title: Diagnosis of deep vein thrombosis in elderly hip-fracture patients by using the duplex scanning technique.
abstract: To detect the incidence of preoperative and postoperative deep vein thrombosis (DVT) in elderly patients with hip fracture, 100 patients aged 65 years and older with either a subcapital or intertrochanteric hip fracture were evaluated by duplex beta-mode ultrasonography. Treatment was based on each scan result: if evidence for DVT was seen, the patient was therapeutically anticoagulated; lacking signs of DVT, patients were treated prophylactically. Before their operation, 77 patients (77%) had normal results of their scans, while DVT was diagnosed in 12 patients (12%). An additional 11 patients (11%) developed DVT after the operation. The total incidence of DVT in this series was 23%.
authors.affiliation: Catholic Medical Center, Brooklyn and Queens, Inc, New York, New York.
authors.forename: G J
authors.initials: GJ
authors.lastname: Girasole
authors.forename: F
authors.initials: F
authors.lastname: Cuomo
authors.forename: J R
authors.initials: JR
authors.lastname: Denton
authors.forename: D
authors.initials: D
authors.lastname: O'Connor
authors.forename: A
authors.initials: A
authors.lastname: Ernst
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006620:Hip Fractures / Q000150:complications*; D006801:Humans; D008297:Male; D013924:Thrombophlebitis / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D014463:Ultrasonography / Q000379:methods