Dissertation > Excellent graduate degree dissertation topics show

A Prospective Survey of the Incidence of Venous Thromboembolism in a Limited Capacity of Patients Undergoing Major Orthopaedic Surgery

Author: SunYang
Tutor: WangJinCheng
School: Jilin University
Course: Surgery
Keywords: Major Orthopaedic Surgery Venous ThromboEmbolism Deep VenousThrombosis Preventive Measure
CLC: R687.4
Type: Master's thesis
Year: 2013
Downloads: 40
Quote: 0
Read: Download Dissertation


Objective: To investigate the incidence of venous thromboembolism(VTE) in patients undergoing major orthopaedic surgery in China-JapanUnion Hospital of Jilin University, and to investigate the protective effect ofpreventive measures against the formation of venous thromboembolism.Methods: A prospective survey contains the clinical data of China-JapanUnion Hospital of Jilin University consisted of patients with major orthopedicsurgery from September2012to March2013for35cases, consisting of19male and16female cases, aged35to93years, the average (63.1土9.9) years.Among them,23cases undergoing total hip arthroplasty, total knee arthroplastysurgery in8cases, and hip fracture surgery in4cases; All patients taking thedrug preventive measures, yet none of them taking the physical preventionmeasures. Home-made case report form to collect relevant information,including basic information, the main admission diagnosis, pre-operativemerged with deep vein thrombosis-related diseases, preoperative bloodtriglyceride levels, operation name, stay in bed for the duration of thepreventive measures of VTE formation and lower extremity deep venous ultrasound results. All clinical cases were based on the assignment of therelevant projects to the count data, using SPSS statistical analysis of the impactof preventive measures on the incidence of DVT. In addition, theepidemiological data of DVT formation in2005seven countries in Asia and19centers in major orthopedic surgery were compared to analyze the protectiveeffect of the difference between the incidence of DVT and preventive measures,using two-sided test, with p<0.05as meaningful, and calculate odds ratio.Results:14cases with suspected symptomatic postoperative VTE, then3cases(all DVT) diagnosed, the rate was8.57%and the false positive rate is78.6%, all through deep venous color Doppler ultrasound examination, lowerthan the domestic and international coverage rate of exposure groups, OR is0.139. Age, diabetes, infection, active bleeding, triglyceride level, ambulatoryduration of DVT, no significantly presented in promoting preventive measuresbecause of lack of samples. Lower than the incidence reported in the literatureof seven countries in Asia and19centers in major orthopedic surgery afterDVT,OR is0.139.Conclusion: Symptomatic DVT incidence in patients undergoing majororthopaedic surgery in China-Japan Union Hospital of Jilin University was8.57%,lower than the domestic and international coverage of exposuregroups,p<0.001,OR is0.139. The use of preventive measures do measure,besides, the high false positive rate indicates the importance of physicalexaminations and differential diagnosis. Age, diabetes, infection, activebleeding, triglyceride levels, and bed rest duration may promote the occurrence of DVT, but in this study did not reflect its role, due to the lack of samples.

Related Dissertations

  1. The Primary Study of Coagulopathy in Lung Cancer Patients,R734.2
  2. The Dynamic Changes of D-dimer Following Venous Thromboembolismin Rats,R543.6
  3. Research on Financial Fraund in Securities Market,F830.42
  4. Venous Thromboembolism in Patients with Idiopathic Membranous Nephropathy,R692
  5. The Related Risk Factors for Recurrence of Venous Thromboembolism:a Meta-analysis,R543.6
  6. Association of Coagulation Factor Ⅶ Gene Polymorphisms and Its Plasma Activity Levels with Venous Thromboembolism,R543.6
  7. Epidemiology of Peroperative Venous Thromboembolism and the Development and Validation of its Scoring System,R543.4
  8. Study on the Change Rule of the Cell Adhesion Molecules in Different Traditional Chinese Medicine Syndrome Types of the Deep Venous Thrombosis,R259
  9. The Prevention & Perception on Enterprise Human Resource Crisis,F272.92
  10. Changes and Significance of Inflammatory Cells and Mediators in Acute Traumatic Venous Thromboembolism,R641
  11. Venous thromboembolism thrombophilic factors and TCM research and Correlation Analysis,R259
  12. The Clinical Aspects and Molecule Machanisms of a Hereditary Resistance to Activated Protein C Family,R596
  13. Significance of D-Dimer Assay for the Early Stage Diagnosing Thromboembolism in Bone Injured Patients,D919
  14. Study on the Variation and Role of Vascular Endothelialgrowth Factor Associated with Experimental Venous Thromboembolism in Rat,R543.6
  15. The Causes and Prevention of the Left-behind Juvenile Delinquency in China,D917
  16. Clinical Analysis of 26 Cases of Venous Thromboembolism after Gynecology and Obstetric Surgeries,R719
  17. The Epidemiological Characteristics, Risk Factors and Prevention Strategies of the Hand Injuries in Pearl River Delta Region,R658
  18. The Hazard Analysis of Occupational Disease at the Project of Domestic Sewage Treatment in Heiyu Lake Ecologically Friendly Park,X703
  19. Investigation and Research on the Early Failure of Asphalt Pavement and Preventive Measures in Gansu Province,U418.6
  20. Correlation Study on Polymorphism of Promotor-1208I/D of Tissue Factor and the Plasma Levels of Coagulation TF in Patients with Venous Thromboembolism,R543.6
  21. The Correlation Analysis of Venous Thromboembolism with the Levels and Polymorphisms of Coagulation Factor Ⅷ,R543.6

CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Joint Surgery
© 2012 www.DissertationTopic.Net  Mobile