Study of a preoperative deep venous thrombosis predictor score for patients with fresh lower extremity fractures / 中华外科杂志
Chinese Journal of Surgery
;
(12): 101-105, 2015.
Artigo
em Chinês
| WPRIM
| ID: wpr-336648
ABSTRACT
<p><b>OBJECTIVE</b>To establish a preoperative deep venous thrombosis predictor score for patients with fresh lower extremity fractures by statistical analysis.</p><p><b>METHODS</b>From January 2011 to December 2012, 1 705 patients with fresh lower extremity fractures were admitted to department of orthopaedic trauma, Beijing Jishuitan Hospital. They were randomly divided into two groups, the group 1 (n = 879) was used to screen risk factors and derived a predictive models based on logistic regression, the group 2 (n = 826) validated the models.</p><p><b>RESULTS</b>Among the patients, there were 1 106 male and 599 female patients, with an average age of (50 ± 18) years.Variables related to preoperative deep venous thrombosis were age, length of time before surgery, cause of injury, low/high-energy injury, location of injury, history of cardiovascular and cerebrovascular diseases, and D-Dimer. The scores based on OR were age ≤ 35 years 1 point, > 35- < 65 years 4 points, ≥ 65 years 6 points; length of time before surgery, < 8 days1 point, ≥ 8 days2 points;low-energy injury1 point, high energy injury3 points;location of injury, foot and ankle1 point, calf3 points, around the knee 5 points, femoral diaphysis and proximal femur7 points, pelvis and acetabulum4 points, ≥ 2 sites6 point;history of cardiovascular and cerebrovascular diseases, yes2 points, no1 point. D-Dimer < 600 µg/L1 point, ≥ 600 µg/L3 points. Area under receiver operating characteristic curve was 0.79, critical point 15.5 points, sensitivity was 77.00%, specificity was 68.17%.</p><p><b>CONCLUSION</b>The score can predict the preoperative deep venous thrombosis for patients with fresh lower extremity fractures, but limited.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Produtos de Degradação da Fibrina e do Fibrinogênio
/
Modelos Logísticos
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Fatores de Risco
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Curva ROC
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Sensibilidade e Especificidade
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Trombose Venosa
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Extremidade Inferior
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Fraturas Ósseas
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Perna (Membro)
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Traumatismos da Perna
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo prognóstico
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2015
Tipo de documento:
Artigo
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