ArticleActa orthopaedica2009
Symptomatic venous thromboembolism following a hip fracture.
Article in Acta orthopaedica, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Prevalence and risk factors of symptomatic venous thromboembolism in distal femur fractures.Singapore medical journal · 2026Article
- Platelet count, fibrinogen and ROTEM® parameters predict deep vein thrombosis in elderly patients with femoral fracture.Journal of anesthesia, analgesia and critical care · 2026Article
- Extracapsular hip fractures are more prone to perioperative thrombosis than intracapsular hip fractures in elderly patients undergoing arthroplasty for hip fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Early Deep Venous Thrombosis After Hip Fracture Surgery in Patients in Pharmacological Prophylaxis.Journal of clinical medicine · 2025Article
- Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery.JAMA network open · 2024Article
- Dynamic observation and risk factors analysis of deep vein thrombosis after hip fracture.PloS one · 2024Article
- Pulmonary Embolism Post-Femoral Neck Fracture Surgery: A Critical Predictor of Five-Year Mortality.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- The Procoagulant Effect of COVID-19 on the Thrombotic Risk of Patients with Hip Fractures Due to Enhanced Clot Strength and Fibrinolysis Shutdown.Journal of clinical medicine · 2021Article
- Hip fracture and mortality: study of specific causes of death and risk factors.Archives of osteoporosis · 2021Article
- A Basic Intervention to Improve Compliance With Thromboprophylaxis in Patients With Neck of Femur Fracture.Ochsner journal · 2021Article
- High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Complications following hip fracture: Results from the World Hip Trauma Evaluation cohort study.Injury · 2020Observational
- Direct Oral Anticoagulants in the Prevention of Venous Thromboembolism Following Surgery for Hip Fracture in Older Adults: A Population-Based Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Chronic kidney disease can increase the risk of preoperative deep vein thrombosis in middle-aged and elderly patients with hip fractures.Clinical interventions in aging · 2018Article
- Excess risk of venous thromboembolism in hip fracture patients and the prognostic impact of comorbidity.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- Usefulness of clinical predictors for preoperative screening of deep vein thrombosis in hip fractures.BMC musculoskeletal disorders · 2017Observational
- Rivaroxaban for venous thromboembolism prevention after major orthopedic surgery: translating trial data into routine clinical practice.Orthopedic research and reviews · 2017Review
- Changes in the incidence, case fatality rate, and characteristics of symptomatic perioperative pulmonary thromboembolism in Japan: Results of the 2002-2011 Japanese Society of Anesthesiologists Perioperative Pulmonary Thromboembolism (JSA-PTE) Study.Journal of anesthesia · 2015Article
- A Guide to Improving the Care of Patients with Fragility Fractures, Edition 2.Geriatric orthopaedic surgery & rehabilitation · 2015Article
- A cohort study on the incidence and outcome of pulmonary embolism in trauma and orthopedic patients.BMC medicine · 2014Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
background and purposeVenous thromboembolism (VTE) remains a substantial cause of morbidity and mortality following hip fracture. Previous work has not identified any risk factors associated with the type of hip fracture. We report the incidence of and risk factors for development of symptomatic VTE in patients following a hip fracture. PATIENTS AND
methodsIn this prospective study, we collected information on 5,300 consecutive patients who were admitted to a single unit with a hip fracture-in terms of their pre-admission status, details of any operation performed, and details of complications in the form of symptomatic venous thromboembolism. All patients received thromboprophylaxis with heparin.
resultsThe incidence of symptomatic VTE was 2.2% (95% CI: 1.8-2.6). 85% of these events occurred within 5 weeks of the fracture. The statistically significant risk factors for symptomatic VTE were better preoperative mobility, living in one's own home, high mental test score, high preoperative hemoglobin, inter-trochanteric fractures, and fixation with a dynamic hip screw. In multivariate analysis adjusting for sex and age, type of residence on admission, type of fracture, and hemoglobin values on admission remained independently significant.
interpretationWe found that the rate of symptomatic VTE using thromboprophylaxis with heparin was low but that there were a number of groups that were at a significantly higher risk of developing VTE. The patients who are particularly at risk appear to be those with a subtrochanteric or intertrochanteric hip fracture; here, the incidence of symptomatic VTE was twice that of intracapsular hip fractures.
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