Evidence map›Paper›PMID 37468644›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Timing of venous thromboemboli in patients with acetabular and pelvic ring fractures.

Joseph Dynako, Martin McCandless, Richard Covington, Paul Williams, Michael Robertson, Parker White, Joshua Milby, John Morellato

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Venous thromboembolism in patients with traumatic pelvic and acetabular fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  2. Review
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

8 authors.

Joseph DynakoUniversity of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA.
Martin McCandlessUniversity of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA.
Richard CovingtonUniversity of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA.
Paul WilliamsOschner Lafayette General Orthopedic Center, 4212 W Congress St. Ste. 3100, Lafayette, LA, 70506, USA.
Michael RobertsonOrthoindy, 13430 N. Meridian St. Ste. 367, Carmel, IN, 46032, USA.
Parker WhiteUniversity of South Alabama, 1601 Center St., Mobile, AL, 36604, USA.
Joshua MilbyCox Medical Center South, 3801 S National Ave., Springfield, MO, 65807, USA.
John MorellatoUniversity of Mississippi Medical Center, 2500 N State Street, Jackson, MS, 39216, USA. jmorellato@umc.edu.ORCID http://orcid.org/0000-0002-2329-9573

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the timing of symptomatic venous thromboemboli (VTE) in patients sustaining a pelvic and/or acetabular fracture. Secondly, to evaluate for any factors that may influence this timing.

methodsA retrospective cohort of 47 patients with acetabular and/or pelvic ring injuries who developed VTEs at a single academic level I trauma center were identified from 2012 to 2018. The chronology of VTE diagnosis in relation to date of injury, initial surgery, final surgery, and date of discharge was evaluated. Patients who developed VTEs were then evaluated based on known risk factors for VTE to determine if any of these affected timing.

resultsSymptomatic VTEs were diagnosed in 3.8% of patients with pelvic and/or acetabular fractures. In patients who developed a thromboembolism, diagnosis occurred on average 21.5 (± 19.2), 20.7 (± 19.9), 9.8 (± 23.4), and 4.3 (± 27.6) days after injury, index procedure, final procedure, and date of discharge. 25% of patients developed VTE more than 4 weeks after their initial injury. No known risk factors effected the timing of VTE.

conclusionThe 2015 OTA expert panel recommends 4 weeks of anticoagulation for orthopedic trauma patients at high risk of VTE, which may be too short a duration. In our cohort, 25% of VTEs occurred greater than 4 weeks after injury. Additional research is needed to clarify the exact duration of anticoagulation after pelvic and acetabular fractures; however, surgeons may want to consider anticoagulating patients for greater than 4 weeks. LEVEL OF EVIDENCE: Level III-retrospective cohort.

Indexed as

AcetabulumFractures, BonePelvic BonesVenous ThromboembolismAdultAgedAnticoagulantsFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsAnticoagulantsAcetabulum fracturePelvic ringTimingVenous thromboembolism

Identifiers

PMID37468644

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.