Venous thromboembolism after hospital discharge in pelvic and acetabular fracture patients treated operatively

Purpose: The purposes of this study were to determine the rate of venous thromboembolism (VTE) after discharge from the hospital in patients treated operatively with a pelvic ring or acetabular fracture and to define the main time frame in which VTE occurs within the 90-day period after hospital dis...

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Bibliographic Details
Published in:Journal of orthopaedic surgery (Hong Kong) 2019-01, Vol.27 (1), p.2309499019832815-2309499019832815
Main Authors: Dwyer, Emma P, Moed, Berton R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Female
Fractures
Fractures, Bone - surgery
Health risk assessment
Hip joint
Humans
Male
Middle Aged
Patient Discharge
Pelvic Bones - injuries
Postoperative Complications - epidemiology
Pulmonary Embolism - epidemiology
Risk Factors
Thromboembolism
Time Factors
Venous Thromboembolism - epidemiology
Venous Thrombosis - epidemiology
Young Adult
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Summary:Purpose: The purposes of this study were to determine the rate of venous thromboembolism (VTE) after discharge from the hospital in patients treated operatively with a pelvic ring or acetabular fracture and to define the main time frame in which VTE occurs within the 90-day period after hospital discharge. Methods: California and Florida State Inpatient Databases from 2005 to 2009 were used to identify patients with clinically significant VTEs within 90 days of hospital discharge. ICD-9 diagnosis codes identified patients with a pelvic ring or acetabular fracture and a VTE. Procedure codes distinguished patients having surgical fracture treatment. Deep vein thrombosis (DVT) and pulmonary embolus (PE) were included. Results: Overall, 13,589 patients had a pelvic ring or acetabular fracture and operative treatment. One hundred thirteen patients (0.83%) had a VTE within 90 days after hospital discharge: 0.51% had a DVT, 0.21% had a PE, and 0.12% had both. Twenty eight percent of DVTs and 23% of PEs occurred >35 days after discharge, being evenly distributed out to 90 days. Therefore, overall,
ISSN:2309-4990
1022-5536
2309-4990
DOI:10.1177/2309499019832815