Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients
Abstract Patients at high risk of deep vein thrombosis are recommended to undergo lower-extremity ultrasonography to screen for pulmonary embolism (PE); however, there are few reports on whether this can effectively reduce the occurrence of fatal pulmonary embolism (FPE). This study aimed to assess...
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Nature Portfolio
2025-01-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-84572-0 |
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| author | Haoran Li Zhi Li Na Yang Jian Xing Huijun Yuan Zhe Song Xing Wei Teng Ma Qian Wang Pengfei Wang Kun Zhang |
| author_facet | Haoran Li Zhi Li Na Yang Jian Xing Huijun Yuan Zhe Song Xing Wei Teng Ma Qian Wang Pengfei Wang Kun Zhang |
| author_sort | Haoran Li |
| collection | DOAJ |
| description | Abstract Patients at high risk of deep vein thrombosis are recommended to undergo lower-extremity ultrasonography to screen for pulmonary embolism (PE); however, there are few reports on whether this can effectively reduce the occurrence of fatal pulmonary embolism (FPE). This study aimed to assess the risk factors associated with PE and to investigate whether perioperative ultrasound screening of lower extremity veins in orthopedic patients can effectively reduce the incidence of FPE. We enrolled 137 patients with PE who underwent orthopedic surgery between 2013 and 2020. Patients were divided into survival and non-survival groups based on whether FPE occurred during hospitalization. Demographic and clinical data were compared between groups. Ultrasound screening was effective in reducing the incidence of FPE in orthopedic patients. Thrombolytic therapy and computed tomography pulmonary angiography (CTPA) were highlighted factors that protect against FPE. Coronary heart disease was found to be independent risk factors for FPE. Proximal thrombus associated with an FPE. Ultrasound screening of the lower limb veins should be routinely performed in orthopedic patients during the perioperative period. Prophylactic inferior vena cava filter implantation, thrombolytic therapy, and CTPA can be performed in patients with suspected PE to reduce its incidence. |
| format | Article |
| id | doaj-art-242cd7511f9a44fc8caa99e0dc42de98 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-242cd7511f9a44fc8caa99e0dc42de982025-01-05T12:18:27ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-024-84572-0Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patientsHaoran Li0Zhi Li1Na Yang2Jian Xing3Huijun Yuan4Zhe Song5Xing Wei6Teng Ma7Qian Wang8Pengfei Wang9Kun Zhang10Department of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Spine Surgery, Xi’an Daxing HospitalDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityDepartment of Orthopedics and Traumatology, Honghui Hospital, Xi’an Jiaotong UniversityAbstract Patients at high risk of deep vein thrombosis are recommended to undergo lower-extremity ultrasonography to screen for pulmonary embolism (PE); however, there are few reports on whether this can effectively reduce the occurrence of fatal pulmonary embolism (FPE). This study aimed to assess the risk factors associated with PE and to investigate whether perioperative ultrasound screening of lower extremity veins in orthopedic patients can effectively reduce the incidence of FPE. We enrolled 137 patients with PE who underwent orthopedic surgery between 2013 and 2020. Patients were divided into survival and non-survival groups based on whether FPE occurred during hospitalization. Demographic and clinical data were compared between groups. Ultrasound screening was effective in reducing the incidence of FPE in orthopedic patients. Thrombolytic therapy and computed tomography pulmonary angiography (CTPA) were highlighted factors that protect against FPE. Coronary heart disease was found to be independent risk factors for FPE. Proximal thrombus associated with an FPE. Ultrasound screening of the lower limb veins should be routinely performed in orthopedic patients during the perioperative period. Prophylactic inferior vena cava filter implantation, thrombolytic therapy, and CTPA can be performed in patients with suspected PE to reduce its incidence.https://doi.org/10.1038/s41598-024-84572-0Pulmonary embolismCoronary heart diseaseDeep vein thrombosisColor Doppler ultrasonographyComputed tomographyPulmonary angiogram |
| spellingShingle | Haoran Li Zhi Li Na Yang Jian Xing Huijun Yuan Zhe Song Xing Wei Teng Ma Qian Wang Pengfei Wang Kun Zhang Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients Scientific Reports Pulmonary embolism Coronary heart disease Deep vein thrombosis Color Doppler ultrasonography Computed tomography Pulmonary angiogram |
| title | Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| title_full | Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| title_fullStr | Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| title_full_unstemmed | Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| title_short | Perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| title_sort | perioperative ultrasound screening of lower extremity veins is effective in the prevention of fatal pulmonary embolism in orthopedic patients |
| topic | Pulmonary embolism Coronary heart disease Deep vein thrombosis Color Doppler ultrasonography Computed tomography Pulmonary angiogram |
| url | https://doi.org/10.1038/s41598-024-84572-0 |
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