Evidence map›Paper›PMID 35064283›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Incidence and risk factors of preoperative deep venous thrombosis following hip fracture: a retrospective analysis of 293 consecutive patients.

Si-Ying He, Ping Zhang, Han-Jun Qin, Nan Jiang, Bin Yu

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. 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
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Si-Ying He *Division of Orthopaedics and Traumatology, Department of Orthopaedics, Southern Medical University Nanfang Hospital, Guangzhou, 510515, People's Republic of China.
Ping Zhang *Division of Orthopaedics and Traumatology, Department of Orthopaedics, Southern Medical University Nanfang Hospital, Guangzhou, 510515, People's Republic of China.
Han-Jun QinDivision of Orthopaedics and Traumatology, Department of Orthopaedics, Southern Medical University Nanfang Hospital, Guangzhou, 510515, People's Republic of China.
Nan JiangDivision of Orthopaedics and Traumatology, Department of Orthopaedics, Southern Medical University Nanfang Hospital, Guangzhou, 510515, People's Republic of China. hnxyjn@smu.edu.cn.ORCID http://orcid.org/0000-0003-2416-1653
Bin YuDivision of Orthopaedics and Traumatology, Department of Orthopaedics, Southern Medical University Nanfang Hospital, Guangzhou, 510515, People's Republic of China. smuyubin@163.com.ORCID http://orcid.org/0000-0002-3109-2062

Funding

Southern Medical University Nanfang Hospital President Foundation 2017H004
6 · The paper itself

Abstract

purposeThis study investigated the incidence and risk factors of preoperative deep venous thrombosis (DVT) after an acute hip fracture.

methodsWe searched the electronic medical record system at our hospital for patients who received treatment for femoral neck (FN), intertrochanteric (IT), or subtrochanteric (ST) fractures between January 1, 2016, and December 31, 2020. DVT was diagnosed using venous compression ultrasonography. Univariate and multivariate regression analyses were performed to identify risk factors for preoperative DVT.

resultsOut of 512 consecutively admitted patients with hip fracture, 293 (median age, 77 years; 174 females) were included in the final analysis after application of the exclusion criteria. There were 162 FN, 122 IT, and 9 ST fractures. Preoperative DVT occurred in 58 patients. Patients over 80 years of age had a significantly higher incidence of preoperative DVT than those aged < 65 years (P = 0.014). Preoperative DVT incidence following extracapsular fracture was significantly higher than that after intracapsular fracture (27.5% versus 13.6%, P = 0.003). Multivariate regression analysis revealed that advanced age (odds ratio [OR] 1.027, P = 0.026) and extracapsular fracture (OR = 2.149, P = 0.013) were associated with a significantly higher risk of preoperative DVT development. While the serum D-dimer level was abnormally elevated in 99% of the patients, this was not a significant factor in the final multivariate analysis (P = 0.562).

conclusionThe incidence of preoperative DVT after acute hip fracture in this Chinese cohort was approximately 20%. Increased age and extracapsular fracture were independent risk factors for preoperative DVT following acute hip fracture.

Indexed as

Hip FracturesVenous ThrombosisAgedAged, 80 and overFemaleHumansIncidenceRetrospective StudiesRisk FactorsDeep venous thrombosisExtracapsular fractureHip fracturesRetrospective studyRisk factor

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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.