January 17, 2012JAMA313 citations

Symptomatic In-Hospital Deep Vein Thrombosis and Pulmonary Embolism Following Hip and Knee Arthroplasty Among Patients Receiving Recommended Prophylaxis

JJJean‐Marie JanuelÉcole des Hautes Études en Santé Publique GCGuanmin ChenCleveland State University CRChristiane RuffieuxUniversity of Calgary

Structured PICO

Population

Patients undergoing total primary knee arthroplasty (TPKA) or total primary hip arthroplasty (TPHA)

Intervention

Current recommended VTE prophylaxis

Outcome

Symptomatic in-hospital deep vein thrombosis and pulmonary embolism (symptomatic VTE) prior to hospital dischargehard clinical

Despite recommended prophylaxis, symptomatic VTE occurs in approximately 1% of knee and 0.5% of hip arthroplasty patients before hospital discharge.

Abstract

Using current VTE prophylaxis, approximately 1 in 100 patients undergoing TPKA and approximately 1 in 200 patients undergoing TPHA develops symptomatic VTE prior to hospital discharge.

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