Differences in Incidence of Preoperative Deep Vein Thrombosis and Coagulation Function at Admission in Younger and Older Adults With Hip Fracture.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Orthopedics Pub Date : 2025-05-01 Epub Date: 2025-05-12 DOI:10.3928/01477447-20250421-01

Li-Tao Shi, Rui Gu, Li-Juan Duan

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引用次数: 0

Abstract

Background: The objectives of this study were to analyze differences in deep vein thrombosis (DVT) incidence in both lower extremities before operation and blood coagulation function at admission in younger and older adults with hip fracture and to guide DVT prevention in these patients.

Materials and methods: The 505 hip fracture patients enrolled in this research were sorted into an older adult (≥60 years) group (424 cases) and a younger adult group (81 cases) based on age. Preoperative DVT incidence in both lower extremities was analyzed. Differences in demographic characteristics, comorbidities, and preoperative DVT incidence in both lower extremities, blood coagulation function, and platelet count at admission were compared.

Results: Preoperative DVT incidence in both lower extremities in hip fracture patients increased with age. Compared with the younger adult group, preoperative DVT incidence in both lower extremities was higher, the ratio of women was higher, the ratio of patients with comorbidities (eg, hypertension, diabetes) was higher, fibrinogen was higher, and antithrombin III was lower in the older adult group.

Conclusion: Preoperative DVT incidence in both lower extremities in these patients increased with age. Compared with the younger adult group, preoperative DVT incidence was higher, hypercoagulable state was more obvious, and anticoagulant activity was weaker in the older adult group. This may be related to more patients of advanced age, a higher ratio of female patients, and more comorbidities. Advanced age (≥60 years) is the independent risk factor for preoperative DVT. [Orthopedics. 2025;48(3):139-145.].

查看原文本刊更多论文

老年髋部骨折患者术前深静脉血栓形成及入院时凝血功能的差异

背景：本研究的目的是分析年轻和老年髋部骨折患者术前双下肢深静脉血栓形成（DVT）发生率和入院时凝血功能的差异，并指导这些患者预防DVT。材料与方法：本研究纳入505例髋部骨折患者，根据年龄分为老年人（≥60岁）组（424例）和年轻人组（81例）。分析术前双下肢深静脉血栓的发生率。比较人口学特征、合并症、术前双下肢DVT发生率、凝血功能和入院时血小板计数的差异。结果：髋部骨折患者术前双下肢DVT发生率随年龄增加而增加。与青壮年组相比，术前双下肢DVT发生率较高，女性比例较高，合并高血压、糖尿病等合并症比例较高，老年组纤维蛋白原较高，抗凝血酶III较低。结论：患者术前双下肢DVT发生率随年龄增加而增加。与青壮年组相比，老年组术前DVT发生率更高，高凝状态更明显，抗凝活性较弱。这可能与老年患者多、女性患者比例高、合并症多有关。高龄（≥60岁）是术前DVT发生的独立危险因素。[矫形手术。48 2025;(3): 139 - 145。]。

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

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.