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논문 기본 정보

자료유형
학술저널
저자정보
Kim Yoon-Vin (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea) Song Joo-Hyoun (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea) Lim Young-Wook (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea) Jo Woo-Lam (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea) Ha Seung-Hun (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea) Lee Kee-Haeng (Department of Orthopedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis Vol.36 No.1
발행연도
2024.3
수록면
47 - 54 (8page)
DOI
10.5371/hp.2024.36.1.47

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초록· 키워드

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Purpose: Venous thromboembolism (VTE) is a major complication for hip fracture patients, and may exist preoperatively. This study aimed to examine the prevalence of VTE after immediate screening in hip fracture patients. Materials and Methods: Hip fracture patients with an elevated level of D-dimer underwent screening for VTE using computed tomography (CT) angiography. Anticoagulation treatments were administered preoperatively to patients diagnosed with VTE, followed by administration of additional anticoagulation postoperatively. Medical records were reviewed to identify risk fac tors for preoperative VTE and determine the prognosis of the patients. Results: Among 524 hip fracture patients, 66 patients (12.6%) were diagnosed with VTE, including 42 patients with deep vein thrombosis (DVT), 17 patients with pulmonary thromboembolism (PTE), and 7 patients with both DVT and PTE. Of the pa tients with VTE, 68.2% were diagnosed within 24 hours of injury, and 33.3% of these patients had PTE. VTE patients showed a tendency toward being overweight (P<0.01) and not on anticoagulant medication (P=0.02) compared to patients without VTE. The risk of VTE was higher for femur shaft fractures (odds ratio [OR] 4.83, 95% confidence interval [CI] 2.18-10.69) and overweight patients (OR 2.12, 95% CI 1.17-3.85), and lower for patients who were previously on anticoagulants (OR 0.36, 95% CI 0.18-0.74). Patients with preoperatively diagnosed VTE were asymptomatic before and after surgery. Conclusion: Clinicians should be aware that VTE may be present within 24 hours of injury, and screening for VTE or prophy lactic measures should be considered for high-risk patients.

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