ArticleClinical orthopaedics and related research2011
Deep venous thrombosis and pulmonary embolism are uncommon in East Asian patients after total hip arthroplasty.
Article in Clinical orthopaedics and related research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Gender differences of venous thromboembolism risk after total hip and total knee arthroplasty: a meta-analysis.Journal of thrombosis and thrombolysis · 2016Pooled it
- Analysis of the Reasons for Transferring Patients from Orthopedic Specialty Hospitals to Tertiary Hospitals After Surgery.Journal of clinical medicine · 2025Article
- Incidence of Venous Thromboembolism after Primary Total Hip Arthroplasty with Mechanical Prophylaxis in Hong Kong Chinese.Hip & pelvis · 2024Article
- Is the May-Thurner Syndrome a Major Risk Factor for Deep Vein Thrombosis in Total Hip Arthroplasty?Clinics in orthopedic surgery · 2024Article
- Disease activity as a risk factor for venous thromboembolism in rheumatoid arthritis analysed using time-averaged DAS28CRP: a nested case-control study.Rheumatology international · 2022Article
- Lower Activity and Function Scores Are Associated with a Higher Risk of Preoperative Deep Venous Thrombosis in Patients Undergoing Total Hip Arthroplasty.Journal of clinical medicine · 2020Article
- Preoperative Iron Supplementation and Restrictive Transfusion Strategy in Hip Fracture Surgery.Clinics in orthopedic surgery · 2019Article
- CORR Insights®: Postoperative Thromboprophylaxis With New Oral Anticoagulants is Superior to LMWH in Hip Arthroplasty Surgery: Findings from the Swedish Registry.Clinical orthopaedics and related research · 2019Article
- The incidence of symptomatic in-hospital VTEs in Asian patients undergoing joint arthroplasty was low: a prospective, multicenter, 17,660-patient-enrolled cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Article
- Venous thromboembolism after total knee and hip arthroplasty. A retrospective study.Saudi medical journal · 2018Article
- Intermittent Pneumatic Compression for the Prevention of Venous Thromboembolism after Total Hip Arthroplasty.Clinics in orthopedic surgery · 2017Article
- Lower Urinary Tract Infection and Periprosthetic Joint Infection after Elective Primary Total Hip Arthroplasty.Hip & pelvis · 2017Article
- Preventing Venous Thromboembolism with Use of Intermittent Pneumatic Compression after Total Hip Arthroplasty in Korean Patients.Journal of Korean medical science · 2016Article
- Incidence of venous thromboembolism and hemorrhage related safety studies of preoperative anticoagulation therapy in hip fracture patients undergoing surgical treatment: a case-control study.BMC musculoskeletal disorders · 2016Observational
- Incidence of Venous Thromboembolism in Patients Undergoing Major Hip Surgeries at a Single Institution: A Prospective Study.The open orthopaedics journal · 2016Article
- Venous Thromboembolism Following Hip and Knee Replacement Arthroplasty in Korea: A Nationwide Study Based on Claims Registry.Journal of Korean medical science · 2016Article
- Does venous thromboembolism affect rehabilitation after hip fracture surgery?Yonsei medical journal · 2013Observational
- Incidence of deep vein thrombosis and pulmonary embolism in Asian patients after direct anterior total hip arthroplasty.Journal of orthopaedicsArticle
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5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Western countries, deep vein thrombosis (DVT) and pulmonary embolism (PE), are relatively common after THA and many surgeons recommend routine pharmacologic thromboprophylaxis. There is some suggestion in the literature that the incidences of DVT and PE may be lower in East Asian patients. Therefore, it would be important to establish the incidences in a large number of East Asian patients who did not receive pharmacologic thromboprophylaxis. PURPOSE: We therefore determined the incidence of DVT and PE and evaluated the associated risk factors in a series of East Asian patients who underwent primary THA without pharmacologic prophylaxis.
methodsWe retrospectively evaluated all 861 patients who underwent 992 elective primary THAs from May 2003 to December 2009. We identified patients with symptomatic DVT, symptomatic PE, and fatal PE. For potential risk factors we considered age, gender, body mass index (BMI), administration of aspirin, type of anesthesia, operation time, approach, simultaneous bilateral THAs, and duration of immobilization between symptomatic and asymptomatic patients.
resultsWe identified eight patients with symptomatic DVT, one of whom also had a symptomatic PE; there were no cases of fatal PE. The incidences of fatal PE, symptomatic PE, and symptomatic DVT were 0 %, 0.1 %, and 0.8 %, respectively. Longer duration of immobilization predicted symptomatic DVT or PE.
conclusionsEast Asian patients have a low incidence of symptomatic DVT and PE and virtually no fatal PEs after primary THA. The incidences and risk factors should be taken into consideration when deciding whether to prophylactically treat these patients with pharmacologic agents. LEVEL OF EVIDENCE: Level IV, prognostic study. See the Guidelines for Authors for a complete description of levels of evidence.
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