Almegren Mosaad O, Alhedaithy Alhanouf A, Alomri Amal S, Albawardy Nouf F, Mesmar Rawan S, Al Qahtani Mohammad A
College of Medicine, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2018 Nov;39(11):1096-1101. doi: 10.15537/smj.2018.11.23545.
To evaluate the incidence and risk factors of Venous thromboembolism (VTE) among total knee arthroplasty (TKA) and total hip arthroplasty (THA) patients following surgery. Methods: We conducted a retrospective review of electronic medical records of consecutive patients between January 2010 and January 2015 who underwent TKA or THA at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Results: The incidence of symptomatic VTE was 1.9% (17 events, 95% CI: 1.1-2.8) in 756 patients who underwent 889 surgeries. All VTE cases developed before hospital discharge. Twelve (1.4%) patients developed pulmonary embolism, and 5 (0.6%) patients developed deep vein thrombosis. The majority of patients (n=557, 62.7%) underwent surgery for single TKA, and 138 (15.5%) patients underwent bilateral arthroplasty. Based on univariate risk analysis, bilateral arthroplasty was the only potential predictor for VTE after surgery. Conclusion: The rate of symptomatic VTE in a Saudi population following arthroplasty is low and comparable to the international data. However, efforts and more trials are needed to further improve in-hospital thromboprophylaxis measures.
评估全膝关节置换术（TKA）和全髋关节置换术（THA）患者术后静脉血栓栓塞症（VTE）的发生率及危险因素。方法：我们对2010年1月至2015年1月期间在沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城（KAMC）接受TKA或THA手术的连续患者的电子病历进行了回顾性研究。结果：在接受889例手术的756例患者中，症状性VTE的发生率为1.9%（17例，95%CI：1.1-2.8）。所有VTE病例均在出院前发生。12例（1.4%）患者发生肺栓塞，5例（0.6%）患者发生深静脉血栓形成。大多数患者（n=557，62.7%）接受了单膝关节置换手术，138例（15.5%）患者接受了双侧关节置换手术。基于单因素风险分析，双侧关节置换术是术后VTE的唯一潜在预测因素。结论：沙特人群关节置换术后症状性VTE的发生率较低，与国际数据相当。然而，需要做出努力并进行更多试验以进一步改善院内血栓预防措施。
