Risk Factors for Deep Vein Thrombosis or Pulmonary Embolus Following Anterior Cruciate Ligament Reconstruction

Bokshan, Steven L.; DeFroda, Steven F.; Panarello, Nicholas; Owens, Brett D.

doi:10.1177/2325967118781328

Cited by 24 publications

(22 citation statements)

References 26 publications

(26 reference statements)

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“…In our multivariate analysis, the factors including age, hypertension, hyperlipemia, radiotherapy, and adenocarcinoma were independent risk factors for DVT in patients with gynecological malignant tumor. In a review of 9146 patients undergoing anterior cruciate ligament reconstruction, Bokshan suggested that increasing age over 30 years and hypertension were associated with an increased risk of DVT 13. Alanazi’s study also drew the same conclusion 14.…”

Section: Discussionmentioning

confidence: 90%

Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study

Xue

Yuan

2019

Pak J Med Sci

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Objectives: To determine the clinical characteristics and risk factors of Deep Venous Thrombosis (DVT) in patients with gynecological malignant tumor, facilitating gynecologists better prevent the fatal complication. Methods: The patients with gynecological malignant tumor treated in department of gynecology of our hospital between May 2013 and May 2018 were reviewed retrospectively. The clinical data of patients including gender, age, tumor staging, adenocarcinoma, surgery, operation time, hypertension, hyperlipemia, diabetes, coronary heart disease, radiotherapy, chemotherapy, hospital stay, and postoperative rehabilitation exercise were collected to analyze the clinical characteristics of patients and determine the risk factors of DVT. Results: In the current study, 67 patients were included in DVT group, and 554 patients were included in Non-DVT group. There were significant differences in age, hypertension, hyperlipemia, operation time, adenocarcinoma, tumor staging, radiotherapy and postoperative rehabilitation exercises between DVT and non-DVT groups (p<0.05). However, there was no significant differences in gender, coronary heart disease, diabetes, surgical treatment and hospital stay (p>0.05). In multivariate analysis, the factors including age, hypertension, adenocarcinoma, radiotherapy, and hyperlipemia were independent risk factors, while rehabilitation exercise was protective factor for DVT. Conclusion: In cases of gynecological malignant tumor, DVT screening should be given due importance, especially for those patients with old age, hypertension, hyperlipemia, adenocarcinoma, or history of radiotherapy. Rehabilitation exercise should be encouraged in these patients. How to cite this:Li Q, Xue Y, Peng Y, Li L. Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study. Pak J Med Sci. 2019;35(1):---------. doi: https://doi.org/10.12669/pjms.35.1.365 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 90%

Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study

Xue

Yuan

2019

Pak J Med Sci

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“…For instance, the American College of Chest Physicians indicated that it is not recommended to use thrombosis prevention measures for patients unless risk factors are present [7]. Several studies suggested that gender, age, BMI and other factors may be the potential risk factors of DVT [8][9][10][11][12]. Based on evidence existed, our purpose is to study the incidence of DVT in the two groups of anticoagulation and non-anticoagulation patients, as well as the risk factors of DVT formation after knee arthroscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Early incidence of deep venous thrombosis and its risk factors after knee arthroscopic surgery in patients with anticoagulant and non-anticoagulant

Shu

Chen

et al. 2020

Preprint

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Purpose: To investigated the early incidence of deep venous thrombosis (DVT) and its risk factors after knee arthroscopic surgery in patients with anticoagulant and non-anticoagulant.Methods: 272 patients were reviewed who have undergone knee arthroscopic surgery in our hospital from January 2018 to October 2019. Color doppler ultrasound was performed for every patient at 24h preoperatively and three days after operation. On the first day after surgery, low molecular weight heparin (LMWH) was randomly administered to some patients and not in others. The following factors were recorded: gender, age, body mass index (BMI), preoperative platelet and D-dimer level, D-dimer level three days after surgery, anesthetic technique, tourniquet time, whether to use LMWH after operation, and type of surgical procedures. Chi-square test or Student t test was used to preliminarily screen out suspected risk factors. Then, multiple logistic regression analysis was utilized to further determine the risk factors of DVT after knee arthroscopic surgery.Results: The incidence of DVT in the postoperative anticoagulant group was 7.5%, and 7.4% in the non-anticoagulant group. An increased incidence was found among higher D-dimer level postoperatively. There was no significant difference in the incidence of DVT between use of LMWH and non-use of LMWH in three days after surgery.Conclusion: The early incidence of DVT in the group of patients without LMWH was 7.4%. The incidence of DVT in patients with knee arthroscopy surgery could not be reduced by using LMWH within three days, and high D-dimer level was a risk factor for DVT after knee arthroscopic surgery.

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“…In the relevant literature, the reported incidence of VTEs after TKA and ACL reconstruction was 0.36-62.5% [2][3][4], and 0.5% [1,6], respectively. The risk factors associated with VTEs after TKA included advanced age (> 70 years), drain use, and delayed ambulation (≥ 72 h) after surgery [4].…”

Section: Introductionmentioning

confidence: 99%

Perioperative pain control is important for prevention of venous thromboembolism after around the knee osteotomy

Kubota¹,

Kim²,

Sato³

et al. 2020

Preprint

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Background: Venous thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE) are well-known complications after TKA. However, there are few reports about VTEs after around the knee osteotomy (AKO). Purpose: To investigate the incidence of and risk factors for VTEs after AKO. Methods: A total 108 AKO cases were assessed in this study. The procedures included open-wedge high tibial osteotomy (OWHTO; n=96), hybrid closed-wedge high tibial osteotomy (CWHTO; n=7), distal femoral osteotomy (DFO; n=2), tibial condylar valgus osteotomy (TCVO; n=2), and double level osteotomy (DLO; n=1). Ultrasonography of the lower extremities was performed for all patients at 1 week after AKO. The incidence of VTEs was investigated, and a logistic regression analysis was performed to determine which patient demographics, pre-operative clinical results and surgical factors were associated with DVT or PE after surgery. Results: Of the 108 patients who underwent AKO, 29 (26.9%) developed postoperative DVT, but no patients developed PE. The logistic regression analysis identified abrasion chondroplasty (odds ratio [OR], 3.46) and pre-operative pain visual analog scale (VAS; OR, 1.05) as independent predictors of DVT. Conclusion: The incidence of DVT after AKO is relatively high and preoperative and postoperative pain may induce DVT. Perioperative pain control is important for preventing VTEs.

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Risk Factors for Deep Vein Thrombosis or Pulmonary Embolus Following Anterior Cruciate Ligament Reconstruction

Cited by 24 publications

References 26 publications

Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study

Analysis of risk factors for deep venous thrombosis in patients with gynecological malignant tumor: A clinical study

Early incidence of deep venous thrombosis and its risk factors after knee arthroscopic surgery in patients with anticoagulant and non-anticoagulant

Perioperative pain control is important for prevention of venous thromboembolism after around the knee osteotomy

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