High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission

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dc.contributor.authorBengoa, Francisco
dc.contributor.authorVicencio, Gerardo
dc.contributor.authorSchweitzer, Daniel
dc.contributor.authorLira, Maria Jesus
dc.contributor.authorZamora, Tomas
dc.contributor.authorKlaber, Ianiv
dc.date.accessioned2025-01-23T19:49:53Z
dc.date.available2025-01-23T19:49:53Z
dc.date.issued2020
dc.description.abstractPurpose Deep vein thrombosis (DVT) is a common complication in hip fracture patients, associated with significant morbidity and mortality. Research has focused on postoperative DVT, with scant reports on preoperative prevalence. The aim of this study was to describe the prevalence of preoperative DVT in patients accessing medical care >= 48 h after a hip fracture. Methods We included elderly patients admitted >= 48 h after sustaining a hip fracture, between September 2015 and October 2017. Patients with a previous episode of DVT, undergoing anticoagulation therapy, with pathologic fractures or undergoing cancer treatment were excluded. Of 273 patients, 59 were admitted at least 48 h after the fracture. DVT screening by Doppler ultrasound of both lower extremities was carried upon hospital admission. We recorded age, sex, Charlson comorbidity index and ASA score, fracture type, time since injury, time from admission to surgery and total length of hospital stay. Results We studied 41 patients, 79 (+/- 10.34) years old. The delay from injury to admission was 120 h (48-696 h). Seven patients (17.1%) had a DVT upon admission. There were no significant differences between patients with and without DVT, regarding time from admission to surgery or the total length of the hospital stay. Conclusions The prevalence of DVT in patients admitted >= 48 h after a hip fracture was 17.1%. The diagnosis and management of DVT did not increase time to surgery or hospital stay. Our results suggest routine screening for DVT in patients consulting emergency services >= 48 h after injury.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00068-018-1059-8
dc.identifier.eissn1863-9941
dc.identifier.issn1863-9933
dc.identifier.urihttps://doi.org/10.1007/s00068-018-1059-8
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/100526
dc.identifier.wosidWOS:000559797500030
dc.issue.numero4
dc.language.isoen
dc.pagina.final917
dc.pagina.inicio913
dc.revistaEuropean journal of trauma and emergency surgery
dc.rightsacceso restringido
dc.subjectThromboprophylaxis
dc.subjectHip fracture
dc.subjectDeep vein thrombosis
dc.subjectOrthogeriatrics
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHigh prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission
dc.typeartículo
dc.volumen46
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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