Risk factors for deep vein thrombosis in lower limbs after total hip arthroplasty in elderly patients
10.3760/cma.j.cn131073-20240926-00203
- VernacularTitle:老年患者全髋关节置换术后下肢深静脉血栓形成的危险因素
- Author:
Hui RONG
1
;
Huijie ZHU
;
Yunfan HOU
;
Han BO
;
Wenwen WANG
;
Zhengliang MA
Author Information
1. 南京大学医学院附属鼓楼医院麻醉科，南京 210008
- Publication Type:Journal Article
- Keywords:
Venous thrombosis;
Arthroplasty, replacement, hip;
Aged;
Risk factors
- From:
Chinese Journal of Anesthesiology
2025;45(2):138-141
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for deep vein thrombosis (DVT) in lower limbs after total hip arthroplasty (THA) in elderly patients.Methods:Medical records of elderly patients, aged ≥ 65 yr, of American Society of Anesthesiologists Physical Status classification Ⅰ-Ⅳ, who underwent unilateral THA from June 2013 to May 2019, were retrospectively collected. Postoperative screening for DVT was performed using Doppler ultrasound, and the patients were divided into non-DVT group and DVT group based on the results. Logistic regression analysis was then employed to identify the risk factors associated with DVT.Results:The results of logistic regression analysis revealed that female, preoperative C-reaction protein concentration>8 mg/L, intraoperative hypotension, and postoperative transfer to intensive care unit were independent risk factors for DVT after THA in elderly patients ( P<0.05). Conclusions:Female, preoperative C-reaction protein concentration>8 mg/L, intraoperative hypotension, and postoperative transfer to intensive care unit are independent risk factors for DVT in lower limbs following THA in elderly patients.
