Clinical analysis of preoperative risk factors for the incidence of deep venous thromboembolism in patients undergoing posterior lumbar interbody fusion

Wei, Jingchao; Li, Wenyi; Pei, Yueying; Shen, Yong; Li, Jia

doi:10.1186/s13018-016-0403-0

Cited by 25 publications

(27 citation statements)

References 20 publications

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“…A higher DVT development frequency among hypertensive patients (41.7%) was observed by other research ( 16 ). On the other hand, the findings of the current study were higher than the results reported by ( 17 ) who found that DVT frequency among the participating hypertensive patients was only 9.1% and ( 18 ) who reported that 9.3% of hypertensive patients developed DVT. According to the results of the present study, no significant association was observed between old age and gender and the development of DVT among the studied patients.…”

Section: Discussioncontrasting

confidence: 98%

“…These findings are in line with what was reported by ( 16 , 18 , 23 , 24 ) where these comorbidities had no significant effect on DVT development in the studied population. Furthermore, another study conducted by ( 17 , 26 ) found that diabetes and ischemic heart diseases were not significantly associated with the occurrence of DVT. On the other hand, ( 27 ) viewed a significant association between heart diseases and myocardial infarction and the risk of venous thromboembolism and ( 26 ) clarified a significant association between cancer and DVT.…”

Section: Discussionmentioning

confidence: 92%

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Deep Venous Thrombosis among hypertensive patients in King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia

et al. 2017

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BackgroundDeep venous thrombosis (DVT) is a frequent cardiovascular disorder. It is among the main causes of morbidity and mortality among hospitalized patients and, at the same time, can be easily avoided. Studies clarified that there are a variety of factors which can be significantly associated with the development of DVT in hospitalized patients.Objectiveto identify frequency and factors associated with occurrence of DVT among hypertensive patients referred to KAU hospital, Jeddah, Kingdom of Saudi Arabia.MethodsA cross-sectional hospital-based study was conducted from October 2016 to March, 2017. All hypertensive patients referred to or admitted to the hospital departments and who were suspected to have DVT and subjected to Doppler examination were included in the study. A questionnaire was designed to obtain data about DVT frequency among participants and factors associated with the development of DVT among them. Data was collected through face to face interviews of patients included in the study.ResultsDVT was detected in 13.5 % of the studied hypertensive patients. Increased age and gender had no significant association with the development of DVT among the studied patients. In addition, other studied factors and comorbidities had no significant role in DVT development among the study participants.ConclusionKnowing the most common risk factors and their significance in developing DVT is essential for early detection of DVT to prevent it, especially for hypertensive patients. Awareness campaigns should be held more often in different neighborhoods of the city.

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 92%

Deep Venous Thrombosis among hypertensive patients in King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia

et al. 2017

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“…It is possible that good disease control in RA patients undergoing arthroplasty explains their relatively low VTE risk. In contrast, a recent retrospective study of patients undergoing spine surgery demonstrated a significantly higher risk of VTE in RA patients than non-RA patients [87]. Although this finding requires validation, it could also reflect the more urgent nature of spine surgery, which may not permit RA disease optimization.…”

Section: Venous Thromboembolismcontrasting

confidence: 45%

Perioperative medical management for patients with RA, SPA, and SLE undergoing total hip and total knee replacement: a narrative review

Goodman

Bass

2018

BMC Rheumatol

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Total hip (THA) and total knee arthroplasty (TKA) are widely used, successful procedures for symptomatic end stage arthritis of the hips or knees, but patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and spondyloarthritis (SPA) including ankylosing spondylitis (AS) and psoriatic arthritis (PSA) are at higher risk for adverse events after surgery. Utilization rates of THA and TKA remain high for patients with RA, and rates of arthroplasty have increased for patients with SLE and SPA. However, complications such as infection are increased for patients with SLE, RA, and SPA, most of whom are receiving potent immunosuppressant medications and glucocorticoids at the time of surgery. Patients with SLE and AS are also at increased risk for perioperative cardiac and venous thromboembolism (VTE), while RA patients do not have an increase in perioperative cardiac or VTE risk, despite an overall increase in VTE and cardiac disease. This narrative review will discuss the areas of heightened risk for patients with RA, SLE, and SPA, and the perioperative management strategies currently used to minimize the risks.

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“…This was not in accordance with the results reported by ( 14 , 16 – 18 ), where these comorbidities had no significant effect on DVT development in the studied population. Furthermore, another study conducted by ( 19 , 20 ) found that diabetes and ischemic heart diseases were not significantly associated with the occurrence of DVT. Also, another study reported that diabetes mellitus and hypertension were not participated as risk factors ( 21 ).…”

Section: Discussionmentioning

confidence: 92%

Deep venous thrombosis in elderly patients as a surgical emergency at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Alanazi

Alenezi

et al. 2017

Electron Physician

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BackgroundDeep venous thrombosis (DVT) is a condition that occurs frequently among surgical, as well as acutely ill hospitalized medical patients, and is responsible for significant morbidity and mortality in hospitalized patients. Risk factors include older age, surgery and immobilization (as with bed rest, orthopedic casts, and sitting on long flights.ObjectiveThis study was conducted to identify the frequency and factors associated with occurrence of DVT among elderly patients referred to King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia.MethodsThe current study is a hospital based cross sectional study. The emergency, inpatients and outpatients’ departments at KAU hospital were reviewed. We studied all the referred elderly subjects during the study period. All elderly patients (540) referred to or admitted to the hospital departments and who were clinically suspected to have DVT and subjected to Doppler examination were included in the study. Data were analyzed using descriptive statistics and Chi square test.ResultsBased on the results of Doppler examination, DVT was detected in 97 (18.0%) of the studied elderly population. There were no significant differences in gender between patients who developed DVT and those who were negative by Doppler examination (p=0.018). Other comorbidities as diabetes, IHD and hypertension were significantly associated with the occurrence of DVT among the participants (p=0.05, 0.05 and 0.04 respectively). Furthermore, the other investigated factors such as being bed ridden, cancer, orthopedic cast and previous DVT were not significantly associated with the development of DVT among the studied elderly patients (p=0.42, 0.16, 0.45 and 0.75 respectively).ConclusionDVT has high prevalence in Jeddah; KSA. Thrombophilia screening should be regular for elderly patients with diabetes, hypertension and bed-ridden patients with recurrent DVT or patients with other risk factors. Knowing the most common risk factors and their significance in developing DVT is essential for early detection of DVT to prevent unwanted complications for elderlies.

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Clinical analysis of preoperative risk factors for the incidence of deep venous thromboembolism in patients undergoing posterior lumbar interbody fusion

Cited by 25 publications

References 20 publications

Deep Venous Thrombosis among hypertensive patients in King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia

Deep Venous Thrombosis among hypertensive patients in King Abdulaziz University (KAU) Hospital, Jeddah, Kingdom of Saudi Arabia

Perioperative medical management for patients with RA, SPA, and SLE undergoing total hip and total knee replacement: a narrative review

Deep venous thrombosis in elderly patients as a surgical emergency at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

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