开放性髌骨骨折术后院内检测深静脉血栓形成
In-hospital detection of deep vein thrombosis after surgical treatment of open patellar fractures.
摘要(中文译文)
深静脉血栓形成（DVT）是下肢创伤后的重要并发症，但针对手术治疗开放性髌骨骨折的证据有限。我们回顾性研究了2013年11月至2023年1月期间在两所一级创伤中心接受手术的连续性开放性髌骨骨折患者。主要结局为住院超声监测路径中检出的院内DVT。先进行单变量logistic回归，随后采用预先设定的多变量模型，纳入年龄、多发骨折、受伤至手术时间、ASA≥III级、血钠、预后营养指数和D-二聚体。在373例患者中，172例检出院内DVT（46.1%），其中大多数为远端事件。主要多变量模型纳入325例完整病例和153例DVT事件。年龄较大（OR 1.047，95% CI 1.028-1.066）、多发骨折（OR 3.557，95% CI 1.937-6.531）以及受伤至手术时间较长（OR 1.089，95% CI 1.038-1.142）与DVT独立相关。这些发现支持住院期间早期风险意识，并应在常规住院超声监测的背景下加以解读。
Abstract
Deep vein thrombosis (DVT) is an important complication after lower-extremity trauma, but evidence in surgically treated open patellar fractures is limited. We retrospectively studied consecutive patients with open patellar fractures who underwent surgery at two level I trauma centers between November 2013 and January 2023. The primary outcome was detected in-hospital DVT within the inpatient ultrasound surveillance pathway. Univariable logistic regression was followed by a prespecified multivariable model including age, multiple fractures, time from injury to surgery, ASA ≥ III, sodium, prognostic nutritional index, and D-dimer. Among 373 patients, 172 had detected in-hospital DVT (46.1%), most of which were distal events. The primary multivariable model included 325 complete cases and 153 DVT events. Older age (OR 1.047, 95% CI 1.028-1.066), multiple fractures (OR 3.557, 95% CI 1.937-6.531), and longer time from injury to surgery (OR 1.089, 95% CI 1.038-1.142) were independently associated with DVT. These findings support early risk awareness during hospitalization and should be interpreted within the context of routine inpatient ultrasound surveillance.
如何引用
AMA
Zihang Zhao, Shuo Yang, Liang Guo, Yousheng Zhang, Changmao Qiu, Ming Zhao, et al. In-hospital detection of deep vein thrombosis after surgical treatment of open patellar fractures.. Scientific reports. 2026; doi:10.1038/s41598-026-61469-8.
APA
Zihang Zhao, Shuo Yang, Liang Guo, Yousheng Zhang, Changmao Qiu, Ming Zhao, et al (2026). In-hospital detection of deep vein thrombosis after surgical treatment of open patellar fractures.. Scientific reports. https://doi.org/10.1038/s41598-026-61469-8
GB/T 7714
Zihang Zhao, Shuo Yang, Liang Guo, Yousheng Zhang, Changmao Qiu, Ming Zhao, et al. In-hospital detection of deep vein thrombosis after surgical treatment of open patellar fractures.[J]. Scientific reports, 2026 doi:10.1038/s41598-026-61469-8.
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