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Table 4 VTE incidence and all-cause mortality in relation to the surgical procedure

From: Symptomatic venous thromboembolism and mortality in orthopaedic surgery – an observational study of 45 968 consecutive procedures

 

Mortality

All VTE

PE

DVT

Rate of proximal DVT -n (%) †

Rate of post-discharge VTE – n (%)

(n = 1094) – n (%)

(n = 513) –n (%; 95% CI)

(n = 123)– n (%; 95% CI)

(n = 399) – n (%; 95% CI)

Hip replacement*

122 (3.0; 2.6-3.6)

80 (2.0; 1.6-2.5)

29 (0.7; 0.5-1.0)

53 (1.3; 1.0-1.7)

33 (70)

72 (90)

(all indications)

Knee replacement*

1 (0.1; 0.01-0.5)

49 (3.7; 2.8-5.0)

3 (0.2; 0.1-0.7)

47 (3.6; 2.7-4.8)

14 (30)

25 (57)

(all indications)

Spine surgery (all indications)*

8 (0.6; 0.3-1.2)

4 (0.3; 0.1-0.8)

3 (0.2; 0.1-0.7)

1 (0.1; 0.01-0.5)

1 (100)

3 (75)

Lower Limb Amputation*

150 (16.3; 13.8-19.1)

8 (0.9; 0.4-1.7)

7 (0.8; 0.4-1.6)

2 (0.2; 0.05-0.9)

0

3 (38)

Pelvic and lower limb fractures - IF

655 (5.1; 4.8-5.6)

232 (1.8; 1.6-2.1)

63 (0.5; 0.4-0.6)

170 (1.3; 1.1-1.6)

48 (31)‡

199 (86) §

(excl. foot fractures)

Knee arthroscopy

4 (0.1; 0.02-0.2)

28 (0.5; 0.3-0.7)

3 (0.05; 0.02-0.2)

28 (0.5; 0.3-0.7)

14 (52)

24 (83)

Anterior Cruciate Ligament reconstruction*

0

3 (0.5; 0.1-1.4)

0

3 (0.5; 0.1-1.4)

1 (33)

3 (100)

Achilles tendon ruptures

0

55 (7.2; 5.5-9.4)

0

55 (7.2; 5.5-9.4)

8 (15)

55 (100)

Foot surgery

1 (0.04; <0.01-0.3)

16 (0.7; 0.4-1.1)

1 (0.04; <0.01-0.3)

15 (0.6; 0.4-1.0)

0

15 (94)

Upper extremity surgery

34 (0.4; 0.3-0.5)

15 (0.2; 0.1-0.3)

8 (0.1; 0.05-0.2)

7 (0.1; 0.04-0.2)

5 (83)

12 (86)

Miscellaneous procedures in the lower limb

26 (2.0; 1.3-2.9)

19 (1.4; 0.9-2.2)

4 (0.3; 0.1-0.8)

17 (1.3; 0.8-2.1)

8 (47)

15 (79)

Minor surgery

93 (1.6; 1.3-2.0)

5 (0.1; 0.04-0.2)

2 (0.03; 0.01-0.1)

3 (0.1; 0.02-0.2)

1 (33)

3 (60)

  1. IF Internal fixation.
  2. * Thromboprophylaxis given according to protocol.
  3. † Based on 374 DVTs with defined distribution of the DVTs.
  4. ‡ Rate of proximal DVT was 53% (n = 31) for pelvis and femur fractures, 20% (n = 5) for tibia fractures and 16% (n = 12) for ankle fractures.
  5. § Rate of post-discharge VTE was 85% (n = 97) for pelvis and femur fractures, 72% (n = 21) for tibia fractures and 91% (n = 81) for ankle fractures.