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ORIGINAL ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 21-24

Prevalence of venous thromboembolism in patients with acetabular or hip fractures and their association with hemoglobin concentration


1 Department of Research, King Abdullah International Medical Research Center; Department of Orthopedics, Ministry of the National Guard - Health Affairs, Riyadh City, Saudi Arabia
2 Department of Orthopedics, King Saud Medical City, Riyadh City, Saudi Arabia
3 Department of Scholarship, Ministry of Health, Riyadh City, Saudi Arabia
4 Department of Research, King Abdullah International Medical Research Center; Department of Orthopedics, Ministry of the National Guard - Health Affairs; King Saud bin Abdulaziz University for Health Sciences, Riyadh City, Saudi Arabia

Correspondence Address:
Dr. Abdulrhman M Alnasser
Department of Orthopedic, Al Imam Abdul Aziz Ibn Muhammad Ibn Saud, King Saud Medical City, Riyadh 12746
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_86_19

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Objectives: We aimed to determine the prevalence of venous thromboembolism (VTE) in patients with acetabular or hip fractures and the relationship between hemoglobin and VTE. Methods: The records of patients diagnosed with acetabular or hip fractures between 2009 and 2015 were reviewed. A 1:4 case–control study was conducted to determine the relationship between VTE and hemoglobin. In the “case” group, convenience sampling was used, including all the patients diagnosed with deep-vein thrombosis (DVT) or pulmonary embolism (PE). In the control group (n = 80), convenience sampling with age and gender matching was used. The prevalence of VTE was determined from the number of cases identified from 2009 to 2015 divided by the number of patients diagnosed with acetabular or hip fractures over the same period. Results: During the study period, 995 patients presented with acetabular or hip fractures. Four hundred and four patients had acetabular fractures, 20 (5%) of whom developed VTE, 11 (2.7%) were diagnosed with DVT alone, 7 (1.7%) with PE alone, and 2 (0.5%) with both DVT and PE. The prevalence of VTE following hip fracture was 3%, and the prevalence of DVT, PE, and both was 1.7%, 1%, and 0.5%, respectively. The mean hemoglobin concentration at admission was 11.7 ± 2.5 g/dl in patients with VTE and 12.3 ± 2.3 g/dl in controls (P = 0.45). Conclusion: The prevalence of VTE in patients with acetabular fracture was 5% and 3% with hip fracture. The present study showed no association between hemoglobin concentration at admission and VTE.


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