title: Preventing Venous Thromboembolism with Use of Intermittent Pneumatic Compression after Total Hip Arthroplasty in Korean Patients.
abstract: Intermittent Pneumatic Compression (IPC) device has been used to prevent venous thromboembolism (VTE). This study investigated the effectiveness of IPC device. We evaluated incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) in total hip arthroplasty (THA) patients after use of IPC device, and compared with historical incidences from our institution. We applied IPC device in 741 patients who underwent 870 elective primary THAs from January 2010 to December 2013, DVT was detected in 3 patients (0.3%) by sonography, and one (0.1%) of them was symptomatic. Symptomatic PE occurred in 1 patient (0.1%) and there were no cases of fatal PE. The incidence of symptomatic DVT was significantly lower than the historical control (P = 0.042). The IPC is a safe and effective prophylaxis of VTE after primary THA in Korea.
authors.affiliation: Department of Orthopaedic Surgery, Seoul Saint Mary's Hospital, Seoul, Korea .
authors.forename: Woo-Lam
authors.identifier: 0000-0001-7021-9348
authors.initials: WL
authors.lastname: Jo
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea .
authors.forename: Young-Kyun
authors.identifier: 0000-0001-6564-4294
authors.initials: YK
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, Chung-Ang University Hospital, Seoul, Korea .
authors.forename: Yong-Chan
authors.identifier: 0000-0002-6249-0581
authors.initials: YC
authors.lastname: Ha
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea .
authors.forename: Kyung-Min
authors.identifier: 0000-0002-3819-4002
authors.initials: KM
authors.lastname: Lee
authors.affiliation: Department of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea .
authors.forename: Bun-Jung
authors.identifier: 0000-0002-4155-6772
authors.initials: BJ
authors.lastname: Kang
authors.affiliation: Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea .
authors.forename: Kyung-Hoi
authors.identifier: 0000-0001-5251-2911
authors.initials: KH
authors.lastname: Koo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D048228:Intermittent Pneumatic Compression Devices; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control*; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D014463:Ultrasonography; D054556:Venous Thromboembolism / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
keywords: Deep Vein Thrombosis; Intermittent Pneumatic Compression; Pulmonary Embolism; Total Hip Arthroplasty; Venous Thromboembolism