| Incidence of pulmonary embolism following surgical treatment of metatarsal fractures. | |
| | |
MedLine Citation:
|
PMID: 20663426 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The purpose of this study was to identify the rates of readmission to the hospital for pulmonary embolism following open reduction and internal fixation of metatarsal fractures using observational, population-based data from all inpatient admissions in California over an 11-year period. MATERIALS AND METHODS: We identified patients undergoing open reduction and internal fixation of a metatarsal fracture in the years 1995 to 2005 as inpatients using California's discharge database. The outcomes analyzed included readmission within 90 days of surgery for pulmonary embolism. Logistic regression models were used to estimate the impact of patient factors such as age, race/ethnicity and gender in predicting the rates of thromboembolic disease. RESULTS: A total of 1,477 metatarsal ORIF procedures were performed as inpatients during the study period. We identified four patients (0.27%) readmitted with pulmonary embolism within 90 days of their initial ORIF procedure. There were three (0.20%) cases of mortality, none of which occurred in the four patients readmitted with pulmonary embolism. Given the low incidence, we did not identify age, gender, or race/ethnicity as statistically significant predictors of a higher risk of thromboembolic disease. CONCLUSION: The rate of readmission for pulmonary embolism was low. This suggests that the routine use of thromboprophylaxis may not be necessary for isolated metatarsal fractures to prevent pulmonary embolism. |
| | |
Authors:
|
Nelson F Soohoo; Eugene Farng; David S Zingmond |
Related Documents
:
|
9017016 - Improved noninvasive diagnosis of acute pulmonary embolism with optimally selected clin... 19933956 - The prevalence of clinically relevant incidental findings on chest computed tomographic... 15823716 - The influence of weather and environment on pulmonary embolism: pollutants and fossil f... 15615986 - Incidental detection of pulmonary emboli on routine mdct of the chest. 12439016 - Internal jugular vein occlusion in head and neck microsurgical reconstruction. 6187706 - Vascular casts of experimental subretinal neovascularization in monkeys. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 31 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-07-28 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
|
Languages: eng Pagination: 600-3 Citation Subset: IM |
Affiliation:
|
University of California, Los Angeles, Orthopaedic Surgery, Los Angeles, CA 90095, USA. nsoohoo@mednet.ucla.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult California / epidemiology Female Fracture Fixation, Internal / adverse effects* Fractures, Bone / complications, epidemiology, surgery* Humans Incidence Male Metatarsal Bones / injuries* Middle Aged Patient Readmission / statistics & numerical data Pulmonary Embolism / epidemiology* Risk Factors Tarsal Bones / injuries* Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Mid-term Results of the MOJE Hallux MP Joint Replacement.
Next Document: Open versus closed treatment of the fibula in maissoneuve injuries.