Prevalence of Venous Thromboembolism after Immediate Screening in Hip Fracture Patients

Purpose: Venous thromboembolism (VTE) is a major complication for hip fracture patients, and may exist preoperatively. This study aimed to examine the prevalence of VTE after immediate screening in hip fracture patients. Materials and Methods: Hip fracture patients with an elevated level of D-dimer...

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Bibliographic Details
Published in:Hip & pelvis 2024-03, Vol.36 (1), p.47-54
Main Authors: Yoon-vin Kim, Joo-hyoun Song, Young-wook Lim, Woo-lam Jo, Seung-hun Ha, Kee-haeng Lee
Format: Article
Language:Korean
Subjects:
Anticoagulant
Fracture
Overweight
Screening
Venous thromboembolism
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Summary:Purpose: Venous thromboembolism (VTE) is a major complication for hip fracture patients, and may exist preoperatively. This study aimed to examine the prevalence of VTE after immediate screening in hip fracture patients. Materials and Methods: Hip fracture patients with an elevated level of D-dimer underwent screening for VTE using computed tomography (CT) angiography. Anticoagulation treatments were administered preoperatively to patients diagnosed with VTE, followed by administration of additional anticoagulation postoperatively. Medical records were reviewed to identify risk factors for preoperative VTE and determine the prognosis of the patients. Results: Among 524 hip fracture patients, 66 patients (12.6%) were diagnosed with VTE, including 42 patients with deep vein thrombosis (DVT), 17 patients with pulmonary thromboembolism (PTE), and 7 patients with both DVT and PTE. Of the patients with VTE, 68.2% were diagnosed within 24 hours of injury, and 33.3% of these patients had PTE. VTE patients showed a tendency toward being overweight (P
ISSN:2287-3260
2287-3279