An analysis of the prevalence and risk factors of deep vein thrombosis in non-fracture patients awaiting total hip arthroplasty: a retrospective study of 1244 cases

• Published in: Journal of orthopaedic surgery and research 2024-01, Vol.19 (1), p.84-8, Article 84
• Main Authors: Yao, Yao, Chai, Senlin, Qiao, Liang, Jiang, Qing, Xu, Rong
• Format: Article
• Language: English
• Subjects: Age; Aged; Anticoagulants; Apolipoproteins; Arthritis; Arthroplasty; Arthroplasty, Replacement, Hip - adverse effects; Bone surgery; Cholesterol; D-dimer; Deep vein thrombosis; Diabetes; Female; Fractures; Hip; Humans; Hypertension; Joint replacement surgery; Patients; Prevalence; Prevention; Regression analysis; Retrospective Studies; Risk Factors; Rivaroxaban; Surgery; Thromboembolism; Thrombosis; Total hip arthroplasty; Ultrasonic imaging; Ultrasound; Veins & arteries; Venous Thrombosis - diagnostic imaging; Venous Thrombosis - epidemiology; Venous Thrombosis - etiology
• ISSN: 1749-799X; 1749-799X
• DOI: 10.1186/s13018-023-04488-9

Deep vein thrombosis (DVT) has been one of the most dangerous complications in total hip arthroplasty (THA). If a patient's pre-surgical DVT is overlooked, it can easily be mistaken for a post-operative thrombus and lead to an increased risk of DVT during and after surgery. This retrospective study was to explore the incidence and associated risk factors of deep vein thrombosis (DVT) in non-fracture patients before total hip arthroplasty (THA). From September 2015 to September 2020, 1242 patients admitted for THA were enrolled with 1120 patients (90.2%) for primary THA and 122 patients (9.8%) for revision THA. An experienced sonographer performed a bedside ultrasound to detect DVT in bilateral lower limbs preoperatively. Univariate and logistic regression analysis was performed to identify the independent risk factors. 38 patients (3.1%) were detected with preoperative DVT. Univariate analysis showed that age (P