دورية أكاديمية
أعرض في EDS

Incidence of Deep Vein Thrombosis in Cerebral Palsy Following an Orthopaedic Surgical Event.

التفاصيل البيبلوغرافية
العنوان: Incidence of Deep Vein Thrombosis in Cerebral Palsy Following an Orthopaedic Surgical Event.
المؤلفون: Sees JP; Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE., Maguire K, Prestowitz S, Rogers KJ, Miller F
المصدر: Journal of pediatric orthopedics [J Pediatr Orthop] 2022 May-Jun 01; Vol. 42 (5), pp. 285-288.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8109053 Publication Model: Print Cited Medium: Internet ISSN: 1539-2570 (Electronic) Linking ISSN: 02716798 NLM ISO Abbreviation: J Pediatr Orthop Subsets: MEDLINE
أسماء مطبوعة: Publication: 2000- : Philadelphia : Lippincott Williams & Wilkins
Original Publication: New York Ny : Raven Press
مواضيع طبية MeSH: Cerebral Palsy*/complications , Cerebral Palsy*/epidemiology , Orthopedic Procedures*/adverse effects , Superior Vena Cava Syndrome*/complications , Venous Thromboembolism*/epidemiology , Venous Thrombosis*/epidemiology , Venous Thrombosis*/etiology , Venous Thrombosis*/prevention & control, Child ; Humans ; Incidence ; Risk Factors
مستخلص: Purpose: The purpose of this study was to identify the incidence of venous thromboembolism (VTE) and characterize the demographics, comorbidities, and risk factors for patients with cerebral palsy (CP) having orthopaedic surgery.
Methods: All patients diagnosed with CP who underwent an orthopaedic surgical procedure at one institution between 2008 and 2017 were identified. Diagnosis codes and associated patient events were recovered from the electronic medical record. Each VTE event was reviewed to ascertain an actual VTE episode related to a surgical event.
Results: The review included 2583 orthopaedic surgical events in 1371 patients. Of the initial 88 cases identified, 28 cases had a deep thrombosis documented. Six cases of VTE occurred within 3 months following the surgical event. Three of these cases had thigh thrombosis, and 2 patients had upper arm thrombosis, and 1 patient had a superior vena cava thrombosis. On further workup, 5 of these 6 patients were identified as having a congenital hypercoagulable condition.
Conclusions: VTE is a relatively rare occurrence after orthopaedic surgery in pediatric patients with CP, but when it occurs, a full hematologic workup for a congenital hypercoagulable condition is indicated. Based on the low incidence of thigh thrombosis, routine pharmacological or intermittent mechanical calf compression is not recommended. A careful clinical and family history should be performed to identify patients with possible genetic hypercoagulable conditions who would merit prophylaxis.
Level of Evidence: Level IV.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
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تواريخ الأحداث: Date Created: 20220218 Date Completed: 20220413 Latest Revision: 20220413
رمز التحديث: 20240628
DOI: 10.1097/BPO.0000000000002113
PMID: 35180727
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2570
DOI:10.1097/BPO.0000000000002113