Postoperative deep-vein thrombosis in Asian patients is not a rarity : A prospective study of 88 patients with no prophylaxis.
Postoperative deep-vein thrombosis (DVT) is believed to be rare in Asians.
We studied 88 consecutive patients in Malaysia who had operations for fracture of the proximal femur or for total hip or knee replacement.
No patient had prophylaxis against DVT ; bilateral ascending venography was performed between six and ten days after operation.
A total of 55 patients (62.5%) showed venographic evidence of DVT.
The prevalence was greatest after total knee replacement (76.5%), less after total hip replacement (64.3%) and smallest in the fracture group (50%). One patient developed symptomatic pulmonary embolism.
In contrast to other reports from Asia, we found an incidence of postoperative DVT which is similar to that reported in Western populations.
This suggests that the present practice of withholding routine prophylaxis against thromboembolism in Asian patients undergoing high-risk orthopaedic procedures should be reconsidered.
Mots-clés Pascal : Chirurgie orthopédique, Système ostéoarticulaire pathologie, Homme, Complication, Postopératoire, Prévalence, Epidémiologie, Thrombose, Veine profonde, Phlébographie, Asiatique, Malaisie, Asie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Veine pathologie, Radiodiagnostic
Mots-clés Pascal anglais : Orthopedic surgery, Diseases of the osteoarticular system, Human, Complication, Postoperative, Prevalence, Epidemiology, Thrombosis, Deep vein, Phlebography, Asiatic, Malaysia, Asia, Cardiovascular disease, Vascular disease, Venous disease, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0273906
Code Inist : 002B25I. Création : 199608.