| Deep Venous Thrombosis and Pulmonary Embolism are Uncommon in East Asian Patients after Total Hip Arthroplasty. | |
| | |
MedLine Citation:
|
PMID: 21748508 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: In Western countries, deep vein thrombosis (DVT) and pulmonary embolism (PE), are relatively common after THA and many surgeons recommend routine pharmacologic thromboprophylaxis. There is some suggestion in the literature that the incidences of DVT and PE may be lower in East Asian patients. Therefore, it would be important to establish the incidences in a large number of East Asian patients who did not receive pharmacologic thromboprophylaxis. PURPOSE: We therefore determined the incidence of DVT and PE and evaluated the associated risk factors in a series of East Asian patients who underwent primary THA without pharmacologic prophylaxis. METHODS: We retrospectively evaluated all 861 patients who underwent 992 elective primary THAs from May 2003 to December 2009. We identified patients with symptomatic DVT, symptomatic PE, and fatal PE. For potential risk factors we considered age, gender, body mass index (BMI), administration of aspirin, type of anesthesia, operation time, approach, simultaneous bilateral THAs, and duration of immobilization between symptomatic and asymptomatic patients. RESULTS: We identified eight patients with symptomatic DVT, one of whom also had a symptomatic PE; there were no cases of fatal PE. The incidences of fatal PE, symptomatic PE, and symptomatic DVT were 0 %, 0.1 %, and 0.8 %, respectively. Longer duration of immobilization predicted symptomatic DVT or PE. CONCLUSIONS: East Asian patients have a low incidence of symptomatic DVT and PE and virtually no fatal PEs after primary THA. The incidences and risk factors should be taken into consideration when deciding whether to prophylactically treat these patients with pharmacologic agents. LEVEL OF EVIDENCE: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence. |
| | |
Authors:
|
Bun Jung Kang; Young-Kyun Lee; Hee Joong Kim; Yong-Chan Ha; Kyung-Hoi Koo |
Related Documents
:
|
8164218 - Plasma levels after oral methotrexate in children with juvenile rheumatoid arthritis. 3418648 - Anterior atlantoaxial subluxation in patients with spondyloarthropathies: association w... 3521858 - Controlled clinical trial of imidazole.2-hydroxybenzoate (itf 182) versus sulindac in p... 2647538 - Premature ovarian failure. i: the association with autoimmunity. 18719918 - Hyperhomocysteinemia in ankylosing spondylitis: prevalence and association with clinica... 1721218 - The role of catheter ablation techniques in the treatment of classic (type 1) atrial fl... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-7-12 |
Journal Detail:
|
Title: Clinical orthopaedics and related research Volume: - ISSN: 1528-1132 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-7-12 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Orthopaedic Surgery, SM Christianity Hospital, Gyeongbuk, South Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Vital Capacity Versus Maximal Inspiratory Pressure in Patients with Guillain-Barré Syndrome and Mya...
Next Document: Radiographic risk factors for labral lesions in femoroacetabular impingement.