Who Should Get Extended Thromboprophylaxis after Hip Fracture Surgery? A Database Study Examining Risk Factors for Post-Discharge Venous Thromboembolism

Aria Darius Darbandi1, Ghulam H Saadat2*, Bennet A Butler3 and Faran Bokhari2

1California University of Science and Medicine, USA
2Department of Trauma and Burn Surgery, John H Stroger Hospital of Cook County, USA
3Department of Orthopedic Surgery, Northwestern Memorial Hospital, USA

^*Correspondance to: Ghulam H Saadat 

 PDF  Full Text DOI: 10.25107/2474-1647.3294

Abstract

Objective: The purpose of this study was to evaluate factors associated with post-discharge Venous Thromboembolism (VTE) within 30-days of hip fracture surgery. Method: 96,870 cases with acute hip fractures were identified from a national retrospective database. We only included patients who received intramedullary nail fixation, extramedullary implant fixation, or hemiarthroplasty. Results: Factors associated with post-discharge VTE include age above 75, 5-item modified frailty index ≥ 0.6, COPD, dyspnea, disseminated cancer, chronic steroid use, intramedullary nailing, medical co-management, and pathological fractures. Conclusion: The current study suggests specific factors independently associated with postdischarge VTE following hip fracture.

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Cite the article

Darbandi AD, Saadat GH, Butler BA, Bokhari F. Who Should Get Extended Thromboprophylaxis after Hip Fracture Surgery? A Database Study Examining Risk Factors for Post-Discharge Venous Thromboembolism. Clin Surg. 2021; 6: 3294..