Key result
In patients with lower extremity fractures, the incidence of deep vein thrombosis in the uninjured limb was 9.63% preoperatively and increased to 20.29% postoperatively.
Why the study?
The study was conducted to investigate the incidence of deep venous thrombosis in the uninjured limb, both preoperatively and postoperatively, in patients with lower extremity fractures.
Observational (n=1,454)
No
The incidence of DVT in the uninjured lower extremity after fracture is substantial (9.63% preoperatively and 20.29% postoperatively), highlighting the need for increased clinical attention to the uninjured limb.
Answers are grounded in this paper and cite their sources.
May support contralateral DVT vigilance in lower extremity fractures; leaves open optimal screening and prophylaxis strategies.
Objective: The purpose of this study was to investigate the incidence of deep venous thrombosis (DVT) in the uninjured limb, before and after operation, in patients with lower extremity fractures.Methods: We collected the clinical data of patients with lower extremities fractures who presented at Xi’an Honghui Hospital between 1 July, 2015 and 31 October, 2017. Doppler ultrasonography was used to diagnose the DVT. Patients were examined pre- and postoperatively. The patients were then divided into a thrombosis group and a no thrombosis group according to the preoperative and postoperative ultrasonography results. The thrombosis group was defined as patients admitted to our hospital with DVT in the uninjured limb and the no thrombosis group was defined as patients without DVT in the uninjured limb. Results: This study enrolled 1454 patients who met the inclusion criteria. The incidence of preoperative DVT in the uninjured limb was 9.63% whereas the postoperative incidence was 20.29%. Age (OR=0.965, 95 CI%: 0.954 - 0.977; P≤0.001) and gender (OR=0.667, 95% CI: 0.451-0.986, P=0.042) were independent risk factors for preoperative DVT in the uninjured limb. Blood loss (OR=0.997, 95 CI%: 0.995-1.000; P=0.020), D-dimer levels at admission (OR=0.941, 95 CI%: 0.887-0.999; P=0.045), and postoperative day 5 D-dimer levels (OR=0.889, 95 CI%: 0.819-0.965; P=0.005), were independent risk factors for postoperative DVT in the uninjured limb.Conclusion: In conclusion, the actual incidence of DVT in the uninjured lower extremity after fracture may currently be underestimated and should be pay more attention.
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Qu et al. (2020) conducted an observational in Lower extremity fractures (n=1,454). Lower extremity fracture and surgical treatment vs. Preoperative baseline was evaluated on Incidence of deep venous thrombosis (DVT) in the uninjured limb. In patients with lower extremity fractures, the incidence of deep vein thrombosis in the uninjured limb was 9.63% preoperatively and increased to 20.29% postoperatively.
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