Hip Society Meeting 1996. .
In 1079 consecutive patients undergoing total hip arthroplasty between 1984 and 1992, complications of thromboembolic disease and related anticoagulation were reviewed for 6 months after hospital discharge, including cost data.
Of 347 patients having venograms, 78 (22.5%) had positive results and 269 (77.5%) had negative results for deep venous thrombosis.
In patients with negative venograms, 3 (1.1%) were readmitted with 2 symptomatic deep venous thromboses and nonfatal pulmonary embolism.
There were no readmissions among the 55 patients who had venographically evident deep venous thrombosis diagnosed and treated with outpatient warfarin.
Overall, 3 of 324 (0.9%) patients with true positive or negative venograms were readmitted for complications of thromboembolic disease.
In contrast, 12 of 732 (1.6%) patients not receiving contrast venography were readmitted, including 9 (1.2%) deep venous thromboses and 3 (0.4%) nonfatal pulmonary embolisms.
Four of 23 patients (17.4%) with untreated calf deep venous thrombosis suffered 2 nonfatal pulmonary emholisms resulting in readmission and 2 fatal pulmonary embolisms outside the hospital.
Untreated calf deep venous thrombosis after total hip arthroplasty represents a significant threat of extension to more proximal veins and distant embolization. (...)
Mots-clés Pascal : Plastie, Prothèse, Articulation, Hanche, Homme, Complication, Thrombose, Veine profonde, Thromboembolie, Surveillance, Sortie hôpital, Phlébographie, Evaluation, Analyse coût, Economie santé, Etats Unis, Amérique du Nord, Amérique, Système ostéoarticulaire pathologie, Chirurgie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Veine pathologie, Radiodiagnostic, Exploration radiologique, Imagerie médicale, Angiographie
Mots-clés Pascal anglais : Plasty, Prosthesis, Joint, Hip, Human, Complication, Thrombosis, Deep vein, Thromboembolism, Surveillance, Hospital discharge, Phlebography, Evaluation, Cost analysis, Health economy, United States, North America, America, Diseases of the osteoarticular system, Surgery, Cardiovascular disease, Vascular disease, Venous disease, Radiodiagnosis, Radiologic investigation, Medical imagery, Angiography
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0122318
Code Inist : 002B25I. Création : 21/05/1997.