Risk factors for venous thromboembolism after hip arthroscopy: a systematic review and meta-analysis.

IF 2.8 3区医学 Q1 ORTHOPEDICS

Journal of Orthopaedic Surgery and Research Pub Date : 2025-02-04 DOI:10.1186/s13018-025-05536-2

Haoxuan Li, Huan Zhang, Shengjie Zhou, Chaowei Hu, Yiyuan Guan, Ri Jin

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引用次数: 0

Abstract

Background: Postoperative venous thromboembolism (VTE) following hip arthroscopy is associated with increased hospital readmissions and significant medical costs. However, the risk factors for postoperative VTE after hip arthroscopy remain a topic of debate. In this study, we aimed to quantitatively and comprehensively identify risk factors for postoperative VTE after hip arthroscopy, providing evidence for the development of clinical prevention strategies.

Methods: A systematic search was conducted using PubMed, Embase, Web of Science, Scopus, and the Cochrane Library databases from their inception to December 10, 2024. The search was limited to English-language articles that evaluated risk factors for postoperative VTE after hip arthroscopy. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the relationship between various risk factors and the incidence of postoperative VTE after hip arthroscopy. This protocol was registered with PROSPERO (registration number: CRD42024601636).

Results: Five studies, encompassing 71,815 patients who underwent hip arthroscopy, were included in the meta-analysis. The analysis identified obesity (OR: 1.41, 95% CI: 1.23-1.61), smoking (OR: 1.23, 95% CI: 1.04-1.45), and age > 45 years (OR: 1.49, 95% CI: 1.03-2.15) as significant risk factors for postoperative VTE.

Conclusion: Obesity, smoking, and age > 45 years are found to be significant risk factors for postoperative VTE after hip arthroscopy.

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髋关节镜手术后静脉血栓栓塞的风险因素：系统回顾和荟萃分析。

背景：髋关节镜术后静脉血栓栓塞症（VTE）与再入院率增加和医疗费用高昂有关。然而，髋关节镜术后 VTE 的风险因素仍是一个争论不休的话题。本研究旨在定量、全面地识别髋关节镜术后 VTE 的风险因素，为制定临床预防策略提供证据：方法：我们使用 PubMed、Embase、Web of Science、Scopus 和 Cochrane Library 数据库进行了系统性检索，检索时间从开始到 2024 年 12 月 10 日。检索仅限于评估髋关节镜术后 VTE 风险因素的英文文章。纳入研究的质量采用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale）进行评估。计算了风险比 (OR) 和 95% 置信区间 (CI)，以评估各种风险因素与髋关节镜术后 VTE 发生率之间的关系。该方案已在 PROSPERO 注册（注册号：CRD42024601636）：荟萃分析共纳入了五项研究，涉及 71815 名接受髋关节镜手术的患者。分析发现肥胖（OR：1.41，95% CI：1.23-1.61）、吸烟（OR：1.23，95% CI：1.04-1.45）和年龄大于 45 岁（OR：1.49，95% CI：1.03-2.15）是术后 VTE 的重要风险因素：结论：肥胖、吸烟和年龄大于 45 岁是髋关节镜术后 VTE 的重要风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery and Research ORTHOPEDICS-

CiteScore

4.10

自引率

7.70%

发文量

494

审稿时长

>12 weeks

期刊介绍： Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.