Meta-analysis of perioperative risk factors for deep vein thrombosis in aged patients with hip fractures
10.3760/cma.j.cn115682-20240415-02055
- VernacularTitle:老年髋部骨折患者围手术期深静脉血栓危险因素的Meta分析
- Author:
Xin REN
1
;
Jiayu ZHANG
;
Xi CHEN
;
Meixia ZHANG
Author Information
1. 空军军医大学第一附属医院（西京医院）护理处，西安 710032
- Keywords:
Aged;
Deep vein thrombosis;
Hip fracture;
Risk factor;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2024;30(25):3465-3474
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the perioperative risk factors for deep vein thrombosis (DVT) in aged patients with hip fractures.Methods:A comprehensive search was conducted in CNKI, VIP, Wanfang, PubMed, Web of Science, Cochrane Library, and Embase for studies on DVT risk factors in aged patients with hip fractures. The search timeframe was from January 1, 2000, to January 31, 2023.Results:A total of 55 studies were included, comprising 41 case-control studies and 14 cohort studies. Meta-analysis results showed that age, female, body mass index, hypertension, hyperlipidemia, diabetes, pulmonary disease, cerebrovascular disease, smoking history, thrombosis history, combined anesthesia, intraoperative bleeding, intraoperative blood transfusion, hemoglobin, albumin, activated partial thromboplastin time, D-dimer, fibrinogen, intertrochanteric fractures, high-energy injury, prolonged bed rest, time from injury to admission, and time from injury to surgery were risk factors for DVT in aged hip fracture patients ( P<0.05) ; the use of anticoagulants was found to be a protective factor ( P<0.05) . Conclusions:The occurrence of DVT in aged hip fracture patients is influenced by multiple factors. Nursing staff should enhance the assessment and screening for DVT and take measures to minimize its incidence in this patient population.
