Risk factors analysis for preoperative deep venous thrombosis in patients with intertrochanteric femoral fractures
10.3969/j.issn.1673-9701.2025.32.001
- VernacularTitle:股骨转子间骨折术前下肢深静脉血栓形成的危险因素分析
- Author:
Guosong LIU
1
;
Sen ZHANG
1
;
Ziyin ZHU
1
;
Changzheng YAN
1
;
Tongliang XIE
1
;
Jiang DENG
1
Author Information
1. 遵义医科大学第三附属医院骨科,贵州遵义 563000
- Publication Type:Journal Article
- Keywords:
Intertrochanteric femoral fractures;
Deep venous thrombosis;
Risk factors
- From:
China Modern Doctor
2025;63(32):1-3,16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for preoperative deep venous thrombosis(DVT)in patients with intertrochanteric femoral fractures.Methods A total of 588 patients with intertrochanteric femur fractures treated at the Third Affiliated Hospital of Zunyi Medical University from January 2020 to January 2025 were selected as subjects.Based on preoperative color Doppler ultrasound findings DVT in the lower limbs,patients were divided into DVT group(n=76)and non-DVT group(n=512).Univariate analysis and multivariate Logistic regression were used to identify independent risk factors for preoperative DVT development.Results Compared to non-DVT group,age,time from injury to hospitalization,platelet,white blood cell,neutrophil,platelet-to-lymphocyte ratio,mean platelet-to-lymphocyte ratio,systemic immune inflammatory index,neutrophil-to-lymphocyte ratio,and systemic inflammatory response index(SIRI)were significantly higher in DVT group,while the lymphocyte-to-monocyte ratio and albumin levels were significantly lower in the DVT group(P＜0.05).Multivariate Logistic regression analysis revealed that age,platelet,time from injury to hospitalization,and SIRI were independent risk factors for preoperative DVT in patients with intertrochanteric femoral fractures.Conclusion In clinical practice,clinicians should pay close attention to age,time from injury to hospitalization,platelet,and SIRI factors to better prevent DVT formation.
