What question did this study set out to answer?

To evaluate the incidence of postoperative thromboembolic complications in patients undergoing elective hip arthroplasty under general versus regional anesthesia combined with graded compression stockings.

October 1, 1989Clinical Orthopaedics and Related Research

Prevention of Thromboembolism Following Elective Hip Surgery

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Why the study?

Does regional anesthesia reduce postoperative deep-venous thrombosis in patients scheduled for elective hip arthroplasty compared to general anesthesia?

Population

98 patients scheduled for elective hip arthroplasty receiving graded compression stockings as the only…

Comparison

Regional anesthesia vs General anesthesia

Design

Cohort

Follow-up

postoperative

Authors

PWPer Wille-JørgensenHvidovre Hospital SCS. Winter ChristensenUniversity of Copenhagen ABA Bjerg-NielsenGlostrup Hospital

Discussion

Member takes

Implication

Regional anesthesia was associated with fewer DVTs after hip arthroplasty; hypothesis-generating and requires randomized confirmation before practice change.

Key Points

To evaluate the incidence of postoperative thromboembolic complications in patients undergoing elective hip arthroplasty under general versus regional anesthesia combined with graded compression stockings.
Evaluated 98 patients undergoing elective hip arthroplasty managed with graded compression stockings and either general (N=65) or regional (N=33) anesthesia.
Screened for deep-venous thrombosis using 99mTc-plasmin scintimetry with phlebography confirmation, and diagnosed pulmonary embolism using pulmonary ventilation and perfusion scintigraphy.
Deep-venous thrombosis developed in 20 of 65 patients (31%) receiving general anesthesia compared to 3 of 33 patients (9%) receiving regional anesthesia, reflecting a statistically significant reduction.
Pulmonary embolism occurred in 6 patients in the general anesthesia group compared to 1 patient in the regional anesthesia group.

Structured PICO

Does regional anesthesia reduce postoperative deep-venous thrombosis in patients scheduled for elective hip arthroplasty compared to general anesthesia?

Population

98 patients scheduled for elective hip arthroplasty receiving graded compression stockings as the only thromboprophylactic treatment

Intervention

Regional anesthesia

Comparator

General anesthesia

Outcome

Postoperative deep-venous thrombosis (screened with 99mTc-plasmin scintimetry, established by phlebography)hard clinical

Regional anesthesia, compared to general anesthesia, significantly reduces the incidence of postoperative deep-venous thrombosis in patients undergoing elective hip arthroplasty.

Cite This Study

Wille-Jørgensen et al. (1989) studied this question.

synapsesocial.com/papers/6a827d2fca5f0d7ba374ba0b https://doi.org/10.1097/00003086-198910000-00026

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Implication

Regional anesthesia was associated with fewer DVTs after hip arthroplasty; hypothesis-generating and requires randomized confirmation before practice change.

Prevention of Thromboembolism Following Elective Hip Surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Prevention of Thromboembolism Following Elective Hip Surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Also Consider