The incidence of pulmonary embolism and deep vein thrombosis and their predictive risk factors after lower extremity arthroplasty: a retrospective analysis based on diagnosis using multidetector CT

Fujita, Yoshihisa; Nakatsuka, Hideki; Namba, Yoshifumi; Mitani, Shigeru; Yoshitake, N.; Sugimoto, Etsuko; Hazama, Keita

doi:10.1007/s00540-014-1891-x

Cited by 26 publications

(18 citation statements)

References 20 publications

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“…First, the mean age of participants in the present study was higher than that in the previous study (73.0 vs 62.9 years). Age is an important contributory factor to the incidence of DVT 5,18 ) . Second, tourniquets were applied to the TKA patients in the present study but not to the THA patients in the previous study, and the use of a tourniquet is an important risk factor for DVT 19 ) .…”

Section: Discussionmentioning

confidence: 99%

Effect of self-calf massage on the prevention of deep vein thrombosis after total knee arthroplasty: A randomized clinical trial

Wada

Nitta

et al. 2020

Phys Ther Res

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Objective: Deep vein thrombosis (DVT) is a severe complication after total knee arthroplasty (TKA). Performing self-calf massage may decrease the incidence of DVT. The purpose of this study was to investigate whether self-calf massage is effective for preventing DVT after TKA. Method: In all, 165 patients participated in the present study. Patients were randomized to one of two groups: the self-calf massage group or the control group. In the control group, patients started regular physical therapy. In the self-calf massage group, in addition to regular physical therapy, patients were instructed to massage their calf muscles 30 times from the distal to proximal side. This procedure was repeated three times and was completed in 2 mins during the 2 days following TKA. All patients were evaluated for DVT on postoperative day 3 using lower limb vein ultrasonography. Results: The incidence of DVT was significantly lower in the self-calf massage group than in the control group. Self-calf massage was associated with a lower incidence of DVT, whereas age and female sex were risk factors for DVT. Conclusion: This study showed that the self-calf massage may be beneficial for the prevention of DVT after TKA.

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Section: Discussionmentioning

confidence: 99%

Effect of self-calf massage on the prevention of deep vein thrombosis after total knee arthroplasty: A randomized clinical trial

Wada

Nitta

et al. 2020

Phys Ther Res

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“…For example, recent studies have shown the incidence of venous thromboembolism following lower extremity arthroplasty to be roughly 4.0%. 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

General Health Adverse Events Within 30 Days Following Anterior Cervical Discectomy and Fusion in US Patients: A Comparison of Spine Surgeons’ Perceptions and Reported Data for Rates and Risk Factors

Ondeck

Bohl

Bovonratwet

et al. 2017

Global Spine Journal

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Study Design:Survey study and retrospective review of prospective data.Objectives:To contrast surgeons’ perceptions and reported national data regarding the rates of postoperative adverse events following anterior cervical discectomy and fusion (ACDF) and to assess the accuracy of surgeons in predicting the impact of patient factors on such outcomes.Methods:A survey investigating perceived rates of perioperative complications and the perceived effect of patient risk factors on the occurrence of complications following ACDF was distributed to spine surgeons at the Cervical Spine Research Society (CSRS) 2015 Annual Meeting. The equivalent reported rates of adverse events and impacts of patient risk factors on such complications were assessed in patients undergoing elective ACDF from the National Surgical Quality Improvement Program (NSQIP).Results:There were 110 completed surveys from attending physicians at CSRS (response rate = 44%). There were 18 019 patients who met inclusion criteria in NSQIP years 2011 to 2014. The rates of 11 out of 17 (65%) postoperative adverse events were mildly overestimated by surgeons responding to the CSRS questionnaire in comparison to reported NSQIP data (overestimates ranged from 0.24% to 1.50%). The rates of 2 out of 17 (12%) postoperative adverse events were mildly underestimated by surgeons (range = 0.08% to 1.2%). The impacts of 5 out of 10 (50%) patient factors were overestimated by surgeons (range relative risk = 0.56 to 1.48).Conclusions:Surgeon estimates of risk factors for and rates of adverse events following ACDF procedures were reasonably nearer to national data. Despite an overall tendency toward overestimation, surgeons’ assessments are roughly appropriate for surgical planning, expectation setting, and quality improvement initiatives.

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“…Although there are a limited number of studies when the outcomes are compared, considerably variable results are reported that change between 4% and 12%. 14 15 The reason for this may be expressed as the nonstandard patients attending the hospitals, and patient groups included in the studies. Some of the mentioned studies recommend preoperative screening of DVT, however, some report that it does not have an additional advantage and therefore it is not essential.…”

Section: Discussionmentioning

confidence: 99%

Should venous doppler ultrasonography be routinely applied before lower extremity major orthopedic surgery?

Göçer

Yazici²,

Polat

2017

Niger Med J

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Background:Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG).Patients and Methods:DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015. The patients were investigated regarding the age, gender, and the planned operation. The cases were separated to the following three groups: group I (<49 years), Group II (49–69 years), and Group III (≥70 years).Results:The study included 222 patients; of these, 174 were female and 48 were male. Group I, Group II, and Group III included 45, 115, and 62 patients, respectively. Of the six patients determined to exist with DVT, 2 (1.73%) were in Group II, and 4 (6.45%) were in Group III.Conclusion:Although the differences were not found to be statistically significant, it may be useful to screen asymptomatic DVT by Doppler USG in the preoperative period in the 70-year-old male patients, and in those over 70.

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The incidence of pulmonary embolism and deep vein thrombosis and their predictive risk factors after lower extremity arthroplasty: a retrospective analysis based on diagnosis using multidetector CT

Cited by 26 publications

References 20 publications

Effect of self-calf massage on the prevention of deep vein thrombosis after total knee arthroplasty: A randomized clinical trial

Effect of self-calf massage on the prevention of deep vein thrombosis after total knee arthroplasty: A randomized clinical trial

General Health Adverse Events Within 30 Days Following Anterior Cervical Discectomy and Fusion in US Patients: A Comparison of Spine Surgeons’ Perceptions and Reported Data for Rates and Risk Factors

Should venous doppler ultrasonography be routinely applied before lower extremity major orthopedic surgery?

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