scholarly journals Incidence of deep vein thrombosis following hip fracture survery at Tribhuvan University Teaching Hospital

2018 ◽  
Vol 8 (2) ◽  
pp. 10-15
Author(s):  
Bishnu Pokharel ◽  
Sharma Poudel ◽  
Lakhan Lal Shah
Keyword(s):  
Deep Vein Thrombosis ◽  
Hip Fracture ◽  
Trauma Surgery ◽  
Asian Population ◽  
Lower Limbs ◽  
University Teaching ◽  
Hip Fracture Surgery ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Fracture Surgery

Introduction: The incidence of venous thromboembolism (VTE) in Western population undergoing major orthopaedic surgery without any thromboprophylaxis has been reported to range from 32% to 88%. Recent studies done in Asian population however show variable results ranging from 5% to 50%. No study has yet been done to determine incidence of deep vein thrombosis (DV T) in Nepalese population. The objective of our study was to determine the incidence of DV T following hip fracture surgery. Methods: This was a prospective descriptive study of 66 patients of 40 years and above who had undergone hip fracture surgery admitted under the Department of Orthopaedics and Trauma Surgery, TUTH, Kathmandu, Nepal. Following hip fracture surgery, screening for the evidence of DV T was done on 5th postoperative day with Doppler ultrasonography of bilateral lower limbs. Results: The incidence of deep vein thrombosis in our study was 8% (5 of 66 patients) in the fractured limb. Three of them were distal DV T and 2 were proximal. None of the patients developed DV T in the unaffected limb. Conclusion: The incidence of deep vein thrombosis following hip fracture surgery is less in Nepalese patients. Thrombo-prophylaxis can thus be individualized according to other risk factors rather than use routinely in patients with hip fracture.

Early development of deep-vein thrombosis following hip fracture surgery: the role of venous wall thickening detected by B-mode ultrasonography

1998 ◽  
Vol 3 (4) ◽  
pp. 269-274 ◽  
Author(s):  
Jean-Luc Cracowski ◽  
Jean-Luc Bosson ◽  
Fatsah Baloul ◽  
Cyrille Moirant ◽  
Mark Hunt ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Hip Fracture ◽  
Early Development ◽  
Wall Thickening ◽  
Hip Fracture Surgery ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Fracture Surgery ◽  
Venous Wall

Deep vein thrombosis following hip fracture surgery

Trauma ◽  
2010 ◽  
Vol 12 (4) ◽  
pp. 203-210
Author(s):  
GS Matharu ◽  
KM Porter
Keyword(s):  
Deep Vein Thrombosis ◽  
Hip Fracture ◽  
Hip Fracture Surgery ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Fracture Surgery

scholarly journals Prevention and Treatment of Deep Vein Thrombosis of the Lower Limbs in Patients with Complications after Orthopedic Trauma Surgery

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Ruiyao Wang ◽  
Huimin Xiong ◽  
Pengjun Qin
Keyword(s):  
Deep Vein Thrombosis ◽  
Treatment Efficacy ◽  
Trauma Surgery ◽  
Lower Limbs ◽  
Control Group ◽  
Orthopedic Trauma ◽  
Vein Thrombosis ◽  
Orthopedic Trauma Surgery ◽  
Deep Vein ◽  
Experimental Group

Objective: To explore and analyze on how to prevent and treat deep vein thrombosis of the lower limbs in patients with complications after orthopedic trauma surgery. Methods: The research patients were selected from the cases of surgical treatment of orthopedic trauma in the hospital during the past two years, and a total of 58 patients were selected. The patients were randomly divided into two groups, with 29 patients in the control group treated with conventional clinical methods; and the other 29 patients were assigned to the experimental group, where targeted preventive and therapeutic measures were administered. During the research, the number of complications of postoperative deep vein thrombosis of the lower limbs and the corresponding treatment efficacy were compared between the two groups of patients. Results: According to the results of clinical experiments, the probability of patients in the experimental group suffering from deep vein thrombosis of the lower limbs after surgery was significantly lower than that of the control group (P<0.05); in addition, when complications of deep venous thrombosis of the lower limbs occurred, the treatment efficacy of the patients in the experimental group was 96.55%, and the treatment efficacy of the patients in the control group was 82.76%. There was a significant difference between the two groups (P<0.05). Conclusion: Through clinical experiments to study and analyze the prevention and treatment measures of deep vein thrombosis in patients with complications after orthopedic trauma surgery, this research proves that active and comprehensive preventive and treatment measures can effectively reduce the number of complications and improve surgery treatment efficacy.

D-Dimer Test and Diagnosis of Deep Vein Thrombosis: A Comparative Study of 7 Assays

1996 ◽  
Vol 76 (04) ◽  
pp. 518-522 ◽  
Author(s):  
A Elias ◽  
I Aptel ◽  
B Huc ◽  
J J Chale ◽  
F Nguyen ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Negative Predictive Value ◽  
Predictive Value ◽  
Latex Agglutination ◽  
Lower Limbs ◽  
First Episode ◽  
Lower Sensitivity ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
D Dimer

SummaryThe current D-Dimer ELISA methods provide high sensitivity and negative predictive value for the diagnosis of deep vein thrombosis but these methods are not suitable for emergency or for individual determination. We have evaluated the performance of 3 newly available fast D-Dimer assays (Vidas D-Di, BioMerieux; Instant IA D-Di, Stago; Nycocard D-Dimer, Nycomed) in comparison with 3 classic ELISA methods (Stago, Organon, Behring) and a Latex agglutination technique (Stago). One-hundred-and-seventy-one patients suspected of presenting a first episode of deep vein thrombosis were investigated. A deep vein thrombosis was detected in 75 patients (43.8%) by ultrasonic duplex scanning of the lower limbs; in 11 of them the thrombi were distal and very limited in size (<2 cm). We compared the performance of the tests by calculating their sensitivity, specificity, positive and negative predictive value for different cut-off levels and by calculating the area under ROC curves. The concordance of the different methods was evaluated by calculating the kappa coefficient. The performances of the 3 classic ELISA and of the Vidas D-Di were comparable and kappa coefficients indicated a good concordance between the results provided by these assays. Their sensitivity slightly declined for detection of the very small thrombi. Instant IA D-Di had a non-significantly lower sensitivity and negative predictive value than the 4 previous assays; however its performance was excellent for out-patients. As expected, the Latex assay had too low a sensitivity and negative predictive value to be recommended. In our hands, Nycocard D-Dimer also exhibited low sensitivity and negative predictive value, which were significantly improved when the plasma samples were tested by the manufacturer. Thus significant progress has been made, allowing clinical studies to be planned to compare the safety and cost-effectiveness of D-Dimer strategy to those of the conventional methods for the diagnosis of venous thrombosis.

Diagnosis of Deep Vein Thrombosis by Combination of Doppler Ultrasound Flow Examination and Strain Gauge Plethysmography

1982 ◽  
Vol 47 (02) ◽  
pp. 141-144 ◽  
Author(s):  
H Bounameaux ◽  
B Krähenbühl ◽  
S Vukanovic
Keyword(s):  
Deep Vein Thrombosis ◽  
Negative Predictive Value ◽  
Doppler Ultrasound ◽  
Strain Gauge ◽  
Predictive Value ◽  
Lower Limbs ◽  
Vein Thrombosis ◽  
Non Invasive ◽  
Strain Gauge Plethysmography ◽  
Deep Vein

SummaryDoppler ultrasound flow examination, strain gauge plethysmography and contrast venography were performed in 160 lower limbs of 80 in-patients. Deep vein thrombosis (DVT) was suspected in 87 limbs. Using measurement of venous stop-flow pressure, the Doppler method had an overall sensitivity of 83%. By combined use of Doppler and Plethysmography, sensitivity was increased to 96%. Specificity was 62% and 51%, respectively. With a positive and a negative predictive value of 80% and 73%, respectively, the combination of both non-invasive methods cannot reliably replace venography in the diagnosis of DTV, although all (40/40) thromboses proximal to or involving the popliteal segment were detected by either Doppler and Plethysmography or both.After exclusion of 14 patients (18%) suffering from conditions known to alter the results of these non-invasive methods, the positive predictive value of abnormal findings in both Doppler and Plethysmography was increased to 94% for suspected limbs, whilst negative predictive value of both negative Doppler and Plethysmography was 90%, allowing the avoidance of venography in these patients.

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