UCLA Department of Orthopaedic Surgery, 10945 Le Conte Ave. PVUB #3355, Los Angeles, CA 90095, USA.
Foot Ankle Surg. 2011 Dec;17(4):259-62. doi: 10.1016/j.fas.2010.08.009. Epub 2010 Sep 22.
The purpose of this study was to identify the incidence and risk factors associated with pulmonary embolism and deep venous thrombosis following open reduction and internal fixation of ankle fractures.
This was a retrospective study of patients in California undergoing operative treatment of an ankle fracture from 1995 to 2005. The main outcome measure was readmission for pulmonary embolism or deep venous thrombosis within 90 days of surgery.
A total of 57,183 patients from the California discharge database were identified. The readmission rate for pulmonary embolism was low at 0.34%. The risk was increased in patients aged 50-75, those with open fractures, and those with higher Charlson comorbidity score. The overall rate of readmission for deep venous thrombosis was also low at 0.05%.
The overall rate of thromboembolic disease was low in this large patient sample. Increased age and comorbidity were associated with an increased risk.
本研究旨在确定开放性骨折复位内固定术后发生肺栓塞和深静脉血栓形成的发生率及相关风险因素。
这是一项回顾性研究，对象为 1995 年至 2005 年期间在加利福尼亚州接受手术治疗的踝关节骨折患者。主要观察指标为术后 90 天内因肺栓塞或深静脉血栓形成再次入院。
从加利福尼亚州出院数据库中确定了 57183 名患者。肺栓塞的再入院率较低，为 0.34%。50-75 岁、开放性骨折和Charlson 合并症评分较高的患者风险增加。深静脉血栓形成的总体再入院率也较低，为 0.05%。
在这个大型患者样本中，血栓栓塞性疾病的总体发生率较低。年龄增加和合并症与风险增加相关。
