Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty

Shimoyama, Yuichiro; Sawai, Toshiyuki; Tatsumi, Shinichi; Nakahira, Junko; Oka, Masayuki; Nakajima, Mikio; Jotoku, Tsuyoshi; Minami, Toshiaki

doi:10.1016/j.jclinane.2012.02.008

Cited by 34 publications

(28 citation statements)

References 34 publications

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“…Factors associated with lower risk could be identified in Asian/Pacific Islander ethnicity, the use of pneumatic compression among non-obese patients after surgery and extended thromboprophylaxis after hospital discharge. With these predisposing factors in mind some chemical markers have helped to identify high-risk patients, including elevated plasma D-Dimer and hyperlipidemia [42,43] . Many studies have shown differences in thromboembolic risks comparing the use of general versus neuraxial anesthesia [44] .…”

Section: Thromboembolic Eventsmentioning

confidence: 99%

Perioperative outcomes and type of anesthesia in hip surgical patients: An evidence based review

Opperer

Danninger

Stundner

et al. 2014

WJO

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Over the last decades the demand for hip surgery, be it elective or in a traumatic setting, has greatly increased and is projected to expand even further. Concurrent with demographic changes the affected population is burdened by an increase in average comorbidity and serious complications. It has been suggested that the choice of anesthesia not only affects the surgery setting but also the perioperative outcome as a whole. Therefore different approaches and anesthetic techniques have been developed to offer individual anesthetic and analgesic care to hip surgery patients. Recent studies on comparative effectiveness utilizing population based data have given us a novel insight on anesthetic practice and outcome, showing favorable results in the usage of regional vs general anesthesia. In this review we aim to give an overview of anesthetic techniques in use for hip surgery and their impact on perioperative outcome. While there still remains a scarcity of data investigating perioperative outcomes and anesthesia, most studies concur on a positive outcome in overall mortality, thromboembolic events, blood loss and transfusion requirements when comparing regional to general anesthesia. Much of the currently available evidence suggests that a comprehensive medical approach with emphasis on regional anesthesia can prove beneficial to patients and the health care system.

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Section: Thromboembolic Eventsmentioning

confidence: 99%

Perioperative outcomes and type of anesthesia in hip surgical patients: An evidence based review

Opperer

Danninger

Stundner

et al. 2014

WJO

View full text Add to dashboard Cite

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“…One of the most common complications after joint replacement surgery is venous thromboembolism (1)(2)(3). The risk of developing this complication increases with age, weight and previous history of thromboembolic disease (4).…”

Section: Introductionmentioning

confidence: 99%

Worldwide adherence to ACCP guidelines for thromboprophylaxis after major orthopedic surgery: A systematic review of the literature and meta-analysis

Farfan

Bautista

Bonilla

et al. 2016

Thrombosis Research

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“…Previous studies have demonstrated that expression levels of D-dimer in serum are significantly increased following DVT (13,14). However, the expression levels of D-dimer are also increased when the coagulation and fibrinolysis system is activated in surgery, trauma, bleeding disorders, inflammatory diseases, kidney disease and pregnancy (15). A method of predicting the occurrence of DVT with regards to the expression levels of D-dimer prior to and following orthopedic surgery requires clarification.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of deep vein thrombosis is increased by analysis using combined optimal cut-off values of postoperative plasma D-dimer levels

Jiang

Liu

et al. 2016

Experimental and Therapeutic Medicine

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The present study aimed to evaluate the accuracy of analysis using optimal cut-off values of plasma D-dimer levels in the diagnosis of deep vein thrombosis (DVT). A total of 175 orthopedic patients with DVT and 162 patients without DVT were included in the study. Ultrasonic color Doppler imaging was performed on lower limb veins prior to and following orthopedic surgery in order to determine the types of orthopedic conditions that were present. An enzyme-linked fluorescent assay was performed to detect the expression levels of D-dimer in plasma, and receiver operating characteristic analysis was performed to predict the occurrence of DVT on the basis of the expression levels of D-dimer. After surgery, the expression levels of D-dimer in the plasma of DVT patients were significantly higher in comparison with those in orthopedic patients without DVT (P<0.05). When the patients were divided into subgroups according to the underlying orthopedic condition, the expression levels of D-dimer in the plasma of each subgroup were higher 1 day after orthopedic surgery in comparison to those prior to surgery (P<0.05). The diagnostic accuracy achieved using combined optimal cut-off values at 1 and 3 days post-surgery was significantly higher than the accuracy when using a single optimal cut-off value (P<0.05). In conclusion, detection of D-dimer expression levels at 1 day post-orthopedic surgery may be important in predicting DVT. In addition, the diagnostic accuracy of DVT is significantly increased by analysis using combined optimal cut-off values of D-dimer plasma expression levels.

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Perioperative risk factors for deep vein thrombosis after total hip arthroplasty or total knee arthroplasty

Cited by 34 publications

References 34 publications

Perioperative outcomes and type of anesthesia in hip surgical patients: An evidence based review

Perioperative outcomes and type of anesthesia in hip surgical patients: An evidence based review

Worldwide adherence to ACCP guidelines for thromboprophylaxis after major orthopedic surgery: A systematic review of the literature and meta-analysis

Diagnostic accuracy of deep vein thrombosis is increased by analysis using combined optimal cut-off values of postoperative plasma D-dimer levels

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