INCIDENCE OF DEEP VEIN THROMBOSIS IN ELDERLY INDIAN POPULATION FOLLOWING HIP SURGERIES  A PROSPECTIVE STUDY USING SERIAL DUPLEX ULTRASOUND

Dr Virendra Patidar; Dr Vikas Singhal

Volume : VI, Issue : I, January - 2016

INCIDENCE OF DEEP VEIN THROMBOSIS IN ELDERLY INDIAN POPULATION FOLLOWING HIP SURGERIES A PROSPECTIVE STUDY USING SERIAL DUPLEX ULTRASOUND

Dr Virendra Patidar, Dr Vikas Singhal

Abstract :

Introduction –– Hip surgery is one of the most common orthopaedic surgeries. Patients of hip surgery considered at high risk for developing DVT. The incidence of DVT in Asian patients was traditionally considered to be lower than western. However few recent studies have shown significantly higher incidence even in Asian population & it suggest use of routine thromboprophylaxis for hip surgeries. There is lack of data on the incidence of DVT in Indian population. These guide us for initiating a prospective study to determine the incidence of DVT following hip surgery. Methods –– A prospective was conducted on 102 patients scheduled for hip surgery and met our inclusion and exclusion criterias. A duplex ultrasound on both lower limbs was done 7th to 10th days after surgery and one month after surgery. The patients were assessed clinically for any signs of deep venous thrombosis (DVT) daily and duplex ultrasound was done earlier in case of clinical suspicion of DVT irrespective of the stage of study. Results –– Out of 102 patients recruited for study, only one patient developed DVT which accounts for overall incidence of 0.98% (~~1%) at one months of postoperative period. Conclusion –– In view of results of our study & most of previous studies we conclude that, it is not cost effective to advice thromboprophylaxis in patients undergoing hip surgery routinely in India and need of thromboprophylaxis in Indian patients should be individualized according to presence of risk factors