Risk factors analysis of hip fractures combined with lower limb venous thromboembolism
10.3760/cma.j.issn.1672-7088.2017.34.008
- VernacularTitle:髋部骨折并发下肢静脉血栓栓塞症的高危因素分析
- Author:
Wenhui LIU
1
;
Lianying JIANG
;
Xiaowei JIANG
Author Information
1. 450052,郑州大学第一附属医院综合ICU
- Keywords:
Hip;
Fracture;
Venous thromboembolism;
Risk factors
- From:
Chinese Journal of Practical Nursing
2017;33(34):2673-2676
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors for lower limb venous thromboembolism of patients undergoing hip fractures operation, reduce the incidence of VTE, improve the prognosis of patients. Methods From February 2016 to February 2017, 508 patients with hip fractures were involved in the study from Sino Japanese Union Hospital of Jilin University. The patients were divided into VTE group and VTE-free group. The data were analyzed concerning general clinical information, combined with other systemic diseases, smoking, operation-time, duration from injury to operation, fracture type, anesthetic techniques and so on. The risk factors of VTE were determined using Logistic regression analysis. Results The overall incidence of VTE in this cohort was 25.4％ (129/508). Multi-factor Logistic regression analysis revealed the following risks related to VTE:age 40-59 years(OR 25.986,95％CI 4.552-148.342)and age over 60 years (OR 66.672,95％CI 11.458-387.967 ), concomitant disease (OR 0.228,95％CI 0.105-0.495 ), smoking (OR 3.070, 95％CI 1.647-5.722 ), non-usage of prophylactic anticoagulants(OR 0.069, 95％CI 0.030-0.159), duration from injury to operation≥3 days(OR 9.966,95％CI 4.791-20.733). Conclusions Age, presence of concomitant disease, smoking, non-usage of prophylactic anticoagulants, duration from injury to operation are the risk factors for VTE in patients with hip fracture.
