$Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures$

Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures

Introduction Hip fractures are common in the elderly population after a fall. Consequently, they are at a high risk of developing complications such as venous thromboembolism, deep vein thrombosis (DVT) and pulmonary embolism (PE), which may cause significant morbidity and mortality. To date, th...

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Main Author:	Hamid, Mohd Khazran
Format:	Thesis
Language:	English
Published:	2020
Subjects:	RC31-1245 Internal medicine
Online Access:	http://eprints.usm.my/58919/1/MOHD%20KHAZRAN%20BIN%20HAMID-24%20pages.pdf
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record_format	uketd_dc
spelling	my-usm-ep.589192023-08-06T07:56:02Z Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures 2020 Hamid, Mohd Khazran RC31-1245 Internal medicine Introduction Hip fractures are common in the elderly population after a fall. Consequently, they are at a high risk of developing complications such as venous thromboembolism, deep vein thrombosis (DVT) and pulmonary embolism (PE), which may cause significant morbidity and mortality. To date, there are no local data regarding the prevalence of DVT before surgery in elderly patients with hip fractures and risk factors associated with it. This study aimed to establish the prevalence of DVT in elderly patients following a hip fracture in the local population and evaluate the risk factors for the occurrence of preoperative DVT in this population. Materials and methods This research is a retrospective cross-sectional study involving 91 patients with a history of hip fracture and received treatment in HUSM from January 2014 to November 2019. Patient screening was conducted via the PACS (Picture Archiving and Communication Systems) system and the patients’ medical records. Patients with hip fractures and had ultrasound Doppler of lower limb one day before surgery were selected. All selected risk factors, including demographic data information was then recorded in a study proforma. Data were entered in Microsoft Excel and analysed using SPSS version 26.0. Results The overall prevalence of preoperative deep vein thrombosis in elderly patients with hip fracture was 5.4 %. The mean duration of immobilisation in DVT patient is 18.4 days. None of them received Enoxaparin as prophylaxis. Two out of five DVT patients had underlying malignancy. Conclusion Preoperative DVT prevalence is relatively low (5.4 %) in elderly patients with hip fracture in this study, which may be contributed by precautions taken to prevent DVT in this population. The critical risk factors for DVT development were the duration of immobilisation, types of DVT, prescribed prophylaxis and malignancy. 2020 Thesis http://eprints.usm.my/58919/ http://eprints.usm.my/58919/1/MOHD%20KHAZRAN%20BIN%20HAMID-24%20pages.pdf application/pdf en public masters Pusat Pengajian Sains Perubatan Universiti Sains Malaysia
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC31-1245 Internal medicine
spellingShingle	RC31-1245 Internal medicine Hamid, Mohd Khazran Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
description	Introduction Hip fractures are common in the elderly population after a fall. Consequently, they are at a high risk of developing complications such as venous thromboembolism, deep vein thrombosis (DVT) and pulmonary embolism (PE), which may cause significant morbidity and mortality. To date, there are no local data regarding the prevalence of DVT before surgery in elderly patients with hip fractures and risk factors associated with it. This study aimed to establish the prevalence of DVT in elderly patients following a hip fracture in the local population and evaluate the risk factors for the occurrence of preoperative DVT in this population. Materials and methods This research is a retrospective cross-sectional study involving 91 patients with a history of hip fracture and received treatment in HUSM from January 2014 to November 2019. Patient screening was conducted via the PACS (Picture Archiving and Communication Systems) system and the patients’ medical records. Patients with hip fractures and had ultrasound Doppler of lower limb one day before surgery were selected. All selected risk factors, including demographic data information was then recorded in a study proforma. Data were entered in Microsoft Excel and analysed using SPSS version 26.0. Results The overall prevalence of preoperative deep vein thrombosis in elderly patients with hip fracture was 5.4 %. The mean duration of immobilisation in DVT patient is 18.4 days. None of them received Enoxaparin as prophylaxis. Two out of five DVT patients had underlying malignancy. Conclusion Preoperative DVT prevalence is relatively low (5.4 %) in elderly patients with hip fracture in this study, which may be contributed by precautions taken to prevent DVT in this population. The critical risk factors for DVT development were the duration of immobilisation, types of DVT, prescribed prophylaxis and malignancy.
format	Thesis
qualification_level	Master's degree
author	Hamid, Mohd Khazran
author_facet	Hamid, Mohd Khazran
author_sort	Hamid, Mohd Khazran
title	Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
title_short	Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
title_full	Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
title_fullStr	Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
title_full_unstemmed	Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
title_sort	prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures
granting_institution	Pusat Pengajian Sains Perubatan
granting_department	Universiti Sains Malaysia
publishDate	2020
url	http://eprints.usm.my/58919/1/MOHD%20KHAZRAN%20BIN%20HAMID-24%20pages.pdf
_version_	1776101243853209600

Prevalence and risk factors of preoperative deep vein thrombosis in elderly patients with hip fractures

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