Postoperative deep-vein thrombosis in Asian patients is not a rarity: a prospective study of 88 patients with no prophylaxis.

Dhillon, K S; Askander, A; Doraismay, S (1996) Postoperative deep-vein thrombosis in Asian patients is not a rarity: a prospective study of 88 patients with no prophylaxis. The Journal of bone and joint surgery. British volume, 78 (3). pp. 427-30. ISSN 0301-620X

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Abstract

Postoperative deep-vein thrombosis (DVT) is believed to be rare in Asians. We studied 88 consecutive patients in Malaysia who had operations for fracture of the proximal femur or for total hip or knee replacement. No patient had prophylaxis against DVT; bilateral ascending venography was performed between six and ten days after operation. A total of 55 patients (62.5%) showed venographic evidence of DVT. The prevalence was greatest after total knee replacement (76.5%), less after total hip replacement (64.3%) and smallest in the fracture group (50%). One patient developed symptomatic pulmonary embolism. In contrast to other reports from Asia, we found an incidence of postoperative DVT which is similar to that reported in Western populations. This suggests that the present practice of withholding routine prophylaxis against thromboembolism in Asian patients undergoing high-risk orthopaedic procedures should be reconsidered.

Item Type: Article
Creators:
  1. Dhillon, K S
  2. Askander, A
  3. Doraismay, S
Journal or Publication Title: The Journal of bone and joint surgery. British volume
Additional Information: University of Malaya, Kuala Lumpur
Uncontrolled Keywords: Aged; Asian Continental Ancestry Group; Female;
Subjects: R Medicine > R Medicine (General)
Divisions: UNSPECIFIED
Depositing User: Mr. Faizal Hamzah
Date Deposited: 03 Mar 2011 09:30
Last Modified: 03 Mar 2011 09:30
URI: http://eprints.um.edu.my/id/eprint/351

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