Evidence for the prevention of venous thromboembolism

Autar, Ricky

doi:10.12968/bjon.2006.15.18.22021

Cited by 6 publications

(2 citation statements)

References 49 publications

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“…Some studies have shown that PE is an important cause of sudden death in hospitalized patients ( 7 , 10 ). In the absence of DVT prevention measures, 40%–70% of patients with fractures develop DVT during the perioperative period ( 11 ). The incidence of DVT in patients with pelvic fracture was 5%–21.09% ( 12 , 13 ), the incidence of DVT in patients with femoral fracture was 6.85%–32% ( 14 , 15 ), and the incidence of DVT in patients with tibial fracture was 2.09%–16.3% ( 14 , 16 ) after the use of low-molecular-weight heparin (LMWH) and other preventive measures.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for deep vein thrombosis in patients with pelvic or lower-extremity fractures in the emergency intensive care unit

et al. 2023

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IntroductionThis study aimed to investigate the incidence of deep vein thrombosis (DVT) in patients with pelvic or lower-extremity fractures in the emergency intensive care unit (EICU), explore the independent risk factors for DVT, and investigate the predictive value of the Autar scale for DVT in these patients.MethodsThe clinical data of patients with single fractures of the pelvis, femur, or tibia in the EICU from August 2016 to August 2019 were retrospectively examined. The incidence of DVT was statistically analyzed. Logistic regression was used to analyze the independent risk factors for DVT in these patients. The receiver-operating characteristic (ROC) curve was used to evaluate the predictive value of the Autar scale for the risk of DVT.ResultsA total of 817 patients were enrolled in this study; of these, 142 (17.38%) had DVT. Significant differences were found in the incidence of DVT among the pelvic fractures, femoral fractures, and tibial fractures (P < 0.001). The multivariate logistic regression analysis showed multiple injuries (OR = 2.210, 95% CI: 1.166–4.187, P = 0.015), fracture site (compared with tibia fracture group, femur fracture group OR = 4.839, 95% CI: 2.688–8.711, P < 0.001; pelvic fracture group OR = 2.210, 95% CI: 1.225–3.988, P = 0.008), and Autar score (OR = 1.198, 95% CI: 1.016–1.353, P = 0.004) were independent risk factors for DVT in patients with pelvic or lower-extremity fractures in the EICU. The area under the ROC curve (AUROC) of the Autar score for predicting DVT was 0.606. When the Autar score was set as the cutoff value of 15.5, the sensitivity and specificity for predicting DVT in patients with pelvic or lower-extremity fractures were 45.1% and 70.7%, respectively.DiscussionFracture is a high-risk factor for DVT. Patients with a femoral fracture or multiple injuries have a higher risk of DVT. In the case of no contraindications, DVT prevention measures should be taken for patients with pelvic or lower-extremity fractures. Autar scale has a certain predictive value for the occurrence of DVT in patients with pelvic or lower-extremity fractures, but it is not ideal.

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Section: Introductionmentioning

confidence: 99%

Risk factors for deep vein thrombosis in patients with pelvic or lower-extremity fractures in the emergency intensive care unit

et al. 2023

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“…Previous studies indicate nurses have a critical role in promoting patient assessments and maintaining sustainability with the implementation of clinical practice guidelines. Improving nurse and patient adherence to adopting these guidelines can impact on patient health outcomes and contribute significantly to reducing VTE and its associated complications (Autar, ; Cantrell, Ward, & Van Wicklin, ; Collins et al., ; Findlay, Keogh, & Cooper, ; Fleck, Donovan, & Blank, ; Gibbs, Fletcher, Blombery, Collins, & Wheatley, ; Larkin, Mitchell, & Petrie, ; Morrison, ).…”

Section: Introductionmentioning

confidence: 99%