The incidence and the risk factors of venous thromboembolism in Korean patients with pelvic or acetabular fractures

Joon Woo Kim, Chang Wug Oh, Jong-Keon Oh, Seung Gil Baek, Byoung Joo Lee, Han Pyo Hong, Woo Kie Min

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Pelvic ring and acetabular fractures are the results of high energy trauma, but there is a paucity of information available regarding the incidence and risk factors of venous thromboembolism (VTE) after these injuries in Asians. This study was undertaken to evaluate the incidence of VTE after a pelvic or an acetabular fracture and to identify predictive factors. Methods: A prospective evaluation was performed by indirect computed tomography (CT) venography in patients with pelvic or acetabular fractures. Ninety-five patients were examined by indirect CT venography. Fifty-five patients suffered from a pelvic ring injury (anteroposterior compression 5, lateral compression 25, vertical shear 25), and the remaining 40 from acetabular fractures (simple 18, complex 22). Indirect CT venography was performed within 1-2 weeks of initial trauma. Relationships between VTE and sex, age, fracture pattern, body mass index, injury severity score, period of immobilization, and need for surgical treatment were analyzed. Deep vein thrombosis (DVT) in a more proximal to popliteal vein and the existence of PE were considered clinically significant. Results: Thirty-two patients (33.7 %) were found to have VTE at an average of 11 days after initial injury. Clinically significant DVT was found 20 cases (21.1 %). No statistical difference was found between pelvic ring injuries and acetabular fractures with respect to the development of VTE. For those with pelvic ring injury, the incidence of VTE in those with a vertical shear injury (52 %) was significantly greater than in others with a pelvic ring injury (p = 0.014). Patients with an age >50 were found to be at greater risk of VTE (p = 0.032). Conclusion: Our findings demonstrate that Korean patients with pelvic or acetabular fractures have a higher risk of VTE than is generally believed, and caution should be taken to prevent and treat VTE, especially in high energy pelvic ring injury and elderly patients.

Original languageEnglish
Pages (from-to)471-477
Number of pages7
JournalJournal of Orthopaedic Science
Volume19
Issue number3
DOIs
Publication statusPublished - 2014 Jan 1

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Venous Thromboembolism
Incidence
Wounds and Injuries
Phlebography
Tomography
Venous Thrombosis
Popliteal Vein
Injury Severity Score
Immobilization
Body Mass Index

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

The incidence and the risk factors of venous thromboembolism in Korean patients with pelvic or acetabular fractures. / Kim, Joon Woo; Oh, Chang Wug; Oh, Jong-Keon; Baek, Seung Gil; Lee, Byoung Joo; Hong, Han Pyo; Min, Woo Kie.

In: Journal of Orthopaedic Science, Vol. 19, No. 3, 01.01.2014, p. 471-477.

Research output: Contribution to journalArticle

Kim, Joon Woo ; Oh, Chang Wug ; Oh, Jong-Keon ; Baek, Seung Gil ; Lee, Byoung Joo ; Hong, Han Pyo ; Min, Woo Kie. / The incidence and the risk factors of venous thromboembolism in Korean patients with pelvic or acetabular fractures. In: Journal of Orthopaedic Science. 2014 ; Vol. 19, No. 3. pp. 471-477.
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abstract = "Background: Pelvic ring and acetabular fractures are the results of high energy trauma, but there is a paucity of information available regarding the incidence and risk factors of venous thromboembolism (VTE) after these injuries in Asians. This study was undertaken to evaluate the incidence of VTE after a pelvic or an acetabular fracture and to identify predictive factors. Methods: A prospective evaluation was performed by indirect computed tomography (CT) venography in patients with pelvic or acetabular fractures. Ninety-five patients were examined by indirect CT venography. Fifty-five patients suffered from a pelvic ring injury (anteroposterior compression 5, lateral compression 25, vertical shear 25), and the remaining 40 from acetabular fractures (simple 18, complex 22). Indirect CT venography was performed within 1-2 weeks of initial trauma. Relationships between VTE and sex, age, fracture pattern, body mass index, injury severity score, period of immobilization, and need for surgical treatment were analyzed. Deep vein thrombosis (DVT) in a more proximal to popliteal vein and the existence of PE were considered clinically significant. Results: Thirty-two patients (33.7 {\%}) were found to have VTE at an average of 11 days after initial injury. Clinically significant DVT was found 20 cases (21.1 {\%}). No statistical difference was found between pelvic ring injuries and acetabular fractures with respect to the development of VTE. For those with pelvic ring injury, the incidence of VTE in those with a vertical shear injury (52 {\%}) was significantly greater than in others with a pelvic ring injury (p = 0.014). Patients with an age >50 were found to be at greater risk of VTE (p = 0.032). Conclusion: Our findings demonstrate that Korean patients with pelvic or acetabular fractures have a higher risk of VTE than is generally believed, and caution should be taken to prevent and treat VTE, especially in high energy pelvic ring injury and elderly patients.",
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T1 - The incidence and the risk factors of venous thromboembolism in Korean patients with pelvic or acetabular fractures

AU - Kim, Joon Woo

AU - Oh, Chang Wug

AU - Oh, Jong-Keon

AU - Baek, Seung Gil

AU - Lee, Byoung Joo

AU - Hong, Han Pyo

AU - Min, Woo Kie

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AB - Background: Pelvic ring and acetabular fractures are the results of high energy trauma, but there is a paucity of information available regarding the incidence and risk factors of venous thromboembolism (VTE) after these injuries in Asians. This study was undertaken to evaluate the incidence of VTE after a pelvic or an acetabular fracture and to identify predictive factors. Methods: A prospective evaluation was performed by indirect computed tomography (CT) venography in patients with pelvic or acetabular fractures. Ninety-five patients were examined by indirect CT venography. Fifty-five patients suffered from a pelvic ring injury (anteroposterior compression 5, lateral compression 25, vertical shear 25), and the remaining 40 from acetabular fractures (simple 18, complex 22). Indirect CT venography was performed within 1-2 weeks of initial trauma. Relationships between VTE and sex, age, fracture pattern, body mass index, injury severity score, period of immobilization, and need for surgical treatment were analyzed. Deep vein thrombosis (DVT) in a more proximal to popliteal vein and the existence of PE were considered clinically significant. Results: Thirty-two patients (33.7 %) were found to have VTE at an average of 11 days after initial injury. Clinically significant DVT was found 20 cases (21.1 %). No statistical difference was found between pelvic ring injuries and acetabular fractures with respect to the development of VTE. For those with pelvic ring injury, the incidence of VTE in those with a vertical shear injury (52 %) was significantly greater than in others with a pelvic ring injury (p = 0.014). Patients with an age >50 were found to be at greater risk of VTE (p = 0.032). Conclusion: Our findings demonstrate that Korean patients with pelvic or acetabular fractures have a higher risk of VTE than is generally believed, and caution should be taken to prevent and treat VTE, especially in high energy pelvic ring injury and elderly patients.

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