ArticleThe Journal of the American Academy of Orthopaedic Surgeons2016
Complications and 30-day Outcomes Associated With Venous Thromboembolism in the Pediatric Orthopaedic Surgical Population.
Article in The Journal of the American Academy of Orthopaedic Surgeons, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 40 citations in OpenAlex.
- Article
- Risk factors for venous thromboembolism after primary total joint arthroplasty: An analysis of 7511 Taiwanese patients.Journal of the Chinese Medical Association : JCMA · 2024Article
- Venous thromboembolism in orthopedic surgery: Global guidelines.Acta orthopaedica et traumatologica turcica · 2023Review
- Deep Vein Thrombosis after a Supracondylar Fracture of the Humerus in a Child - A Rare Complication.Revista brasileira de ortopedia · 2023Article
- Article
- Incidence of Readmission Following Pediatric Hand Surgery: An Analysis of 6600 Patients.Eplasty · 2022Article
- Perioperative thromboembolism prophylaxis in children - is it necessary?Anaesthesiology intensive therapy · 2020Review
- Venous thromboembolism in children undergoing surgery: incidence, risk factors and related adverse events.World journal of pediatric surgery · 2020Article
- Venous thromboembolism following inpatient pediatric surgery: Analysis of 153,220 patients.Journal of pediatric surgery · 2019Article
- Article
- Pediatric Orthopaedic Venous Thromboembolism: A Systematic Review Investigating Incidence, Risk Factors, and Outcome.JB & JS open accessArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionThe risk of morbidity associated with venous thromboembolism (VTE) after pediatric orthopaedic surgery remains unclear despite increased use of thromboprophylaxis measures.
methodsThe American College of Surgeons National Surgical Quality Improvement Program, Pediatric database was queried for patients undergoing an orthopaedic surgical procedure between 2012 and 2013. Upper extremity and skin/subcutaneous surgeries were excluded. Associations between VTE and procedure, demographics, comorbidities, preoperative laboratory values, and 30-day postoperative outcomes were evaluated.
resultsOf 14,776 cases, 15 patients (0.10%) experienced postoperative VTE. Deep vein thrombosis (DVT) occurred in 13 patients (0.09%), and pulmonary embolism developed in 2 patients (0.01%). The procedure with the highest VTE rate was surgery for infection (1.2%). Patient factors associated with the development of VTE included hyponatremia (P = 0.003), abnormal partial thromboplastin time (P = 0.046), elevated aspartate transaminase level (P = 0.004), and gastrointestinal (P = 0.011), renal (P = 0.016), and hematologic (P = 0.019) disorders. Nearly half (46.2%) of DVTs occurred postdischarge. Complications associated with VTE included prolonged hospitalization (P < 0.001), pneumonia (P < 0.001), unplanned intubation (P = 0.003), urinary tract infection (P = 0.003), and central line-associated bloodstream infection (P < 0.001). Most of the postoperative complications (66.7%) occurred before VTE diagnosis, and no patients with VTE died.
conclusionIn the absence of specified risk factors, thromboprophylaxis may be unnecessary for this population.
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