Research Article
BibTex RIS Cite

Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic

Year 2023, Volume: 7 Issue: 1, 235 - 244, 31.01.2023

Çiğdem Kaya , Özlem Bilik , Perihan Solmaz

https://doi.org/10.30621/jbachs.1091375

Abstract

Background: Deep vein thrombosis (DVT) is an important life-threatening complication in patients having orthopedic surgery and its risk factors are still debatable.
Aim: This study aimed to determine preoperative and postoperative DVT risk, its risk factors and their effects on preoperative and postoperative DVT risk scores in patients having orthopedic surgery and staying in an orthopedics and traumatology clinic.
Method: This descriptive, cross-sectional study was performed with 244 patients. Data were gathered with a sociodemographic, health status and prophylaxis for DVT form and the Autar Deep Vein Thrombosis Risk Assessment Scale (Autar DVTRAS).
Results: There was a strong significant difference between the preoperative and postoperative mean scores for the Autar DVTRAS (p<0.001). Advanced age, immobility, history of trauma, high-risk diseases and chronic diseases significantly increased the preoperative moderate and high-risk scores for the Autar DVTRAS. In addition, advanced age, high body mass index, chronic diseases and complete immobility significantly increased the mean postoperative moderate and high-risk scores.
Conclusion: The results of the study suggested that the risk of deep vein thrombosis increases in patients having a major orthopedic surgery and that some risk factors affect preoperative and postoperative scores for the Autar DVTRAS.

Keywords

Deep Vein Thrombosis Deep Vein Thrombosis Risk Orthopedic Surgery

Supporting Institution

Yok

Project Number

Yok

Thanks

The authors would like to thank the participants who voluntarily participated in the study.

References

  • Okuhara A, Navarro TP, Procópio RJ, Bernardes RDC, Oliveira LDCC, Nishiyama MP, et al. Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis. Rev Col Bras Cir [Internet]. 2014 Jan [cited 2019 Dec 10];41(1):02–6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002&lng=en&tlng=en
  • Hardy TJ, Bevis PM. Deep vein thrombosis. Surg (United Kingdom). 2019;37(2):67–72.
  • Kushner A, West, DO WP, Pillarisetty LS. Virchow Triad. StatPearls. 2019.
  • Thachil J. Deep vein thrombosis. Hematology. 2014;19(5):309–10.
  • Çilingir D, Gürsoy A. Cerrahi Hastaları İçin Sessiz Tehlike: Derin Ven Trombozu Risk Azaltıcı Hemşirelik Bakımı. Acibadem Univ Saglik Bilim Derg. 2018;9(3):213–9.
  • Büyükyilmaz F, Şendir M, Autar R, Yazgan I. Risk level analysis for deep vein thrombosis (DVT): A study of Turkish patients undergoing major orthopedic surgery. J Vasc Nurs. 2015;33(3):100–5.
  • Francis CW. Prevention of VTE in patients having major orthopedic surgery. J Thromb Thrombolysis. 2013;35(3):359–67.
  • SooHoo NF, Eagan M, Krenek L, Zingmond DS. Incidence and factors predicting pulmonary embolism and deep venous thrombosis following surgical treatment of ankle fractures. Foot Ankle Surg. 2011;17(4):259–62.
  • Stone J, Hangge P, Albadawi H, Wallace A, Shamoun F, Knuttien MG, et al. Deep vein thrombosis: Pathogenesis, diagnosis, and medical management. Cardiovasc Diagn Ther. 2017;7(Suppl.3):S276.
  • Tagalakis V, Patenaude V, Kahn SR, Suissa S. Incidence of and mortality from venous thromboembolism in a real-world population: The Q-VTE study cohort. Am J Med. 2013;126(9):832-e13.
  • Song K, Yao Y, Rong Z, Shen Y, Zheng M, Jiang Q. The preoperative incidence of deep vein thrombosis (DVT) and its correlation with postoperative DVT in patients undergoing elective surgery for femoral neck fractures. Arch Orthop Trauma Surg. 2016;136(10):1459–64.
  • Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet. 2016;388(10063):3060–73.
  • Van Gent JM, Calvo RY, Zander AL, Olson EJ, Sise CB, Sise MJ, et al. Risk factors for deep vein thrombosis and pulmonary embolism after traumatic injury: A competing risks analysis. J Trauma Acute Care Surg. 2017;83(6):1154–60.
  • Xu H, Zhang S, Xie J, Lei Y, Cao G, Chen G, et al. A nested case-control study on the risk factors of deep vein thrombosis for Chinese after total joint arthroplasty. J Orthop Surg Res. 2019;14(1):1–7.
  • Gee E. The National VTE Exemplar Centres Network response to implementation of updated NICE guidance: venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (NG89). Br J Haematol. 2019;186(5):792–3.
  • Ageno W, Agnelli G, Imberti D, Moia M, Palareti G, Pistelli R, et al. Prevalence of risk factors for venous thromboembolism in the Italian population: Results of a cross-sectional study from the Master Registry. Intern Emerg Med. 2013;8(7):575–80.
  • Deitelzweig SB, Brotman DJ, Mckean SC, Jaffer AK, Amin AN, Spyropoulos AC. Prevention of venous thromboembolism in the orthopedic surgery patient. Cleve Clin J Med. 2008;75(suppl. 3):27–36.
  • Altintas F, Gurbuz H, Erdemli B, Atilla B, Ustaoglu RG, Ozic U, et al. Venous thromboembolism prophylaxis in major orthopaedic surgery: A multicenter, prospective, observational study. Acta Orthop Traumatol Turc. 2008;42(5):322–7.
  • Wang P, Kandemir U, Zhang B, Wang B, Li J, Zhuang Y, et al. Incidence and Risk Factors of Deep Vein Thrombosis in Patients With Pelvic and Acetabular Fractures. Clin Appl Thromb. 2019;25:1–7.
  • Bell EJ, Lutsey PL, Basu S, Cushman M, Heckbert SR, Lloyd-Jones DM, et al. Lifetime Risk of Venous Thromboembolism in Two Cohort Studies. Am J Med. 2016;129(3):339-e19.
  • Zhang W, Huai Y, Wang W, Xue K, Chen L, Chen C, et al. A Retrospective cohort study on the risk factors of deep vein thrombosis (DVT) for patients with traumatic fracture at Honghui Hospital. BMJ Open. 2019;9(3):e024247.
  • Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. J Thromb Thrombolysis. 2016;41(1):3–14.
  • Ibrahim NA, Hassan FM, Elgari MM, Abdalla SE. Risk factors for deep vein thrombosis of lower extremities in Sudanese women. Vasc Health Risk Manag. 2018;14:157–64.
  • Mulia EPB, Firdausi H. The Challenges of Managing Deep Vein Thrombosis in the Elderly: A Narrative Review. IOP Conf Ser Earth Environ Sci. 2020;441(1):012168.
  • Wade R, Paton F, Rice S, Stansby G, Millner P, Flavell H, et al. Thigh length versus knee length antiembolism stockings for the prevention of deep vein thrombosis in postoperative surgical patients; a systematic review and network meta-analysis. BMJ Open. 2016;6(2):e009456.
  • Heit JA. Epidemiology of venous thromboembolism. Nat Rev Cardiol. 2015;12(8):464–74.
  • Wallace G, Judge A, Prieto-Alhambra D, de Vries F, Arden NK, Cooper C. The effect of body mass index on the risk of post-operative complications during the 6 months following total hip replacement ortotal knee replacement surgery. Osteoarthr Cartil. 2014;22(7):918–27.
  • Samama CM, Albaladejo P. Physiopathologie et prévention de la maladie thromboembolique veineuse postopératoire. Sang Thromb Vaiss. 2008;20(3):138–43.
  • Caggiari G, Ciurlia E, Ortu S, Donato A, Pisanu F, Doria C. Efficacy of early low-molecular-weight heparin prophylaxis in elderly patients after degenerative spinal surgery: A brief retrospective review. EuroMediterranean Biomed J. 2019;14(37):158–60.
  • Zhu J, Jiang H, Marshall B, Li J, Tang X. Low-Molecular-Weight Heparin for the Prevention of Venous Thromboembolism in Patients Undergoing Knee Arthroscopic Surgery and Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2019;47(8):1994–2002.
  • Testroote M, Stigter WAH, Janssen L, Janzing HMJ. Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-leg immobilization. Cochrane Database Syst Rev. 2014;(4).
  • Hao C, Sun M, Wang H, Zhang L, Wang W. Low molecular weight heparins and their clinical applications. In: Progress in Molecular Biology and Translational Science. Elsevier B.V.; 2019. p. 21–39.
  • Delgado G, Siekmeier R, Grammer TB, Boehm BO, März W, Kleber ME. Alterations in the coagulation system of active smokers from the Ludwigshafen risk and cardiovascular health (LURIC) study. In: Advances in Experimental Medicine and Biology (Oxidative Stress and Cardiorespiratory Function). 2014. p. 9–14.
  • Cheng YJ, Liu ZH, Yao FJ, Zeng WT, Zheng DD, Dong YG, et al. Current and Former Smoking and Risk for Venous Thromboembolism: A Systematic Review and Meta-Analysis. PLoS Med. 2013;10(9):e1001515.
  • Al-Nasser B. Influence of tobacco smoking on perioperative risk of venous thromboembolism. Turkish J Anaesthesiol Reanim. 2020;48(1):11–6.
  • Sweetland S, Parkin L, Balkwill A, Green J, Reeves G, Beral V, et al. Smoking, surgery, and venous thromboembolism risk in women United Kingdom cohort study. Circulation. 2013;127(12):1276–82.
  • Kiekens C. Should Hospitalized Patients Wear Graduated Compression Stockings for Prevention of Deep Vein Thrombosis?: A Cochrane Review Summary With Commentary. Am J Phys Med Rehabil. 2019;98(11):1041–2.
  • Sachdeva A, Dalton M, Lees T. Graduated compression stockings for prevention of deep vein thrombosis (Cochrane review) [with consumer summary]. Cochrane Database Syst Rev 2014;Issue 12. 2018;
  • Fang M, Noiseux N, Linson E, Cram P. The Effect of Advancing Age on Total Joint Replacement Outcomes. Geriatr Orthop Surg Rehabil. 2015;6(3):173–9.

Year 2023, Volume: 7 Issue: 1, 235 - 244, 31.01.2023

Çiğdem Kaya , Özlem Bilik , Perihan Solmaz

https://doi.org/10.30621/jbachs.1091375

Abstract

Project Number

Yok

References

  • Okuhara A, Navarro TP, Procópio RJ, Bernardes RDC, Oliveira LDCC, Nishiyama MP, et al. Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis. Rev Col Bras Cir [Internet]. 2014 Jan [cited 2019 Dec 10];41(1):02–6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002&lng=en&tlng=en
  • Hardy TJ, Bevis PM. Deep vein thrombosis. Surg (United Kingdom). 2019;37(2):67–72.
  • Kushner A, West, DO WP, Pillarisetty LS. Virchow Triad. StatPearls. 2019.
  • Thachil J. Deep vein thrombosis. Hematology. 2014;19(5):309–10.
  • Çilingir D, Gürsoy A. Cerrahi Hastaları İçin Sessiz Tehlike: Derin Ven Trombozu Risk Azaltıcı Hemşirelik Bakımı. Acibadem Univ Saglik Bilim Derg. 2018;9(3):213–9.
  • Büyükyilmaz F, Şendir M, Autar R, Yazgan I. Risk level analysis for deep vein thrombosis (DVT): A study of Turkish patients undergoing major orthopedic surgery. J Vasc Nurs. 2015;33(3):100–5.
  • Francis CW. Prevention of VTE in patients having major orthopedic surgery. J Thromb Thrombolysis. 2013;35(3):359–67.
  • SooHoo NF, Eagan M, Krenek L, Zingmond DS. Incidence and factors predicting pulmonary embolism and deep venous thrombosis following surgical treatment of ankle fractures. Foot Ankle Surg. 2011;17(4):259–62.
  • Stone J, Hangge P, Albadawi H, Wallace A, Shamoun F, Knuttien MG, et al. Deep vein thrombosis: Pathogenesis, diagnosis, and medical management. Cardiovasc Diagn Ther. 2017;7(Suppl.3):S276.
  • Tagalakis V, Patenaude V, Kahn SR, Suissa S. Incidence of and mortality from venous thromboembolism in a real-world population: The Q-VTE study cohort. Am J Med. 2013;126(9):832-e13.
  • Song K, Yao Y, Rong Z, Shen Y, Zheng M, Jiang Q. The preoperative incidence of deep vein thrombosis (DVT) and its correlation with postoperative DVT in patients undergoing elective surgery for femoral neck fractures. Arch Orthop Trauma Surg. 2016;136(10):1459–64.
  • Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet. 2016;388(10063):3060–73.
  • Van Gent JM, Calvo RY, Zander AL, Olson EJ, Sise CB, Sise MJ, et al. Risk factors for deep vein thrombosis and pulmonary embolism after traumatic injury: A competing risks analysis. J Trauma Acute Care Surg. 2017;83(6):1154–60.
  • Xu H, Zhang S, Xie J, Lei Y, Cao G, Chen G, et al. A nested case-control study on the risk factors of deep vein thrombosis for Chinese after total joint arthroplasty. J Orthop Surg Res. 2019;14(1):1–7.
  • Gee E. The National VTE Exemplar Centres Network response to implementation of updated NICE guidance: venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (NG89). Br J Haematol. 2019;186(5):792–3.
  • Ageno W, Agnelli G, Imberti D, Moia M, Palareti G, Pistelli R, et al. Prevalence of risk factors for venous thromboembolism in the Italian population: Results of a cross-sectional study from the Master Registry. Intern Emerg Med. 2013;8(7):575–80.
  • Deitelzweig SB, Brotman DJ, Mckean SC, Jaffer AK, Amin AN, Spyropoulos AC. Prevention of venous thromboembolism in the orthopedic surgery patient. Cleve Clin J Med. 2008;75(suppl. 3):27–36.
  • Altintas F, Gurbuz H, Erdemli B, Atilla B, Ustaoglu RG, Ozic U, et al. Venous thromboembolism prophylaxis in major orthopaedic surgery: A multicenter, prospective, observational study. Acta Orthop Traumatol Turc. 2008;42(5):322–7.
  • Wang P, Kandemir U, Zhang B, Wang B, Li J, Zhuang Y, et al. Incidence and Risk Factors of Deep Vein Thrombosis in Patients With Pelvic and Acetabular Fractures. Clin Appl Thromb. 2019;25:1–7.
  • Bell EJ, Lutsey PL, Basu S, Cushman M, Heckbert SR, Lloyd-Jones DM, et al. Lifetime Risk of Venous Thromboembolism in Two Cohort Studies. Am J Med. 2016;129(3):339-e19.
  • Zhang W, Huai Y, Wang W, Xue K, Chen L, Chen C, et al. A Retrospective cohort study on the risk factors of deep vein thrombosis (DVT) for patients with traumatic fracture at Honghui Hospital. BMJ Open. 2019;9(3):e024247.
  • Heit JA, Spencer FA, White RH. The epidemiology of venous thromboembolism. J Thromb Thrombolysis. 2016;41(1):3–14.
  • Ibrahim NA, Hassan FM, Elgari MM, Abdalla SE. Risk factors for deep vein thrombosis of lower extremities in Sudanese women. Vasc Health Risk Manag. 2018;14:157–64.
  • Mulia EPB, Firdausi H. The Challenges of Managing Deep Vein Thrombosis in the Elderly: A Narrative Review. IOP Conf Ser Earth Environ Sci. 2020;441(1):012168.
  • Wade R, Paton F, Rice S, Stansby G, Millner P, Flavell H, et al. Thigh length versus knee length antiembolism stockings for the prevention of deep vein thrombosis in postoperative surgical patients; a systematic review and network meta-analysis. BMJ Open. 2016;6(2):e009456.
  • Heit JA. Epidemiology of venous thromboembolism. Nat Rev Cardiol. 2015;12(8):464–74.
  • Wallace G, Judge A, Prieto-Alhambra D, de Vries F, Arden NK, Cooper C. The effect of body mass index on the risk of post-operative complications during the 6 months following total hip replacement ortotal knee replacement surgery. Osteoarthr Cartil. 2014;22(7):918–27.
  • Samama CM, Albaladejo P. Physiopathologie et prévention de la maladie thromboembolique veineuse postopératoire. Sang Thromb Vaiss. 2008;20(3):138–43.
  • Caggiari G, Ciurlia E, Ortu S, Donato A, Pisanu F, Doria C. Efficacy of early low-molecular-weight heparin prophylaxis in elderly patients after degenerative spinal surgery: A brief retrospective review. EuroMediterranean Biomed J. 2019;14(37):158–60.
  • Zhu J, Jiang H, Marshall B, Li J, Tang X. Low-Molecular-Weight Heparin for the Prevention of Venous Thromboembolism in Patients Undergoing Knee Arthroscopic Surgery and Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2019;47(8):1994–2002.
  • Testroote M, Stigter WAH, Janssen L, Janzing HMJ. Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-leg immobilization. Cochrane Database Syst Rev. 2014;(4).
  • Hao C, Sun M, Wang H, Zhang L, Wang W. Low molecular weight heparins and their clinical applications. In: Progress in Molecular Biology and Translational Science. Elsevier B.V.; 2019. p. 21–39.
  • Delgado G, Siekmeier R, Grammer TB, Boehm BO, März W, Kleber ME. Alterations in the coagulation system of active smokers from the Ludwigshafen risk and cardiovascular health (LURIC) study. In: Advances in Experimental Medicine and Biology (Oxidative Stress and Cardiorespiratory Function). 2014. p. 9–14.
  • Cheng YJ, Liu ZH, Yao FJ, Zeng WT, Zheng DD, Dong YG, et al. Current and Former Smoking and Risk for Venous Thromboembolism: A Systematic Review and Meta-Analysis. PLoS Med. 2013;10(9):e1001515.
  • Al-Nasser B. Influence of tobacco smoking on perioperative risk of venous thromboembolism. Turkish J Anaesthesiol Reanim. 2020;48(1):11–6.
  • Sweetland S, Parkin L, Balkwill A, Green J, Reeves G, Beral V, et al. Smoking, surgery, and venous thromboembolism risk in women United Kingdom cohort study. Circulation. 2013;127(12):1276–82.
  • Kiekens C. Should Hospitalized Patients Wear Graduated Compression Stockings for Prevention of Deep Vein Thrombosis?: A Cochrane Review Summary With Commentary. Am J Phys Med Rehabil. 2019;98(11):1041–2.
  • Sachdeva A, Dalton M, Lees T. Graduated compression stockings for prevention of deep vein thrombosis (Cochrane review) [with consumer summary]. Cochrane Database Syst Rev 2014;Issue 12. 2018;
  • Fang M, Noiseux N, Linson E, Cram P. The Effect of Advancing Age on Total Joint Replacement Outcomes. Geriatr Orthop Surg Rehabil. 2015;6(3):173–9.
There are 39 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Çiğdem Kaya 0000-0001-8850-7612

Özlem Bilik 0000-0002-8372-8974

Perihan Solmaz 0000-0002-4659-6845

Project Number Yok
Publication Date January 31, 2023
Submission Date March 21, 2022
Published in Issue Year 2023 Volume: 7 Issue: 1

Cite

APA Kaya, Ç., Bilik, Ö., & Solmaz, P. (2023). Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic. Journal of Basic and Clinical Health Sciences, 7(1), 235-244. https://doi.org/10.30621/jbachs.1091375
AMA Kaya Ç, Bilik Ö, Solmaz P. Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic. JBACHS. January 2023;7(1):235-244. doi:10.30621/jbachs.1091375
Chicago Kaya, Çiğdem, Özlem Bilik, and Perihan Solmaz. “Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic”. Journal of Basic and Clinical Health Sciences 7, no. 1 (January 2023): 235-44. https://doi.org/10.30621/jbachs.1091375.
EndNote Kaya Ç, Bilik Ö, Solmaz P (January 1, 2023) Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic. Journal of Basic and Clinical Health Sciences 7 1 235–244.
IEEE Ç. Kaya, Ö. Bilik, and P. Solmaz, “Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic”, JBACHS, vol. 7, no. 1, pp. 235–244, 2023, doi: 10.30621/jbachs.1091375.
ISNAD Kaya, Çiğdem et al. “Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic”. Journal of Basic and Clinical Health Sciences 7/1 (January 2023), 235-244. https://doi.org/10.30621/jbachs.1091375.
JAMA Kaya Ç, Bilik Ö, Solmaz P. Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic. JBACHS. 2023;7:235–244.
MLA Kaya, Çiğdem et al. “Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic”. Journal of Basic and Clinical Health Sciences, vol. 7, no. 1, 2023, pp. 235-44, doi:10.30621/jbachs.1091375.
Vancouver Kaya Ç, Bilik Ö, Solmaz P. Determination of Deep Vein Thrombosis Risk in Patients Staying in an Orthopedics and Traumatology Clinic. JBACHS. 2023;7(1):235-44.
 Download Cover Image