Evidence map›Paper›PMID 37641109›Full record

ArticleJournal of orthopaedic surgery and research2023

Delayed surgery after hip fracture affects the incidence of venous thromboembolism.

Takuya Taoka, Takao Ohmori, Tomoko Kanazawa, Kazukiyo Toda, Takeshi Ishihara, Yasuo Ito

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Risk Prediction Models for Preoperative Deep Vein Thrombosis in Older Patients with Hip Fracture: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  2. Calf Muscle Vein Thrombosis After Hip and Lower-Limb Fracture Surgery: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  3. Risk Factors and Causes of Delayed Hip Fracture Surgery in Elderly Patients: Findings from a Hip Fracture Fast-Track Surgery Program.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
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  15. Injury-Admission Time is an Independent Risk Factor for Deep Vein Thrombosis in Older Patients with Osteoporotic Hip Fracture.Medical science monitor : international medical journal of experimental and clinical research · 2024
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  18. Perioperative Deep Vein Thrombosis in Elderly Patients with Lower Extremity Fracture: A Comprehensive Review of Anesthetic Management Strategies.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
  19. Preoperative Venous Thromboembolism in Elderly Patients with Hip Fractures: Independent Risk Factors and Interactions Between D-Dimer and Clinical Variables.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

6 authors.

Takuya TaokaDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan. taokatakuya@gmail.com.ORCID http://orcid.org/0000-0002-2907-9571
Takao OhmoriDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan.
Tomoko KanazawaDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan.
Kazukiyo TodaDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan.
Takeshi IshiharaDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan.
Yasuo ItoDepartment of Orthopaedic Surgery, Kobe Red Cross Hospital, Kobe City, Hyogo, 651-0073, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenous thromboembolism (VTE) is one of the most common complications of hip fracture surgeries, and it is unclear whether delayed surgery affects the incidence of VTE. This study aimed to examine the association between delayed surgery and VTE incidence by statistically adjusting for factors that may influence VTE incidence.

methodsWe included 862 patients ≥ 65 years with hip fractures who underwent surgery between October 2010 and December 2020. We examined the effect of surgical delay 48 h after injury on postoperative VTE. Patients with and without VTE were assigned to groups V and NV, respectively. Those with and without proximal deep venous thrombosis (DVT) were assigned to PD and NPD groups, respectively. Univariate analysis was performed to identify factors that might influence DVT development. Risk factors for developing VTE and proximal DVT were analyzed using logistic regression analysis to determine whether delayed surgery was a risk factor.

resultsVTE was observed in 436 patients (40%) and proximal DVT in 48 patients (5.6%). Univariate analysis showed significant differences in the time from trauma to surgery between the V and NV groups and between the PD and NPD groups. In multivariate analysis, surgery 48 h later was also a risk factor for developing VTE and proximal DVT.

conclusionA delay in surgery beyond 48 h after a hip fracture injury is a risk factor for developing VTE and proximal DVT.

Indexed as

Hip FracturesHip InjuriesVenous ThromboembolismHumansIncidenceMultivariate AnalysisDeep venous thrombosisHip fracturePulmonary embolismTraumaVenous thromboembolism

Identifiers

PMID37641109
PMCPMC10463883

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LicenceCC BY
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Registered trials

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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.