title: Prevalence of deep vein thrombosis and pulmonary embolism treated with mechanical compression device after total hip arthroplasty.
abstract: Several reports have suggested that there is a strikingly low prevalence of deep vein thrombosis (DVT) and pulmonary embolism (PE) after total hip arthroplasty (THA) in Asian patients. We determined the prevalence of DVT and PE after the use of a mechanical compression device only without pharmacological thromboprophylaxis in 459 patients (516 hips). The overall prevalence of DVT was 4.8% (27 of 561 hips). Nine of 27 hips had proximal thrombi. Three patients (0.7%) had asymptomatic PE. In our patients, combinations of absent thrombophilic polymorphisms with low clinical prothrombotic risk factors led to a low prevalence of DVT and virtually no symptomatic PE. Therefore, mechanical compression device only suffices to prevent DVT and PE in Asian patients.
authors.affiliation: The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
authors.forename: Young-Hoo
authors.initials: YH
authors.lastname: Kim
authors.affiliation: The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
authors.forename: Sourabh S
authors.initials: SS
authors.lastname: Kulkarni
authors.affiliation: The Joint Replacement Center, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
authors.forename: Jang-Won
authors.initials: JW
authors.lastname: Park
authors.affiliation: Department of Radiology, Ewha Womans University School of Medicine, Seoul, Republic of Korea.
authors.forename: Bom Sahn
authors.initials: BS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D044466:Asian People; D005260:Female; D006801:Humans; D048228:Intermittent Pneumatic Compression Devices; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011655:Pulmonary Embolism / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D012307:Risk Factors; D020246:Venous Thrombosis / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*
keywords: deep vein thrombosis; mechanical compression device only; pulmonary embolism; total hip arthroplasty