Prevalence and risk factors of lower limb deep vein thrombosis after hip replacement in middle-aged and elderly patients
10.3760/cma.j.cn121382-20220116-00405
- VernacularTitle:中老年髋关节置换术后下肢深静脉血栓发生情况及其危险因素分析
- Author:
Changyun QI
1
;
Ying MA
Author Information
1. 天津市人民医院综合骨科，天津 300121
- Keywords:
Hip replacement;
Lower limb deep vein thrombosis;
Risk factors
- From:
International Journal of Biomedical Engineering
2022;45(4):312-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the incidence of lower extremity deep vein thrombosis (DVT) after hip replacement surgery in middle-aged and elderly patients and to explore the risk factors.Methods:A total of 121 middle-aged and elderly patients who underwent hip replacement in the Tianjin People's Hospital from January 1, 2018 to December 31, 2020 were collected for analysis. The basic characteristics of the patients included were statistically described by univariate and multivariate logistic regression analysis.Results:There were 98 male patients and 23 female patients, with an average age of 59.55±9.53 years. 51 patients developed postoperative DVT of the lower limbs, with an incidence of 42.1%. Older age ( OR=1.129, 95% CI=1.013-1.239), body mass index (BMI, kg/m 2) ≥24 ( OR=1.493, 95% CI=1.066-2.314), history of diabetes ( OR=1.293, 95% CI=1.114-2.094), and long postoperative hospital stay ( OR=1.203, 95% CI=1.056-1.377) were risk factors. Conclusions:The risk of lower extremity DVT after hip replacement surgery was higher in middle-aged and elderly patients. In clinical practice, we should pay attention to risk factors and focus on key groups to prevent the occurrence and development of lower extremity DVT.
