Evidence map›Paper›PMID 33810786›Full record

ArticleBMC musculoskeletal disorders2021

Clinical predictors for deep vein thrombosis on admission in patients with intertrochanteric fractures: a retrospective study.

Jixing Fan, Fang Zhou, Xiangyu Xu, Zhishan Zhang, Yun Tian, Hongquan Ji, Yan Guo, Yang Lv, Zhongwei Yang, Guojin Hou

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Prevalence of preoperative deep vein thrombosis in long bone fractures of lower limbs: a systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Pooled it
  2. Risk factors for preoperative deep venous thrombosis in hip fracture patients: a meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022
    Pooled it
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  16. Incidence and Risk Factors of Admission Deep Vein Thrombosis in Patients With Traumatic Fracture: A Multicenter Retrospective Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  17. Association Between Monocyte Count and Preoperative Deep Venous Thrombosis in Older Patients with hip Fracture: A Retrospective Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  18. Low Mean Platelet Volume is Associated with Deep Vein Thrombosis in Older Patients with Hip Fracture.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Jixing FanDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Fang ZhouDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China. zhouf@bjmu.edu.cn.
Xiangyu XuDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Zhishan ZhangDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Yun TianDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Hongquan JiDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Yan GuoDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Yang LvDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Zhongwei YangDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Guojin HouDepartment of Orthopedics, Peking University Third Hospital, No. 49, North Garden Rd., Haidian District, Beijing, 100191, China.
Peking University · CNPeking University Third Hospital · CN

Funding

Peking University Third Hospital Y62419-06Science and Technology fund of Winter Olympics 2018YFF0301100
6 · The paper itself

Abstract

backgroundLimited studies were available to investigate the prevalence of deep vein thrombosis (DVT) on admission in elderly patients with intertrochanteric fractures. The aim of present study was to evaluate risk factors and the prevalence of pre-admission DVT in elderly patients with intertrochanteric fractures.

methodsThis retrospective study included 788 elderly patients with intertrochanteric fracture who were eligible for this study from January 1, 2010, to December 31, 2019. Color doppler ultrasonography was performed for DVT detection at admission. All patients' clinical data were collected. Univariate analysis and stepwise backward multivariate logistic regression were used to identify the risk factors contributing to the occurrence of DVT.

resultsThe overall prevalence of pre-admission DVT in patients with intertrochanteric fractures was 20.81% (164 of 788 patients). The mean time from injury to admission was 2.1 days in the total population, 2.96 and 1.87 days in patients with and without DVT. Univariate analysis showed that significantly elevated risk of DVT were found in patients with longer time from injury to admission, high energy injury, lower Hb value, higher BMI, diabetes, chronic obstructive pulmonary disease (COPD), atrial fibrillation, dementia, varicose veins, higher age-adjusted CCI, higher ASA class and A3 type intertrochanteric fractures (P < 0.05). The adjusted multivariate logistic regression analysis demonstrated that longer time from injury to admission, high energy trauma, COPD, lower Hb, diabetes and A3 type intertrochanteric fractures were independent risk factors of pre-admission DVT.

conclusionsA high prevalence of pre-admission DVT was found in elderly Chinese patients with intertrochanteric fractures. Therefore, surgeons should be aware of the high prevalence of DVT for elderly patients with intertrochanteric fractures in order to prevent intraoperative and postoperative PE and other lethal complications.

Indexed as

Hip FracturesVenous ThrombosisAgedHumansPrevalenceRetrospective StudiesRisk FactorsAdmissionDeep vein thrombosisElderlyIntertrochanteric fractureRisk factors

Identifiers

PMID33810786
PMCPMC8019175
OpenAlexW3117025576

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.