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Venous Thromboembolism in Korean Patients Undergoing Major Orthopedic Surgery: A Prospective Observational Study using Computed Tomographic (CT) Pulmonary Angiography and Indirect CT Venography
Journal of Korean Medical Science ; : 28-34, 2010.
Article Dans Anglais | WPRIM | ID: wpr-224999
ABSTRACT
In patients undergoing major orthopedic surgery, data of deep venous thrombosis (DVT) and pulmonary embolism (PE) are lacking as studied by computed tomographic (CT) pulmonary angiography and indirect CT venography (CTPA-CTV). A prospective observational study was performed for 363 Korean patients undergoing major orthopedic surgery to determine the incidence of venous thromboembolism (VTE), especially proximal DVT and PE. The incidence of VTE was 16.3% (n=59). Of them, 8 patients (2.2%) were symptomatic. The rate of VTE was the highest in patients who underwent total knee replacement (40.4%), followed by hip fracture surgery (16.4%), and total hip replacement (8.7%; P or =65 yr were significant risk factors for proximal DVT or PE in patients undergoing major orthopedic surgery (odds ratio [OR], 2.4; 95% confidence interval [CI], 1.1-5.1; P=0.025; and OR, 2.1; 95% CI, 1.0-4.4; P=0.046, respectively). Taken together, the overall incidence of PE was 6.6% and rate of symptomatic PE rate was 1.1%. Knee joint replacement and age > or =65 yr were significant risk factors for proximal DVT or PE.
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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Artère pulmonaire / Embolie pulmonaire / Phlébographie / Tomodensitométrie / Odds ratio / Études prospectives / Facteurs de risque / Procédures orthopédiques / Arthroplastie prothétique de genou / Thrombose veineuse Type d'étude: Etude d'étiologie / Étude observationnelle / Facteurs de risque Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of Korean Medical Science Année: 2010 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Artère pulmonaire / Embolie pulmonaire / Phlébographie / Tomodensitométrie / Odds ratio / Études prospectives / Facteurs de risque / Procédures orthopédiques / Arthroplastie prothétique de genou / Thrombose veineuse Type d'étude: Etude d'étiologie / Étude observationnelle / Facteurs de risque Limites du sujet: Adulte très âgé / Femelle / Humains / Mâle Pays comme sujet: Asie langue: Anglais Texte intégral: Journal of Korean Medical Science Année: 2010 Type: Article