The incidence of symptomatic deep vein thrombosis and pulmonary embolism, following THA in patients, with postoperative chemoprophylaxis in Indian population

Abstract

<p class="abstract"><strong>Background:</strong> Deep vein thrombosis (DVT) and pulmonary embolism (PE) can occur in patients after elective total hip arthroplasties (THA). Indian population appears to have low incidence of DVT and PE in comparison with Western population due to difference in ethnicity, genetic make-up, social life styles. The study intends to find the incidence of symptomatic DVT and PE in postoperative THA patients. The aim of the study was to study the incidence of symptomatic DVT and PE, in post-THA patients in Indian Population.</p><p class="abstract"><strong>Methods:</strong> Retrospective study conducted from 1<sup>st</sup> January, 2017 to 31st July, 2018 in BIRRD (T) Hospital. All patients who underwent THA are included, after fulfilling inclusion and exclusion criteria. Patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total number of patients who had THA were 447 (n=447). The symptomatic DVT was found in 1 (n=1) patient. He developed DVT (n=1) during the study period, in first 48 hours postoperatively and recovered with ICU management. The same patient showed symptoms of PE but recovered fully. All patients were on a prophylactic regimen.</p><p class="abstract"><strong>Conclusions:</strong> Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.</p>

Narrative Review on Prevalence of Venous Thromboembolism and Public Awareness in India

“…(Figure 2). Low prevalence was stated in studies by Jain et al (2004); Bagaria et al (2006); Dore et al (2017) and Avulapati et al (2019). In the prospective study by Jain et al there were a total of 2 patients who had developed venous thromboembolism out of 60 THR in 45 patients and 46 TKR in 26 patients (2.8%).…”

“…Interestingly, in Bagaria et al study out of 147 patients undergoing THR and TKR, 9 patients (6.12%) had VTE, out of which PE was 0.6%. Whereas among the total of 101 patients 8 patients (7.92%) had developed DVT and 2 of these patients had complications of PE (Dore et al, 2017;Avulapati et al, 2019) revealed a different aspect in their retrospective study, with the prevalence of symptomatic DVT as low as 0.22% (1 out of 447 patients) and PE 0%.…”