Effect of different application duration of a venous foot pump on prevention of venous thromboembolism after hip and knee arthroplasty: a multicenter prospective clinical trial

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Objective

To investigate the optimal duration of applying a venous foot pump (VFP) in the prevention of venous thromboembolism (VTE) following hip and knee arthroplasty.

Methods

A total of 230 patients undergoing hip and knee arthroplasty between March 2021 and March 2022 in orthopaedic departments of four major teaching hospitals were prospectively enrolled. Patients were randomly divided into five groups based on the duration of the VFP application. Postoperative deep vein thromboses (DVT), including proximal, distal, and intermuscular DVT, were recorded for analysis. Postoperative blood coagulation examinations, such as D-dimer and active partial thromboplastin time (APTT), pain outcome, and degree of comfort were also collected.

Results

Two of the 230 patients withdrew due to early discharge from the hospital, and 228 patients were included in the final analysis. The mean age was 60.38 ± 13.33 years. The baseline characteristics were comparable among the five groups. Compared with the other groups, patients treated with 6-hour VFP had the lowest incidence of DVT (8.7%, 4/46), followed by those treated with 1-hour VFP (15.2%, 7/46), 12-hour VFP (15.6%, 7/45), 18-hour VFP(17.8%, 8/45) and 20-hour VFP(21.7%, 10/46), but with no significant difference ( P = 0.539). Regarding postoperative blood coagulation examinations, patients treated with 6-hour VFP had the lowest D-dimer ( P = 0.658) and the highest APTT ( P = 0.262) compared with the other four groups. 6-hour VFP also had the lowest pain score ( P = 0.206) and the highest comfort score ( P = 0.288) compared with the other four groups.

Conclusions

Six hours may be the optimal duration of applying VFP for the prevention of VTE in patients undergoing hip and knee arthroplasty in terms of VTE incidence, postoperative blood coagulation examinations, pain outcomes, and comfort scores.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12891-023-06921-w.

Related collections

Most cited references 38

Record: found
Abstract: found
Article: not found

Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

Salim S. Virani, Alvaro Alonso, Hugo Aparicio … (2021)

The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2021 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population, an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, the global burden of cardiovascular disease, and further evidence-based approaches to changing behaviors related to cardiovascular disease. Each of the 27 chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. The Statistical Update represents a critical resource for the lay public, policy makers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

0 comments Cited 1786 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Epidemiology of venous thromboembolism.

John Heit (2015)

Thrombosis can affect any venous circulation. Venous thromboembolism (VTE) includes deep-vein thrombosis of the leg or pelvis, and its complication, pulmonary embolism. VTE is a fairly common disease, particularly in older age, and is associated with reduced survival, substantial health-care costs, and a high rate of recurrence. VTE is a complex (multifactorial) disease, involving interactions between acquired or inherited predispositions to thrombosis and various risk factors. Major risk factors for incident VTE include hospitalization for surgery or acute illness, active cancer, neurological disease with leg paresis, nursing-home confinement, trauma or fracture, superficial vein thrombosis, and-in women-pregnancy and puerperium, oral contraception, and hormone therapy. Although independent risk factors for incident VTE and predictors of VTE recurrence have been identified, and effective primary and secondary prophylaxis is available, the occurrence of VTE seems to be fairly constant, or even increasing.

0 comments Cited 300 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

A prospective study of venous thromboembolism after major trauma.

W H Geerts, K I Code, R Jay … (1994)

Although deep-vein thrombosis and pulmonary embolism are considered common complications after major trauma, their frequency and the associated risk factors have not been carefully quantified. We performed serial impedance plethysmography and lower-extremity contrast venography to detect deep-vein thrombosis in a cohort of 716 patients admitted to a regional trauma unit. Prophylaxis against thromboembolism was not used. Deep-vein thrombosis in the lower extremities was found in 201 of the 349 patients (58 percent) with adequate venographic studies, and proximal-vein thrombosis was found in 63 (18 percent). Three patients died of massive pulmonary embolism before venography could be performed. Before venography, only three of the patients with deep-vein thrombosis had clinical features suggestive of the condition. Deep-vein thrombosis was found in 65 of the 129 patients with major injuries involving the face, chest, or abdomen (50 percent); in 49 of the 91 patients with major head injuries (53.8 percent); in 41 of the 66 with spinal injuries (62 percent); and in 126 of the 182 with lower-extremity orthopedic injuries (69 percent). Thrombi were detected in 61 of the 100 patients with pelvic fractures (61 percent), in 59 of the 74 with femoral fractures (80 percent), and in 66 of the 86 with tibial fractures (77 percent). A multivariate analysis identified five independent risk factors for deep-vein thrombosis: older age (odds ratio, 1.05 per year of age; 95 percent confidence interval, 1.03 to 1.06), blood transfusion (odds ratio, 1.74; 95 percent confidence interval, 1.03 to 2.93), surgery (odds ratio, 2.30; 95 percent confidence interval, 1.08 to 4.89), fracture of the femur or tibia (odds ratio, 4.82; 95 percent confidence interval, 2.79 to 8.33), and spinal cord injury (odds ratio, 8.59; 95 percent confidence interval, 2.92 to 25.28). Venous thromboembolism is a common complication in patients with major trauma, and effective, safe prophylactic regimens are needed.

0 comments Cited 212 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Contributors

Dan Kong: zwkdzwkd@163.com

Yuan Gao:

ORCID: http://orcid.org/0000-0002-6064-2545

gaoyuanzd@163.com

Journal

Journal ID (nlm-ta): BMC Musculoskelet Disord

Journal ID (iso-abbrev): BMC Musculoskelet Disord

Title: BMC Musculoskeletal Disorders

Publisher: BioMed Central (London )

ISSN (Electronic): 1471-2474

Publication date (Electronic): 1 December 2023

Publication date PMC-release: 1 December 2023

Publication date Collection: 2023

Volume: 24

Electronic Location Identifier: 931

Affiliations

[1 ]Department of Orthopaedics, The First Medical Center of Chinese PLA General Hospital, ( https://ror.org/04gw3ra78) Beijing, 100853 China

[2 ]Department of Orthopaedics, The Fourth Medical Center of Chinese PLA General Hospital, ( https://ror.org/04gw3ra78) Beijing, 100048 China

[3 ]Department of Orthopaedics, The First Affiliated Hospital of Soochow University, ( https://ror.org/051jg5p78) Jiangsu, 215006 China

[4 ]GRID grid.414252.4, ISNI 0000 0004 1761 8894, Department of Orthopaedics, , Hainan Hospital, PLA General Hospital, ; Hainan, 572013 China

[5 ]GRID grid.488137.1, ISNI 0000 0001 2267 2324, Nursing Department, , The First Medical Center of Chinese PLA General, ; Beijing, 100853 China

Author information

Yuan Gao http://orcid.org/0000-0002-6064-2545

Article

Publisher ID: 6921

DOI: 10.1186/s12891-023-06921-w

PMC ID: 10691185

PubMed ID: 38041039

SO-VID: 6ac0fc87-0fd4-40a1-8506-f6f450a45027

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 18 May 2023

Date accepted : 26 September 2023

Funding

Funded by: The Innovation Project of the National Clinical Research Center for Orthopaedics and Sports Rehabilitation of China

Award ID: 2021-NCRC-CXJJ-ZH-36

Custom metadata

ScienceOpen disciplines: Orthopedics

Keywords: hip arthroplasty,knee arthroplasty,venous foot pump,venous thromboembolism

Data availability:

ScienceOpen disciplines: Orthopedics

Keywords: hip arthroplasty, knee arthroplasty, venous foot pump, venous thromboembolism

Effect of different application duration of a venous foot pump on prevention of venous thromboembolism after hip and knee arthroplasty: a multicenter prospective clinical trial

Read this article at

Abstract

Objective

Methods

Results

Conclusions

Supplementary Information

Related collections

Orthopedics

Most cited references 38

Heart Disease and Stroke Statistics—2021 Update: A Report From the American Heart Association

Epidemiology of venous thromboembolism.

A prospective study of venous thromboembolism after major trauma.

Author and article information

Contributors

Journal

Affiliations

Author information

Article

History

Funding

Categories

Custom metadata

Comments

Comment on this article

Similar content 195

Most referenced authors 2,344