ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
The incidence of symptomatic in-hospital VTEs in Asian patients undergoing joint arthroplasty was low: a prospective, multicenter, 17,660-patient-enrolled cohort study.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Risk factors for venous thrombosis after hip arthroplasty: a meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Efficacy of Atorvastatin Against Venous Thromboembolism After Total Hip Arthroplasty.Journal of musculoskeletal & neuronal interactions · 2025Trial
- Effect of different application duration of a venous foot pump on prevention of venous thromboembolism after hip and knee arthroplasty: a multicenter prospective clinical trial.BMC musculoskeletal disorders · 2023Trial
- Efficacy and safety of rivaroxaban versus low-molecular-weight heparin for the prevention of symptomatic in-hospital venous thrombosis following primary total hip and knee arthroplasty: a large-sample, multicenter, retrospective study.BMC musculoskeletal disorders · 2026Observational
- Frequency of deep vein thrombosis in patients undergoing total knee replacement using pneumatic tourniquet.Pakistan journal of medical sciences · 2026Article
- Impact of graded compression stockings on deep vein thrombosis incidence after fast-track total knee arthroplasty: a retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Article
- The effects of ambient particulate matter air pollution on platelets and hemostasis.Frontiers in public health · 2024Article
- Pulmonary Embolism Post-Femoral Neck Fracture Surgery: A Critical Predictor of Five-Year Mortality.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Combination of enoxaparin and low-dose aspirin for thromboprophylaxis in selective patients after primary total joint arthroplasty in a Taiwanese population.Journal of the Chinese Medical Association : JCMA · 2023Article
- Robotic-assisted total knee arthroplasty is not associated with increased risk of postoperative deep vein thrombosis.Journal of experimental orthopaedics · 2023Article
- Incidence and Distribution of Deep Vein Thrombosis Following Total Hip Arthroplasty Using an Anterolateral Supine Approach.Orthopedic research and reviews · 2023Article
- No difference in the incidence or location of deep venous thrombosis according to use of pharmacological prophylaxis following total knee arthroplasty.BMC musculoskeletal disorders · 2021Article
- Satisfactory long-term survival, functional and radiological outcomes of open-wedge high tibial osteotomy for managing knee osteoarthritis: Minimum 10-year follow-up study.Journal of orthopaedic translation · 2021Article
- Outstanding research paper awards of the Journal of the Chinese Medical Association in 2019.Journal of the Chinese Medical Association : JCMA · 2020Article
- An Update on Venous Thromboembolism Rates and Prophylaxis in Hip and Knee Arthroplasty in 2020.Medicina (Kaunas, Lithuania) · 2020Review
- Risk factor for venous thromboembolism after high tibial osteotomy -analysis of patient demographics, medical comorbidities, operative valuables, and clinical results.Journal of orthopaedicsArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
purposeThe aim of this study was to determine the real incidence of symptomatic in-hospital venous thromboembolism (VTE) and identify risk factors for VTEs in Asian patients undergoing total hip (THA) and total knee arthroplasty (TKA).
methodsA total of 17,660 patients (20,078 hips and knees) undergoing THA and TKA at 78 hospitals were enrolled. The composite incidence of symptomatic in-hospital DVT and PE was identified as the primary effectiveness outcomes. The primary safety outcomes were the incidences of postoperative complications, especially for major or minor bleeding. Secondary analyses were assessed to identify the risk factors for postoperative VTE.
resultsThe overall rates of symptomatic in-hospital DVT in patients undergoing THA and TKA were 0.21% (19/9022) and 0.36% (31/8638), respectively. Symptomatic PE was confirmed in one TKA patient. Safety analysis showed that the incidence of bleeding during hospital stays in patients undergoing THA and TKA was 0.10% (18/17,660). Increased VTE risks were associated with old age, high BMI index, hypertension, cerebrovascular disease, history of venous thromboembolism and no medical prophylaxis usage.
conclusionsThe incidence of symptomatic VTEs in Asian regions was low compared with that reported in studies targeting Western populations. Approximately 1 in 500 patients undergoing THA and approximately 1 in 300 patients undergoing TKA developed symptomatic VTEs prior to hospital discharge. Old age, high BMI, history of venous thromboembolism, hypertension, cerebrovascular disease, and no medication prophylaxis were risk factors identified in this study. LEVEL OF EVIDENCE: Prospective cohort study; Level 2.
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