Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
February 1, 2005The Medical Journal of Australia

The prevalence of venous thromboembolism after hip and knee replacement surgery

View Full Paper
Ask AI
Bookmark
Share

Why the study?

What is the prevalence of venous thromboembolism after lower-limb joint replacement in patients receiving physical and chemical prophylaxis?

Population

5,999 patients who had total hip replacement, total knee replacement, or bilateral TKR at a single private…

Design

Cohort

Follow-up

in-hospital (before discharge)

Authors

RORichard F O'ReillyMater Misericordiae HospitalIBIan A BurgessMater Health ServicesBZB. ZicatConcord Repatriation General Hospital

Discussion

Loading...

Member takes

Overview

High DVT rates after joint replacement despite prophylaxis warrant caution; leaves open optimal regimens for RCTs.

Structured PICO

What is the prevalence of venous thromboembolism after lower-limb joint replacement in patients receiving physical and chemical prophylaxis?

P
Population
5,999 patients who had total hip replacement (THR), total knee replacement (TKR), or bilateral TKR at a single private hospital between April 1995 and December 2001
I
Intervention
Physical prophylaxis (graduated compression elastic stockings or intermittent pneumatic compression, or both) and chemical prophylaxis (anticoagulant) against VTE
O
Outcome
Prevalence of deep-vein thrombosis (DVT) and symptomatic pulmonary embolism (PE) before dischargehard clinical

Despite short-term chemical and physical thromboprophylaxis, the prevalence of DVT after lower-limb joint replacement remains high, although fatal in-hospital PE is rare.

Cite This Study

O'Reilly et al. (2005) studied this question.

synapsesocial.com/papers/6a769c8e137c7dcc81bd4ac4https://doi.org/10.5694/j.1326-5377.2005.tb06643.x
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Death and thromboembolic disease after total hip replacement. A series of 1162 cases with no routine chemical prophylaxis1995 · 230 citations
  2. 2A Randomized Controlled Trial of a Low-Molecular-Weight Heparin (Enoxaparin) to Prevent Deep-Vein Thrombosis in Patients Undergoing Elective Hip Surgery1986 · 523 citations
  3. 3Accuracy of Ultrasound for the Diagnosis of Deep Venous Thrombosis in Asymptomatic Patients after Orthopedic Surgery1995 · 329 citations
  4. 4The Incidence of Symptomatic Venous Thromboembolism During and After Prophylaxis With Enoxaparin<subtitle>A Multi-institutional Cohort Study of Patients Who Underwent Hip or Knee Arthroplasty</subtitle>1998 · 181 citations
  5. 5Prevention of deep-vein thrombosis and pulmonary embolism after total hip replacement. Comparison of low-molecular-weight heparin and unfractionated heparin.1991 · 181 citations