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Deep vein thrombosis after hip surgery among Thai
V Atichartakarn1, K Pathepchotiwong, S Keorochana
1Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Archives of Internal Medicine
|June 1, 1988
Summary
This pilot study found a low incidence of deep vein thrombosis (DVT) in Thai patients after hip surgery. Results suggest routine anticoagulant prophylaxis may not be necessary in this population.
Area of Science:
- Orthopedic Surgery
- Vascular Medicine
- Epidemiology
Background:
- Deep vein thrombosis (DVT) is a significant postoperative complication, particularly after hip surgery.
- Western populations exhibit high DVT incidence (40-70%) following hip procedures.
Purpose of the Study:
- To determine the incidence of postoperative deep vein thrombosis (DVT) in Thai patients undergoing hip surgery.
- To evaluate the necessity of routine prophylactic anticoagulant measures in this demographic.
Main Methods:
- A pilot study conducted from April 1984 to June 1986.
- Involved 50 Thai patients undergoing hip surgery (total hip replacement or hip fracture repair).
- Postoperative venography performed on the 7th to 10th day.
Main Results:
- Only two out of 50 patients (4%) developed DVT.
- One patient had calf DVT, and another had calf and thigh DVT.
- Most patients were elderly, normal/low weight, with few known DVT risk factors.
Conclusions:
- Thai patients demonstrate a remarkably low incidence of DVT post-hip surgery.
- Routine prophylactic anticoagulation may not be indicated in Thailand for these procedures.
- Further research is warranted to confirm these findings in a larger cohort.