PT  - JOURNAL ARTICLE
AU  - Mosaad O. Almegren
AU  - Alhanouf A. Alhedaithy
AU  - Amal S. Alomri
AU  - Nouf F. Albawardy
AU  - Rawan S. Mesmar
AU  - Mohammad A. Al Qahtani
TI  - Venous thromboembolism after total knee and hip arthroplasty
AID  - 10.15537/smj.2018.11.23545
DP  - 2018 Nov 01
TA  - Saudi Medical Journal
PG  - 1096--1101
VI  - 39
IP  - 11
4099  - http://smj.org.sa/content/39/11/1096.short
4100  - http://smj.org.sa/content/39/11/1096.full
SO  - Saudi Med J2018 Nov 01; 39
AB  - Objectives: To evaluate the incidence and risk factors of Venous thromboembolism (VTE) among total knee arthroplasty (TKA) and total hip arthroplasty (THA) patients following surgery.Methods: We conducted a retrospective review of electronic medical records of consecutive patients between January 2010 and January 2015 who underwent TKA or THA at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia.Results: The incidence of symptomatic VTE was 1.9% (17 events, 95% CI: 1.1–2.8) in 756 patients who underwent 889 surgeries. All VTE cases developed before hospital discharge. Twelve (1.4%) patients developed pulmonary embolism, and 5 (0.6%) patients developed deep vein thrombosis. The majority of patients (n=557, 62.7%) underwent surgery for single TKA, and 138 (15.5%) patients underwent bilateral arthroplasty. Based on univariate risk analysis, bilateral arthroplasty was the only potential predictor for VTE after surgery.Conclusion: The rate of symptomatic VTE in a Saudi population following arthroplasty is low and comparable to the international data. However, efforts and more trials are needed to further improve in-hospital thromboprophylaxis measures.