Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study
Summary Background The incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain. Objectives To estimate the incidence of symptomatic VTE after arthroscopic knee surgery. Methods In a population‐based historical cohort study, all Olmsted County, MN, USA, residents und...
Gespeichert in:
| Veröffentlicht in: | Journal of thrombosis and haemostasis 2013-07, Vol.11 (7), p.1279-1286 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1286 |
|---|---|
| container_issue | 7 |
| container_start_page | 1279 |
| container_title | Journal of thrombosis and haemostasis |
| container_volume | 11 |
| creator | Mauck, K. F. Froehling, D. A. Daniels, P. R. Dahm, D. L. Ashrani, A. A. Crusan, D. J. Petterson, T. M. Bailey, K. R. Heit, J. A. |
| description | Summary
Background
The incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain.
Objectives
To estimate the incidence of symptomatic VTE after arthroscopic knee surgery.
Methods
In a population‐based historical cohort study, all Olmsted County, MN, USA, residents undergoing a first arthroscopic knee surgery during the 18‐year period of 1988–2005 were followed for incident deep venous thrombosis or pulmonary embolism. The cumulative incidence of VTE after knee arthroscopy was determined using the Kaplan–Meier product limit estimator. Patient age at surgery, sex, calendar year of surgery, body mass index, anesthesia characteristics, and hospitalization were tested as potential predictors of VTE using Cox proportional hazards modeling, both univariately and adjusted for age and sex.
Results
Among 4833 Olmsted County residents with knee arthroscopy, 18 developed postoperative VTE, all within the first 6 weeks after surgery. The cumulative incidence rates of symptomatic VTE at 7, 14, and 35 days were 0.2%, 0.3%, and 0.4%, respectively. The hazard for postoperative VTE was significantly increased for older patient age (hazard ratio = 1.34 for each 10‐year increase in patient age; P = 0.03) and hospitalization either before or after knee arthroscopy (hazard ratio = 14.1; P |
| doi_str_mv | 10.1111/jth.12283 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3827585</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3104445391</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4433-6559604834e8472d7297d669350a8e2398fa94a855161d7a0864b422ee2364b13</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpaNKkh_6BIuilPWyib8s9FEpovgjkkp6FVh6vtbGtjSRv2X9fbTYJSSEDYgb08PLOvAh9puSYljpZ5u6YMqb5O3RAJdezSnP1_mmuOd9HH1NaEkJrycgHtM-4EppQdYAWl6PzDYwOcGjxGsYwJZy7GIZ5gPJ6nwZs2wwRQw8u-zXguxEA27ilkgsr73Ca4gLi5ge2uPMph-id7bELXYgZpzw1myO019o-wafHfoj-nP2-Pb2YXd-cX57-up45ITifKSlrRYTmArSoWFOxumqUqrkkVgPjtW5tLayWkiraVJZoJeaCMYDtSnPKD9HPne5qmg_QOBhztL1ZRT_YuDHBevP6Z_SdWYS14ZpVUssi8O1RIIb7CVI2g08O-t6OUG5jqCBEMUFZXdCv_6HLMMWxrFcoUSxLxVWhvu8oV86VIrTPZigx2_hMic88xFfYLy_dP5NPeRXgZAf89T1s3lYyV7cXO8l_vBqkyQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1443505636</pqid></control><display><type>article</type><title>Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Mauck, K. F. ; Froehling, D. A. ; Daniels, P. R. ; Dahm, D. L. ; Ashrani, A. A. ; Crusan, D. J. ; Petterson, T. M. ; Bailey, K. R. ; Heit, J. A.</creator><creatorcontrib>Mauck, K. F. ; Froehling, D. A. ; Daniels, P. R. ; Dahm, D. L. ; Ashrani, A. A. ; Crusan, D. J. ; Petterson, T. M. ; Bailey, K. R. ; Heit, J. A.</creatorcontrib><description>Summary
Background
The incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain.
Objectives
To estimate the incidence of symptomatic VTE after arthroscopic knee surgery.
Methods
In a population‐based historical cohort study, all Olmsted County, MN, USA, residents undergoing a first arthroscopic knee surgery during the 18‐year period of 1988–2005 were followed for incident deep venous thrombosis or pulmonary embolism. The cumulative incidence of VTE after knee arthroscopy was determined using the Kaplan–Meier product limit estimator. Patient age at surgery, sex, calendar year of surgery, body mass index, anesthesia characteristics, and hospitalization were tested as potential predictors of VTE using Cox proportional hazards modeling, both univariately and adjusted for age and sex.
Results
Among 4833 Olmsted County residents with knee arthroscopy, 18 developed postoperative VTE, all within the first 6 weeks after surgery. The cumulative incidence rates of symptomatic VTE at 7, 14, and 35 days were 0.2%, 0.3%, and 0.4%, respectively. The hazard for postoperative VTE was significantly increased for older patient age (hazard ratio = 1.34 for each 10‐year increase in patient age; P = 0.03) and hospitalization either before or after knee arthroscopy (hazard ratio = 14.1; P < 0.001).
Conclusions
The incidence of symptomatic VTE after arthroscopic knee surgery is very low. Older age and hospitalization are associated with increased risk. Routine prophylaxis to prevent symptomatic VTE is likely not needed in this patient population.</description><identifier>ISSN: 1538-7933</identifier><identifier>ISSN: 1538-7836</identifier><identifier>EISSN: 1538-7836</identifier><identifier>DOI: 10.1111/jth.12283</identifier><identifier>PMID: 23648016</identifier><language>eng</language><publisher>England: Elsevier Limited</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Arthroscopy - adverse effects ; Child ; Child, Preschool ; deep venous thrombosis epidemiology ; Elective Surgical Procedures ; Female ; Hospitalization ; Humans ; Incidence ; Kaplan-Meier Estimate ; Knee Joint - surgery ; knee replacement arthroplasty ; Male ; Middle Aged ; Minnesota - epidemiology ; Proportional Hazards Models ; pulmonary embolism ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Time Factors ; venous thromboembolism ; Venous Thromboembolism - epidemiology ; Venous Thromboembolism - prevention & control ; Young Adult</subject><ispartof>Journal of thrombosis and haemostasis, 2013-07, Vol.11 (7), p.1279-1286</ispartof><rights>2013 International Society on Thrombosis and Haemostasis</rights><rights>2013 International Society on Thrombosis and Haemostasis.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4433-6559604834e8472d7297d669350a8e2398fa94a855161d7a0864b422ee2364b13</citedby><cites>FETCH-LOGICAL-c4433-6559604834e8472d7297d669350a8e2398fa94a855161d7a0864b422ee2364b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23648016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mauck, K. F.</creatorcontrib><creatorcontrib>Froehling, D. A.</creatorcontrib><creatorcontrib>Daniels, P. R.</creatorcontrib><creatorcontrib>Dahm, D. L.</creatorcontrib><creatorcontrib>Ashrani, A. A.</creatorcontrib><creatorcontrib>Crusan, D. J.</creatorcontrib><creatorcontrib>Petterson, T. M.</creatorcontrib><creatorcontrib>Bailey, K. R.</creatorcontrib><creatorcontrib>Heit, J. A.</creatorcontrib><title>Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study</title><title>Journal of thrombosis and haemostasis</title><addtitle>J Thromb Haemost</addtitle><description>Summary
Background
The incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain.
Objectives
To estimate the incidence of symptomatic VTE after arthroscopic knee surgery.
Methods
In a population‐based historical cohort study, all Olmsted County, MN, USA, residents undergoing a first arthroscopic knee surgery during the 18‐year period of 1988–2005 were followed for incident deep venous thrombosis or pulmonary embolism. The cumulative incidence of VTE after knee arthroscopy was determined using the Kaplan–Meier product limit estimator. Patient age at surgery, sex, calendar year of surgery, body mass index, anesthesia characteristics, and hospitalization were tested as potential predictors of VTE using Cox proportional hazards modeling, both univariately and adjusted for age and sex.
Results
Among 4833 Olmsted County residents with knee arthroscopy, 18 developed postoperative VTE, all within the first 6 weeks after surgery. The cumulative incidence rates of symptomatic VTE at 7, 14, and 35 days were 0.2%, 0.3%, and 0.4%, respectively. The hazard for postoperative VTE was significantly increased for older patient age (hazard ratio = 1.34 for each 10‐year increase in patient age; P = 0.03) and hospitalization either before or after knee arthroscopy (hazard ratio = 14.1; P < 0.001).
Conclusions
The incidence of symptomatic VTE after arthroscopic knee surgery is very low. Older age and hospitalization are associated with increased risk. Routine prophylaxis to prevent symptomatic VTE is likely not needed in this patient population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroscopy - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>deep venous thrombosis epidemiology</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Incidence</subject><subject>Kaplan-Meier Estimate</subject><subject>Knee Joint - surgery</subject><subject>knee replacement arthroplasty</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minnesota - epidemiology</subject><subject>Proportional Hazards Models</subject><subject>pulmonary embolism</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>venous thromboembolism</subject><subject>Venous Thromboembolism - epidemiology</subject><subject>Venous Thromboembolism - prevention & control</subject><subject>Young Adult</subject><issn>1538-7933</issn><issn>1538-7836</issn><issn>1538-7836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1r3DAQhkVpaNKkh_6BIuilPWyib8s9FEpovgjkkp6FVh6vtbGtjSRv2X9fbTYJSSEDYgb08PLOvAh9puSYljpZ5u6YMqb5O3RAJdezSnP1_mmuOd9HH1NaEkJrycgHtM-4EppQdYAWl6PzDYwOcGjxGsYwJZy7GIZ5gPJ6nwZs2wwRQw8u-zXguxEA27ilkgsr73Ca4gLi5ge2uPMph-id7bELXYgZpzw1myO019o-wafHfoj-nP2-Pb2YXd-cX57-up45ITifKSlrRYTmArSoWFOxumqUqrkkVgPjtW5tLayWkiraVJZoJeaCMYDtSnPKD9HPne5qmg_QOBhztL1ZRT_YuDHBevP6Z_SdWYS14ZpVUssi8O1RIIb7CVI2g08O-t6OUG5jqCBEMUFZXdCv_6HLMMWxrFcoUSxLxVWhvu8oV86VIrTPZigx2_hMic88xFfYLy_dP5NPeRXgZAf89T1s3lYyV7cXO8l_vBqkyQ</recordid><startdate>201307</startdate><enddate>201307</enddate><creator>Mauck, K. F.</creator><creator>Froehling, D. A.</creator><creator>Daniels, P. R.</creator><creator>Dahm, D. L.</creator><creator>Ashrani, A. A.</creator><creator>Crusan, D. J.</creator><creator>Petterson, T. M.</creator><creator>Bailey, K. R.</creator><creator>Heit, J. A.</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201307</creationdate><title>Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study</title><author>Mauck, K. F. ; Froehling, D. A. ; Daniels, P. R. ; Dahm, D. L. ; Ashrani, A. A. ; Crusan, D. J. ; Petterson, T. M. ; Bailey, K. R. ; Heit, J. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4433-6559604834e8472d7297d669350a8e2398fa94a855161d7a0864b422ee2364b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroscopy - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>deep venous thrombosis epidemiology</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Incidence</topic><topic>Kaplan-Meier Estimate</topic><topic>Knee Joint - surgery</topic><topic>knee replacement arthroplasty</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minnesota - epidemiology</topic><topic>Proportional Hazards Models</topic><topic>pulmonary embolism</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>venous thromboembolism</topic><topic>Venous Thromboembolism - epidemiology</topic><topic>Venous Thromboembolism - prevention & control</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mauck, K. F.</creatorcontrib><creatorcontrib>Froehling, D. A.</creatorcontrib><creatorcontrib>Daniels, P. R.</creatorcontrib><creatorcontrib>Dahm, D. L.</creatorcontrib><creatorcontrib>Ashrani, A. A.</creatorcontrib><creatorcontrib>Crusan, D. J.</creatorcontrib><creatorcontrib>Petterson, T. M.</creatorcontrib><creatorcontrib>Bailey, K. R.</creatorcontrib><creatorcontrib>Heit, J. A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of thrombosis and haemostasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mauck, K. F.</au><au>Froehling, D. A.</au><au>Daniels, P. R.</au><au>Dahm, D. L.</au><au>Ashrani, A. A.</au><au>Crusan, D. J.</au><au>Petterson, T. M.</au><au>Bailey, K. R.</au><au>Heit, J. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study</atitle><jtitle>Journal of thrombosis and haemostasis</jtitle><addtitle>J Thromb Haemost</addtitle><date>2013-07</date><risdate>2013</risdate><volume>11</volume><issue>7</issue><spage>1279</spage><epage>1286</epage><pages>1279-1286</pages><issn>1538-7933</issn><issn>1538-7836</issn><eissn>1538-7836</eissn><abstract>Summary
Background
The incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain.
Objectives
To estimate the incidence of symptomatic VTE after arthroscopic knee surgery.
Methods
In a population‐based historical cohort study, all Olmsted County, MN, USA, residents undergoing a first arthroscopic knee surgery during the 18‐year period of 1988–2005 were followed for incident deep venous thrombosis or pulmonary embolism. The cumulative incidence of VTE after knee arthroscopy was determined using the Kaplan–Meier product limit estimator. Patient age at surgery, sex, calendar year of surgery, body mass index, anesthesia characteristics, and hospitalization were tested as potential predictors of VTE using Cox proportional hazards modeling, both univariately and adjusted for age and sex.
Results
Among 4833 Olmsted County residents with knee arthroscopy, 18 developed postoperative VTE, all within the first 6 weeks after surgery. The cumulative incidence rates of symptomatic VTE at 7, 14, and 35 days were 0.2%, 0.3%, and 0.4%, respectively. The hazard for postoperative VTE was significantly increased for older patient age (hazard ratio = 1.34 for each 10‐year increase in patient age; P = 0.03) and hospitalization either before or after knee arthroscopy (hazard ratio = 14.1; P < 0.001).
Conclusions
The incidence of symptomatic VTE after arthroscopic knee surgery is very low. Older age and hospitalization are associated with increased risk. Routine prophylaxis to prevent symptomatic VTE is likely not needed in this patient population.</abstract><cop>England</cop><pub>Elsevier Limited</pub><pmid>23648016</pmid><doi>10.1111/jth.12283</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1538-7933 |
| ispartof | Journal of thrombosis and haemostasis, 2013-07, Vol.11 (7), p.1279-1286 |
| issn | 1538-7933 1538-7836 1538-7836 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3827585 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Arthroscopy - adverse effects Child Child, Preschool deep venous thrombosis epidemiology Elective Surgical Procedures Female Hospitalization Humans Incidence Kaplan-Meier Estimate Knee Joint - surgery knee replacement arthroplasty Male Middle Aged Minnesota - epidemiology Proportional Hazards Models pulmonary embolism Retrospective Studies Risk Assessment Risk Factors Time Factors venous thromboembolism Venous Thromboembolism - epidemiology Venous Thromboembolism - prevention & control Young Adult |
| title | Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T07%3A22%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incidence%20of%20venous%20thromboembolism%20after%20elective%20knee%20arthroscopic%20surgery:%20a%20historical%20cohort%20study&rft.jtitle=Journal%20of%20thrombosis%20and%20haemostasis&rft.au=Mauck,%20K.%20F.&rft.date=2013-07&rft.volume=11&rft.issue=7&rft.spage=1279&rft.epage=1286&rft.pages=1279-1286&rft.issn=1538-7933&rft.eissn=1538-7836&rft_id=info:doi/10.1111/jth.12283&rft_dat=%3Cproquest_pubme%3E3104445391%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1443505636&rft_id=info:pmid/23648016&rfr_iscdi=true |