Evidence map›Paper›PMID 39363517›Full record

ArticleSingapore medical journal2026

Prevalence and risk factors of symptomatic venous thromboembolism in distal femur fractures.

Wei Mao, Joel Xue Yi Lim, Jiong Hao Tan, Shi-Min Chang, Choon Chiet Hong

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Article in Singapore medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Wei MaoDepartment of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China.ORCID 0000-0003-3610-9780
Joel Xue Yi LimDepartment of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore.
Jiong Hao TanDepartment of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore.
Shi-Min ChangDepartment of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China.ORCID 0000-0001-7186-5851
Choon Chiet HongDepartment of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore.ORCID 0000-0002-0309-8096

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a paucity of published research on symptomatic venous thromboembolism (sVTE) after distal femur fractures (DFFs). This study aimed to explore the prevalence and risk factors of sVTE in DFFs.

methodsWe identified a total of 131 patients who underwent DFF surgeries without routine pharmacological thromboprophylaxis between October 2007 and November 2016. Cases of sVTE included symptomatic pulmonary embolism (sPE) and symptomatic deep vein thrombosis (sDVT). Patients with sVTE were compared to those without, and differences in demographics and fracture-related characteristics were explored. Multivariate logistic regression was used to eliminate confounding factors.

resultsOf the 131 patients, 20 (15.3%) had sVTE, of whom 16 (12.2%) had sDVT and six (4.6%) had sPE (two patients had both sPE and sDVT). Notably, 17 (85.0%) sVTE patients were aged ≥60 years, while only 62 (55.9%) non-sVTE patients were aged ≥60 years ( P = 0.014). Fourteen (82.4%) patients with sVTE had body mass index (BMI) ≥25 kg/m 2 , while 49 (53.3%) patients without sVTE had BMI ≥25 kg/m 2 ( P = 0.032). Multivariate logistic regression demonstrated that age ≥60 years (adjusted odds ratio [OR] 5.05; P = 0.040) and BMI ≥25 kg/m 2 (adjusted OR 3.92; P = 0.045) were independently associated with a higher risk of sVTE after DFF.

conclusionThe prevalence of sVTE in DFFs is high at 15.3%. Advanced age (≥60 years) and being overweight (BMI ≥25 kg/m 2 ) were two independent risk factors for sVTE in DFFs. The use of routine pharmacological thromboprophylaxis should be considered as a preventative measure.

Indexed as

Femoral FracturesFemoral Fractures, DistalVenous ThromboembolismAdultAgedAged, 80 and overAge FactorsBody Mass IndexFemaleHumansLogistic ModelsMaleMiddle AgedPrevalencePulmonary EmbolismRetrospective StudiesDeep vein thrombosisdistal femur fracturepulmonary embolismsymptomatic venous thromboembolismthromboprophylaxis

Identifiers

PMID39363517
PMCPMC13405460

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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.