Frequency and Risk Factor of Lower-limb Deep Vein Thrombosis after Major Orthopedic Surgery in Vietnamese Patients

Abstract

BACKGROUND: Deep venous thrombosis (DVT) is a prevalent complication of orthopedic surgery. According in many studies. The incidence of DVT may be up to 50% if thromboprophylaxis is not available.
 AIM: The objective of this study was to check the degree of disease, clinical characteristics and analyzed factors in vulnerabilities with lower-limp DVT after orthopedic surgery in a Vietnam teaching hospital.
 METHODS: Orthopedic patients who met criteria were recruited at our hospital between August 2017 and June 2018. Ultrasound was used to discovering lower-limp DVT in pre-surgery and 7 days after surgery in all patients.
 RESULTS: The incidence of DVT after orthopedic surgery was 7.2%. Patients with older age (> 60) have a risk of 2 times higher of DVT after surgery than normal people (p < 0.05). The incidence of postoperative DVT was higher in immobile individuals > 72 hours (p < 0.05). Patients with prolonged surgical time (>120 minutes) had a higher risk of postoperative DVT than non-surgical patients’ surgery (p < 0.05).
 CONCLUSIONS: DVT remains a common complication following orthopedic surgery. Older age, immobility status, and surgical time have been found to be risky factors for the development of postoperative lower-limp DVT in orthopedic patients.

Recommendations from the ICM-VTE: Sports

“…While duration of surgery has been shown to be a risk factor in patients who develop VTE 10 , this risk factors is not universally accepted as a reliable metric for determining the overall risk of a patient for VTE. Several studies have shown that orthopaedic procedures which require postoperative immobilization put patients at an increased risk of developing symptomatic VTE 11,12 . Additionally, patients who are required to be non-weightbearing on their operative extremity have been shown to have increased incidence of VTE postoperatively 13 .…”

A Study to Assess the Effectiveness of Planned Teaching Program on Prevention of Deep Vein Thrombosis Among Nursing Interns Working in a Selected Hospital

“…Patients should be instructed t o keep an eye out for symptoms that point to DVT and to alert nurses if necessary. 4 Low-molecular-weight heparins, unfractionated heparin, and Fondaparinux are frequently used pharmacological agents for prophylaxis in medical patients. Mortality has been shown to be decreased by Direct oral anticoagulants (betrixaban versus subcutaneous enoxaparin).…”

Effectiveness of Prophylactic Measures on Deep Vein Thrombosis among Post-operative Patients at Selected Hospital, Maharashtra

“…50% of patients who were 50 years of age or older had deep vein thrombosis. 6 When compared to patients in the general hospitalized patients have a higher risk of developing VTE. Therefore, every hospitalized patient must take DVT prophylaxis into account.…”