Scholarlink

<p>Deep vein thrombosis (DVT) is an important complication after lower-extremity trauma, but evidence in surgically treated open patellar fractures is limited. We retrospectively studied consecutive patients with open patellar fractures who underwent surgery at two level I trauma centers between November 2013 and January 2023. The primary outcome was detected in-hospital DVT within the inpatient ultrasound surveillance pathway. Univariable logistic regression was followed by a prespecified multivariable model including age, multiple fractures, time from injury to surgery, ASA ≥ III, sodium, prognostic nutritional index, and D-dimer. Among 373 patients, 172 had detected in-hospital DVT (46.1%), most of which were distal events. The primary multivariable model included 325 complete cases and 153 DVT events. Older age (OR 1.047, 95% CI 1.028–1.066), multiple fractures (OR 3.557, 95% CI 1.937–6.531), and longer time from injury to surgery (OR 1.089, 95% CI 1.038–1.142) were independently associated with DVT. These findings support early risk awareness during hospitalization and should be interpreted within the context of routine inpatient ultrasound surveillance.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

In-hospital detection of deep vein thrombosis after surgical treatment of open patellar fractures

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月7日

查看全文
  • Zihang Zhao,
  • Shuo Yang,
  • Liang Guo,
  • Yousheng Zhang,
  • Changmao Qiu,
  • Ming Zhao,
  • Yubin Long,
  • Fei Wang,
  • Zhuoyi Li,
  • Ruipeng Zhang,
  • Zhiyong Hou

摘要

Deep vein thrombosis (DVT) is an important complication after lower-extremity trauma, but evidence in surgically treated open patellar fractures is limited. We retrospectively studied consecutive patients with open patellar fractures who underwent surgery at two level I trauma centers between November 2013 and January 2023. The primary outcome was detected in-hospital DVT within the inpatient ultrasound surveillance pathway. Univariable logistic regression was followed by a prespecified multivariable model including age, multiple fractures, time from injury to surgery, ASA ≥ III, sodium, prognostic nutritional index, and D-dimer. Among 373 patients, 172 had detected in-hospital DVT (46.1%), most of which were distal events. The primary multivariable model included 325 complete cases and 153 DVT events. Older age (OR 1.047, 95% CI 1.028–1.066), multiple fractures (OR 3.557, 95% CI 1.937–6.531), and longer time from injury to surgery (OR 1.089, 95% CI 1.038–1.142) were independently associated with DVT. These findings support early risk awareness during hospitalization and should be interpreted within the context of routine inpatient ultrasound surveillance.