The Preoperative Prevalence and Postoperative Incidence of Thromboembolism in Patients With Hip Fractures Treated With Dextran Prophylaxis

ROBERTS, THOMAS S.; NELSON, CARLL; Barnes, C. Lowry; Ferris, Ernest J.; Holder, John C.; BOONE, DAVID W.

doi:10.1097/00003086-199006000-00027

Cited by 30 publications

(24 citation statements)

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“…Nearly all respondents (99.5%) use postoperative chemical thromboprophylaxis in patients with intertrochanteric fractures. Although there are data on this topic for elective total joint arthroplasties, there are few studies regarding use of chemical thromboprophylaxis in patients with hip and intertrochanteric fractures [8,10,13,29,31]. Smith et al [31] performed a prospective study in patients with operative hip and femur fractures who were treated with pharmacologic prophylaxis.…”

Section: Resultsmentioning

confidence: 99%

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

Niu

Yang

Harris

et al. 2015

Clinical Orthopaedics &Amp; Related Research

111

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Background The best treatment for intertrochanteric hip fractures is controversial. The use of cephalomedullary nails has increased, whereas use of sliding hip screws has decreased despite the lack of evidence that cephalomedullary nails are more effective. As current orthopaedic trainees receive less exposure to sliding hip screws, this may continue to perpetuate the preferential use of cephalomedullary nails, with important implications for resident education, evidence-based best practices, and healthcare cost. Questions/purposes We asked: (1) What are the current practice patterns in surgical treatment of intertrochanteric fractures among orthopaedic surgeons? (2) Do surgical practice patterns differ based on surgeon characteristics, practice setting, and other factors? (3) What is the rationale behind

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Section: Resultsmentioning

confidence: 99%

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

Niu

Yang

Harris

et al. 2015

Clinical Orthopaedics &Amp; Related Research

111

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“…Proximal femoral fratures are a major form of osteoporotic fracture and have become an epidemic of industrialized nations, affecting mainly Caucasian populations, women and the elderly [1][2][3][4][5][6][7][8][9]. Almost all cases need hospital treatment, occupying hospital beds allocated to orthopedic and trauma patients [10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

A Secular Trend in Hip Fracture Incidence in East Germany

Wildner

Casper

Bergmann

1999

Osteoporosis International

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The central Inpatient Register of the former German Democratic Republic was used to study the population-based epidemiology of hip fractures among 16.5 million East Germans. Incidence rates for hospital discharges for proximal femoral fractures for the age group 60 years and over were calculated for the years 1971 to 1989, the year before unification. Incidence rates for 1989 are similar to figures reported from the UK and The Netherlands, but lower than Scandinavian rates. A decrease in the admission rate was noted from 1971 to 1974 of 4.5% each year on average, and an increase from 1974 onwards of 4.4% on average. This change was observed to a different extent in all age groups. The female:male ratio of the standardized discharge incidence was stable at 2.3:1 and the female:male ratio of manifest cases increases from 4.1:1 in 1971 to 5.1:1 in 1989. An exponential increase in the incidence rates was observed with age. This apparent rate overestimated both the rate for true incident cases (by about 25-30%, if adjustments are made for readmissions and transfers) and their trend. Adjusted estimates for incident fractures show an increase of 2% annually. Cohort effects due to changed selective forces appear to be one reasonable causal explanation.

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“…In fact, the pre operative frequency of DVT is around 10%, the thrombi usually being localized to the fractured limb [17,18]. The overall frequency of DVT after hip fracture surgery is very high, in most studies close to 60%, making hip frac ture patients belong to one of the real high risk groups for thromboembolic complications [19].…”

Section: Hip Fracture Patientsmentioning

confidence: 99%

Thromboprophylaxis in Emergency Surgery

Bergqvist

Flordal

Friberg

et al. 1993

Pathophysiol Haemos Thromb

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Except for hip fracture surgery, emergency surgery has been only exceptionally studied concerning thromboprophylaxis. There are, however, several reasons to believe the frequency to be fairly high and that the patient group would be in need of prophylaxis. This paper discusses various emergency situations and also gives the design for an ongoing controlled study on the effect of postoperative start of thromboprophylaxis with low molecular weight heparin in emergency abdominal surgery.

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The Preoperative Prevalence and Postoperative Incidence of Thromboembolism in Patients With Hip Fractures Treated With Dextran Prophylaxis

Cited by 30 publications

References 0 publications

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

Which Fixation Device is Preferred for Surgical Treatment of Intertrochanteric Hip Fractures in the United States? A Survey of Orthopaedic Surgeons

A Secular Trend in Hip Fracture Incidence in East Germany

Thromboprophylaxis in Emergency Surgery

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