Incidence and preventive treatment for deep vein thrombosis with our own preventive protocol in total hip and knee arthroplasty

被引:2
|
作者
Momose, Takashige [1 ]
Nakano, Masaki [2 ]
Nakamura, Yukio [2 ]
Maeda, Takashi [1 ]
Nawata, Masashi [1 ]
机构
[1] Marunouchi Hosp, Dept Orthopaed Surg, Matsumoto, Nagano, Japan
[2] Iida Hosp, Dept Orthopaed Surg, Iida, Nagano, Japan
来源
PLOS ONE | 2024年 / 19卷 / 01期
关键词
MAJOR ORTHOPEDIC-SURGERY; VENOUS THROMBOEMBOLISM; D-DIMER; THROMBOPROPHYLAXIS; REPLACEMENT; RISK;
D O I
10.1371/journal.pone.0293821
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The aim of the present study was to investigate the perioperative and postoperative incidence of deep vein thrombosis (DVT) and validate the effectiveness of our own preventive treatment protocol for venous thromboembolism (VTE) occurrence in lower extremity arthroplasty patients. The subjects were 1,054 patients (mean age: 74.3 years) who underwent total hip arthroplasty (THA) or total knee arthroplasty (TKA) at our institutions between April 2014 and March 2017. We examined the frequencies of pre- and post-operative DVT by lower extremity Doppler images, and the incidence rate at proximal or distal regions as well as that according to preoperative DVT status were evaluated. Preoperative DVT was detected in 6.5% (69 cases) of our cohort and those were located 1.4% (15 cases) at proximal and 5.1% (54 cases) at distal regions. A significantly higher rate of postoperative DVT development was observed in preoperative DVT+ THA patients (P = 0.0075), but not in TKA patients only with a higher tendency (P = 0.56). The overall incidence of DVT up to 2 weeks after surgeries was 27.3% (288 cases); however, the rate in proximal femur regions was suppressed to 2.8% (30 cases), and there was no symptomatic pulmonary thromboembolism (PTE) case. The results demonstrated the importance of regular Doppler examination for early detection of postoperative DVT occurrence and the following immediate treatment initiation. Our own VTE preventive treatment protocol could reduce the development of proximal DVT, and the periodic monitoring as well as prompt treatment might prevent the fatal PTE. osteoarthritis (OA), rheumatoid arthritis (RA).
引用
收藏
页数:10
相关论文
共 50 条
  • [22] Diabetes Mellitus and the Incidence of Deep Vein Thrombosis after Total Knee Arthroplasty: A Retrospective Study
    Wang, Shijun
    Zhao, Yuchi
    JOURNAL OF ARTHROPLASTY, 2013, 28 (04): : 595 - 597
  • [23] Effect of tourniquet use on blood loss and incidence of deep vein thrombosis in total knee arthroplasty
    Harvey, EJ
    Leclerc, J
    Brooks, CE
    Burke, DL
    JOURNAL OF ARTHROPLASTY, 1997, 12 (03): : 291 - 296
  • [24] The influence of tourniquet use and operative time on the incidence of deep vein thrombosis in total knee arthroplasty
    Hernandez, Arnaldo Jose
    de Almeida, Adriano Marques
    Favaro, Edmar
    Sguizzato, Guilherme Turola
    CLINICS, 2012, 67 (09) : 1053 - 1057
  • [25] Thrombin antithrombin complex concentration as an early predictor of deep vein thrombosis after total hip arthroplasty and total knee arthroplasty
    Zhencan Lin
    Hao Sun
    Deng Li
    Zhiqing Cai
    Meiyi Chen
    Wenhui Zhang
    Fangzhou Liu
    Zhencheng Huang
    Yimin Wang
    Jie Xu
    Ruofan Ma
    BMC Musculoskeletal Disorders, 23
  • [26] Thrombin antithrombin complex concentration as an early predictor of deep vein thrombosis after total hip arthroplasty and total knee arthroplasty
    Lin, Zhencan
    Sun, Hao
    Li, Deng
    Cai, Zhiqing
    Chen, Meiyi
    Zhang, Wenhui
    Liu, Fangzhou
    Huang, Zhencheng
    Wang, Yimin
    Xu, Jie
    Ma, Ruofan
    BMC MUSCULOSKELETAL DISORDERS, 2022, 23 (01)
  • [27] Hip Function Was Not Associated with the Incidence of Preoperative Deep Vein Thrombosis in Patients Undergoing Primary Total Hip Arthroplasty
    Okutani, Yuki
    Fujita, Hiroshi
    Harada, Hideto
    Kataoka, Masanao
    Murotani, Yoshiki
    Shimizu, Yu
    ACTA MEDICA OKAYAMA, 2022, 76 (05) : 577 - 584
  • [28] Safety and preventive effects of rivaroxaban and low-molecular-weight heparin on deep vein thrombosis of lower extremity after total hip arthroplasty
    Ye, Youchen
    Zhao, Zhifang
    INDIAN JOURNAL OF EXPERIMENTAL BIOLOGY, 2022, 60 (09) : 734 - 737
  • [29] National Incidence and Ten Year Trends in Deep Vein Thrombosis Following Total Knee and Total Hip Replacement
    Dua, Anahita
    Desai, Sapan S.
    Heller, Jennifer A.
    VASCULAR MEDICINE, 2015, 20 (03) : 300 - 300
  • [30] Trends in Deep Vein Thrombosis Prophylaxis and Deep Vein Thrombosis Rates After Total Hip and Knee Arthroplasty (vol 26, pg 698, 2018)
    Bawa, H.
    Weick, J. W.
    Dirschl, D. R.
    Luu, H. H.
    JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2018, 26 (23) : 852 - 852