Preoperative risk factors for deep vein thrombosis in knee osteoarthritis patients undergoing total knee arthroplasty

作者全名："Xiong, Xiaojuan; Cheng, Bo"

作者地址："[Xiong, Xiaojuan; Cheng, Bo] Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400000, Peoples R China"

通信作者："Cheng, B (通讯作者)，Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400000, Peoples R China."

来源：JOURNAL OF ORTHOPAEDIC SCIENCE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000957714400001

JCR分区：Q2

影响因子：1.7

年份：2023

卷号：28

期号：1

开始页：180

结束页：187

文献类型：Article

关键词：Deep vein thrombosis; TKA; Preoperative; Risk factors

摘要："Background: To analyze the risk factors for preoperative deep vein thrombosis (DVT) in knee osteoar-thritis (OA) patients undergoing total knee arthroplasty (TKA).Methods: In this retrospective study, a total of 584 knee OA patients undergoing TKA were enrolled. General information, medical records and preoperative laboratory examination results of the patients were collected. According to the results of Doppler ultrasonography for the lower extremities, the pa-tients were divided into DVT group and non-DVT group. Univariate and multivariate logistic regression were used to identify independent risk factors for preoperative DVT in knee OA patients undergoing TKA.Results: The incidence of DVT before TKA was 6.85% (40 cases). The increase of ESR (Erythrocyte Sedi-mentation Rate), platelet crit, IL-6 (Interleukin-6), and PCT (Procalcitonin) were associated with the development of DVT before TKA. Factors as coronary heart disease (CHD), diabetes mellitus (DM), Chronic Kidney Disease (CKD), NLR (ratio of neutrophils to lymphocytes), lower limb venous blood stasis, the time from onset to admission, RBC, PLT were identified by multivariate logistic regression to be the independent risk factors for preoperative DVT in knee OA patients undergoing TKA.Conclusions: DM, CKD, CHD, increased in ESR, IL-6 and PCT, blood stasis of the lower extremities, increased in PLT, platelet crit and the time from onset to admission, decreased in RBC, were high risk factors for preoperative DVT in knee OA patients undergoing TKA.(c) 2021 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved."

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