trauma·Jesse DashePaul Tornetta
Sep 22, 2020·Indian Journal of Orthopaedics·Chen FeiKun Zhang
Dec 12, 2020·Journal of Orthopaedic Surgery and Research·Linqin Wu, Bo Cheng

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Software Mentioned

Statistical Package of Social Sciences ( SPSS )

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