The Incidence of Pulmonary Embolism and Deep Vein Thrombosis After Knee Arthroplasty in Asians Remains Low: A Meta-analysis

Lee, Woo Suk; Kim, Kang‐Il; Lee, Han-Jun; Kyung, Hee-Soo; Seo, Seung-Suk

doi:10.1007/s11999-012-2758-9

Cited by 88 publications

(104 citation statements)

References 38 publications

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“…There were several cases with subsegmental atelectasis; however, no case with clinically significant atelectasis (lobar or whole lung atelectasis evidenced on a chest radiograph or requiring bronchoscopic toileting) was observed. In addition, we did not encounter any case of pulmonary embolism, which is not an unusual finding because the incidence of postoperative pulmonary embolism in Asian countries is far lower than in Western countries [13]. …”

Section: Resultsmentioning

confidence: 99%

Postoperative Pulmonary Complications after Surgery in Patients with Interstitial Lung Disease

et al. 2014

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Background: Patients with interstitial lung disease (ILD) have a high incidence of postoperative pulmonary complications (PPCs) after lung resection, but there is little data about these complications in ILD after other types of surgery. Objectives: The aim of this study was to examine the characteristics and predictors of PPCs after major surgery in patients with ILD. Methods: We included 336 patients with ILD who underwent major surgery between January 2005 and December 2010 at two tertiary hospitals in Korea. All types of surgery that had been performed under general anesthesia were included. Demographic characteristics, preoperative lung function, and operative conditions including anesthesia time and estimated blood loss were compared between patients with and without PPCs. Results: PPCs occurred in 37 patients (11%). Thirteen patients developed pneumonia, the most common PPC, and 11 had acute exacerbation of ILD. In multivariable analysis, BMI <23 (OR = 2.488, 95% CI: 1.084-5.710, p = 0.031), emergency surgery (OR = 23.992, 95% CI: 2.629-218.949, p = 0.005), lung surgery (OR = 5.090, 95% CI: 1.391-18.628, p = 0.014), and longer anesthesia time (OR = 1.595, 95% CI: 1.143-2.227, p = 0.006) were statistically significant risk factors. Conclusions: The incidence of PPCs detected over all surgeries was not as high as that reported for lung surgery alone in ILD patients. Lower BMI, emergency surgery, lung surgery, and longer anesthesia time were risk factors. Operative conditions as well as lung function should be considered in preoperative planning and management for ILD patients undergoing major surgery.

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Section: Resultsmentioning

confidence: 99%

Postoperative Pulmonary Complications after Surgery in Patients with Interstitial Lung Disease

et al. 2014

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“…Venous thromboembolism in Asians has been reported to be low. 30 A recent case-control study confirmed that current exposure to any COC poses a 3-times higher risk of venous thromboembolism compared with no exposure in the previous year. 31 The risk is higher with COC pills containing desogestrel (odds ratio, 4.3), gestodene (3.6), drospirenone (4.1), and cyproterone (4.3) than the second-generation COC pills with levonorgestrel (2.4) and norgestimate (2.5).…”

Section: Discussionmentioning

confidence: 93%

Mothers' attitude to the use of a combined oral contraceptive pill by their daughters for menstrual disorders or contraception

2017

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“…In a study by Bin Abd Razak et al, (14) the authors reported that the rate of clinically symptomatic DVT of patients who underwent knee arthroplasty was 0.5%. Low et al (15) reported a 2% incidence of clinically symptomatic DVT, while a meta-analysis by Lee et al (16) showed a 1.9% incidence of symptomatic DVT. Lee et al (16) showed that the incidence of DVT would be as high as 40.4% if asymptomatic DVT was included.…”

Section: Discussionmentioning

confidence: 99%

“…Low et al (15) reported a 2% incidence of clinically symptomatic DVT, while a meta-analysis by Lee et al (16) showed a 1.9% incidence of symptomatic DVT. Lee et al (16) showed that the incidence of DVT would be as high as 40.4% if asymptomatic DVT was included. Thus, we concluded that as our fi ndings are comparable, this study refl ects the actual situation for Asian patients undergoing arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Deep vein thrombosis in arthroscopic surgery and chemoprophylaxis recommendation in an Asian population

Yeo

Lim

Lee

2016

smedj

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INTRODUCTIONThere are currently no guidelines supporting the use of routine chemoprophylaxis to prevent deep vein thrombosis (DVT) in arthroscopic surgery. Studies and meta-analysis show opposing views on its routine use in arthroscopy. This study aimed to examine the incidence of DVT in a prospective cohort of knee arthroscopy and knee arthroplasty patients, and to analyse the risk factors contributing to DVT. METHODSAll patients scheduled to undergo knee arthroscopy or arthroplasty over a two-year period were included.A standardised regimen of postoperative mechanical prophylaxis and rehabilitation was applied to all patients. Only patients who were postoperatively symptomatic were referred for ultrasonography. DVT incidence was calculated, and univariate and multivariate analyses of the risk factors were performed. RESULTSThe overall incidence of DVT was 0.5% among the 1,410 arthroscopy patients and 3.1% among the 802 arthroplasty patients. The incidence of proximal DVT among the arthroscopy and arthroplasty patients was 0.4% and 1.1%, respectively. Multivariate analysis showed that age was the only signifi cant predictor of DVT incidence. Using the receiver operating characteristic method, the cut-off age for the arthroscopy and arthroplasty patients was 52 years, while that for the arthroscopy patients only was 40 years (increased risk of DVT: 5.46 and 6.44 times, respectively; negative predictive value: 99.7% and 99.8%, respectively).CONCLUSION DVT incidence among Asian arthroplasty and arthroscopy patients remains low, even without chemoprophylaxis. Since age was found to be a signifi cant risk factor for DVT, DVT prophylaxis can be considered for patients in high-risk age groups.

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The Incidence of Pulmonary Embolism and Deep Vein Thrombosis After Knee Arthroplasty in Asians Remains Low: A Meta-analysis

Cited by 88 publications

References 38 publications

Postoperative Pulmonary Complications after Surgery in Patients with Interstitial Lung Disease

Postoperative Pulmonary Complications after Surgery in Patients with Interstitial Lung Disease

Mothers' attitude to the use of a combined oral contraceptive pill by their daughters for menstrual disorders or contraception

Deep vein thrombosis in arthroscopic surgery and chemoprophylaxis recommendation in an Asian population

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